ElderGrade
C

57.5/100

Average

Manawa Com Nur Ctr

400 East 4Th St, Manawa, WI 54949

CMS 1/5 stars #7 of 8 in Waupaca County (920) 596-2566
Certified beds
25
Occupancy
85%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $17,716 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

13.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.5 for 24 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.54 total nurse hours per resident per day (national median 3.77)
  • 1.06 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 51% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

4/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $17,716 in federal fines across 1 action(s)
  • -4 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.82 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.06 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.23 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 51.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 30 citations

Last standard health inspection: April 30, 2025 (1 year ago).

F Apr 30, 2025 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

F Apr 30, 2025 F0803

Nutrition and Dietary Deficiencies

Ensure 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.

No actual harm, potential for more than minimal harm

E Apr 30, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Apr 30, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Apr 30, 2025 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Apr 30, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

J Oct 22, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

F Oct 22, 2024 F0801 From a complaint

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
CASTLEBERG, PHILIP Individual W-2 MANAGING EMPLOYEE
CASTLEBERG, PHILIP Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
CASTLEBERG, BENJAMIN Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Manawa Com Nur Ctr

What is the ElderGrade for Manawa Com Nur Ctr? +

Manawa Com Nur Ctr holds an ElderGrade of C (57.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Manawa Com Nur Ctr? +

Residents receive an average of 4.82 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Manawa Com Nur Ctr been cited for harming residents? +

Yes. 2 of the 30 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Manawa Com Nur Ctr accept Medicaid? +

Yes, Manawa Com Nur Ctr is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.