Memory careIndependent livingAssisted living

INGLESIDE MANOR

0.00 reviews · 0 verifiedMOUNT HOREB, WILic. 525331

Signals

JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations

DENYCMS payment denial (35 days)Source: CMS Penalties

FINECMS fine: $128,700Source: CMS Penalties

DENYCMS payment denial (68 days)Source: CMS Penalties

SFFSpecial Focus: SFF CandidateSource: CMS Provider Information

FINECMS fine: $20,420Source: CMS Penalties

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About

Ingleside Communities in Mount Horeb, Wisconsin, offers a blend of home-like comforts and professional care in a supportive community atmosphere. The facility provides independent living and assisted living neighborhoods, along with rehabilitation therapy, skilled nursing, memory support, long-term care, and hospice care. As a nonprofit senior community, Ingleside is committed to quality care and engaging lifestyles for seniors. The campus features modern amenities and a focus on enhancing the lives of residents, ensuring they can live independently and recover with confidence.

Amenities

TherapiesOn-Site Rehabilitation Services

Safety & SecuritySecured Memory Care Unit

CMS Care CompareView on Medicare.gov →

Medicare overall

1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.

Staffing (PBJ)

3.99 total HPRDRN 1.13 · weekend 89%Oct 2025 – Dec 2025

Survey history

12 inspections114 deficiencies on record

Federal IDs

CCN 525331

Overall: 1/5 · Health: 1/5 · Staffing: 3/5 · QM: 4/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections

Health surveyOct 2025 · CMS15 deficiencies

F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
F-578SS E — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F-584SS E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS J — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-692SS D — Provide enough food/fluids to maintain a resident's health.
F-759SS D — Ensure medication error rates are not 5 percent or greater.
F-761SS D — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F-806SS D — Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F-849SS D — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F-867SS D — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-880SS F — Provide and implement an infection prevention and control program.
F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.

Fire safetyOct 2025 · STATE FIRE MARSHAL18 deficiencies

E-13SS F — Develop Emergency Preparedness policies and procedures.
E-39SS F — Conduct testing and exercise requirements.
K-223SS E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-331SS D — Construct fire resistant interior walls.
K-345SS E — Have approved installation, maintenance and testing program for fire alarm systems.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
K-511SS D — Have properly installed electrical wiring and gas equipment.
K-521SS F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-712SS C — Have simulated fire drills held at unexpected times.
K-741SS D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K-912SS E — Have power receptacles that are properly grounded.
K-914SS F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
K-920SS E — Ensure proper usage of power strips and extension cords.
K-923SS D — Have proper medical gas storage and administration areas.
K-927SS D — Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Health surveySep 2025 · CMS8 deficiencies

F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-584SS E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-684SS G — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-740SS D — Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-760SS D — Ensure that residents are free from significant medication errors.

Health surveyAug 2025 · CMS11 deficiencies

F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-692SS D — Provide enough food/fluids to maintain a resident's health.
F-712SS D — Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-760SS D — Ensure that residents are free from significant medication errors.
F-880SS D — Provide and implement an infection prevention and control program.
F-925SS E — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Health surveyJul 2025 · CMS9 deficiencies

F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-610SS D — Respond appropriately to all alleged violations.
F-658SS F — Ensure services provided by the nursing facility meet professional standards of quality.
F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-692SS J — Provide enough food/fluids to maintain a resident's health.
F-693SS D — Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F-730SS F — Observe each nurse aide's job performance and give regular training.
F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-868SS F — Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Health surveyJun 2025 · CMS1 deficiencies

F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Health surveyMar 2025 · CMS5 deficiencies

F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-610SS D — Respond appropriately to all alleged violations.
F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-759SS D — Ensure medication error rates are not 5 percent or greater.

Health surveyJul 2024 · CMS15 deficiencies

F-558SS E — Reasonably accommodate the needs and preferences of each resident.
F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-584SS E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-684SS G — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-692SS D — Provide enough food/fluids to maintain a resident's health.
F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-758SS D — Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F-759SS D — Ensure medication error rates are not 5 percent or greater.
F-760SS D — Ensure that residents are free from significant medication errors.
F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-814SS F — Dispose of garbage and refuse properly.
F-880SS F — Provide and implement an infection prevention and control program.
F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.

Fire safetyJul 2024 · STATE FIRE MARSHAL11 deficiencies

K-131SS D — Meet requirements for sections of health care facilities separated by fire resistive construction.
K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-362SS D — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K-363SS E — Install corridor and hallway doors that block smoke.
K-374SS F — Install smoke barrier doors that can resist smoke for at least 20 minutes.
K-521SS F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-541SS E — Install properly constructed and protected linen or trash chutes.
K-741SS D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K-911SS F — Meet requirements for the installation and maintenance of electrical systems.

Health surveyNov 2023 · CMS1 deficiencies

F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Health surveyMar 2023 · CMS9 deficiencies

F-554SS D — Allow residents to self-administer drugs if determined clinically appropriate.
F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-585SS E — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-809SS F — Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-880SS E — Provide and implement an infection prevention and control program.

Fire safetyMar 2023 · STATE FIRE MARSHAL11 deficiencies

E-13SS F — Develop Emergency Preparedness policies and procedures.
K-131SS E — Meet requirements for sections of health care facilities separated by fire resistive construction.
K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-223SS D — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-362SS D — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
K-521SS D — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-781SS D — Have restrictions on the use of portable space heaters.
K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.

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Ownership

Operated by WISCONSIN ILLINOIS SENIOR HOUSING, INC. (nonprofit) since 1983.

Contact

407 N EIGHTH ST
MOUNT HOREB, WI 53572

Get directions →

6084375511 wisconsinillinoisseniorhousing.org/senior-living/wi/mount-horeb/n-8th-street

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