Nursing homeActive

Manawa Com Nur CTR

400 East 4th St, Manawa, WI 54949920596256625 certified beds · 21 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
30
1272
Penalties · 3 yrs
$17,716
1 fine · 2 actions
Last survey
2025-04-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-04-30Standard060CMS-2567 (Care Compare)
2024-10-22Complaint041CMS-2567 (Care Compare)
2024-07-26Complaint010CMS-2567 (Care Compare)
2024-06-12Complaint020CMS-2567 (Care Compare)
2024-05-01Complaint030CMS-2567 (Care Compare)
2024-03-12Standard061CMS-2567 (Care Compare)
2023-03-01Standard150CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-04-30Standard survey · 6 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F695
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F801
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F803
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 525316-20250430-F880
2024-10-22Complaint survey · 5 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 525316-20241022-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 525316-20241022-F610
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 525316-20241022-F801
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 525316-20241022-F842
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 525316-20241022-F944
2024-07-26Complaint survey · 1 deficiencyOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 525316-20240726-F584
2024-06-12Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-05Record 525316-20240612-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-05Record 525316-20240612-F610
2024-05-01Complaint survey · 3 deficienciesOfficial report
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 525316-20240501-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 525316-20240501-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 525316-20240501-F610
2024-03-12Standard survey · 7 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-02Record 525316-20240312-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-03Record 525316-20240312-F609
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-16Record 525316-20240312-F727
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-03Record 525316-20240312-F757
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-02Record 525316-20240312-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-02Record 525316-20240312-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-03Record 525316-20240312-F883
2023-03-01Standard survey · 6 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 525316-20230301-F609
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-24Record 525316-20230301-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-25Record 525316-20230301-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-31Record 525316-20230301-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-03-25Record 525316-20230301-F812
F880Provide and implement an infection prevention and control program.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-03-25Record 525316-20230301-F880

Penalties & enforcement

DateActionAmountSource
2024-10-22Civil money penalty$17,716CMS · Penalties
2024-10-22Denial of payment for new admissions
Payment denial for 19 days, from 2024-11-20
CMS · Penalties
2024-03-12Denial of payment for new admissions
Payment denial for 24 days, from 2024-04-06
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.06
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.82
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.23
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover51%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover55%
Facility
Wisconsin
National
Wisconsin 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWisconsinNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.0%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.7%15.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.5%2.7%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
48.5%16.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
11.0%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
6.8%16.9%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Castleberg, Benjamin
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST5%
Castleberg, Philip
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST95%
Castleberg, Philip
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.

No county cost figures on file for Waupaca.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avina of Weyauwega
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9.7 mi2026-07-011405
St Joseph Residence
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10.7 mi2025-10-01090
Bethany Home
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11.5 mi2025-10-27091
WI Veterans Hm Ainsworth Hall
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12.3 mi2025-03-190110
WI Veterans Home Moses Hall
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01