Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vernon Manor during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of aggressive behavior threw a metal spoon at another resident during an activity, resulting in physical abuse. The staff failed to remove the spoon and intervene promptly, despite the resident's known behaviors.
A facility failed to timely report an allegation of verbal abuse involving a resident who was cognitively intact. The incident occurred when a CNA allegedly yelled at the resident while assisting her with a bedpan. Although the incident was reported to a nurse on the following day, it was not communicated to the Social Service Director or the Director of Nursing until two days later, resulting in a delay in notifying the State Agency and Local Law Enforcement, contrary to the facility's policy.
A resident with severe cognitive impairment attempted to hit another resident with a spoon during an activity session. The Activities Assistant intervened but the resident threw the spoon, hitting another resident. The DON confirmed that no thorough investigation was conducted, as required by the facility's abuse policy, which mandates interviews with witnesses and involved parties.
The facility failed to develop comprehensive care plans for two residents, neglecting to address critical care areas such as pain management, incontinence, and wandering behavior. Despite assessments indicating these needs, the care plans were not updated, leading to deficiencies in resident care.
The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak, with staff not wearing PPE, outdated policies, and inadequate testing and screening. A staff member worked while COVID-19 positive, and the Medical Director was not notified of the outbreak.
A facility failed to report a resident-to-resident physical altercation to law enforcement, as required by policy. An LPN witnessed a resident with dementia hitting another resident with severe cognitive impairment. Although the incident was self-reported, the police were not notified, contrary to the facility's policy. The social worker confirmed that the previous NHA did not find it necessary to inform the police, despite acknowledging the requirement.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect a resident, R22, from physical abuse by another resident, R15, during an activity session. R15, who was admitted with unspecified dementia and had a history of physical and verbal behaviors, threw a metal spoon at R22, hitting her on the back of the head. R15 had a BIMS score indicating severe cognitive impairment and was known to exhibit altered behaviors. Despite these known behaviors, R15 was allowed to enter the activity room with a metal spoon, which was against facility policy. During the activity, R15 attempted to hit R22 with the spoon but was initially unsuccessful. The Activities Assistant (ACT1) moved R15 to another table but did not remove the spoon. Subsequently, R15 threw the spoon, hitting R22. The incident was reported to LPN1, who acknowledged that R15 had a previous incident of hitting another resident and should not have been allowed to take a metal spoon out of the dining room. The Director of Nursing confirmed that the incident was substantiated and that ACT1 should have intervened earlier.
Failure to Timely Report Verbal Abuse Allegation
Penalty
Summary
The facility failed to timely report an allegation of verbal abuse involving a resident, identified as R33, to the State Agency (SA). The incident occurred when Certified Nurse Aide 5 (CNA5) allegedly yelled at R33 while assisting her with a bedpan on 09/14/24. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15, reported the verbal abuse. The incident was initially reported by CNA6 to Registered Nurse 1 (RN1) on 09/15/24, but RN1 did not inform the Social Service Director (SSD) or the Director of Nursing (DON) until 09/17/24. Consequently, the SA and Local Law Enforcement were not notified until 09/17/24, which exceeded the facility's policy requirement to report such incidents immediately, and not to exceed 24 hours. The facility's policy on Resident Abuse, revised on 01/15/24, mandates that the Nursing Home Administrator determines the reportability of incidents, with reportable incidents to be reported immediately, and not to exceed 24 hours. The DON, who confirmed her role as one of the facility's Abuse Coordinators, stated during an interview that she was unaware of the situation until it was reported on 09/17/24. This delay in reporting the verbal abuse incident led to the deficiency identified during the survey.
Failure to Investigate Resident-to-Resident Abuse Incident
Penalty
Summary
The facility failed to thoroughly investigate an incident of resident-to-resident abuse involving a resident with severe cognitive impairment and another resident with no cognitive impairment. The incident occurred when the resident with severe cognitive impairment attempted to hit another resident with a spoon during an activity session. The Activities Assistant intervened by removing the resident from the group circle and attempting to redirect them with magazines. Despite these efforts, the resident threw a spoon at another resident, which was heard by the Activities Assistant when it hit the ground, and the other resident exclaimed 'Ouch.' The Director of Nursing confirmed that a thorough investigation was not conducted, as no interviews were held with staff or residents who witnessed the incident. The facility's policy on resident abuse mandates that any suspicious events be investigated thoroughly, including interviewing alleged victims, witnesses, and other residents to determine if they have been abused. The policy also requires interviewing staff from the same and other shifts, as well as family members or others who may have knowledge of the incident. The failure to conduct these interviews led to the deficiency noted in the report.
Deficiency in Person-Centered Care Planning
Penalty
Summary
The facility failed to develop a person-centered care plan for two residents, leading to deficiencies in addressing their specific care needs. For one resident, who was admitted with a diagnosis of malignant carcinoid tumor of the ileum and was cognitively intact, the care plan did not include essential care areas such as pain management, urinary incontinence, and psychotropic drug use, despite these areas being triggered by the Minimum Data Set (MDS) assessment. The MDS Coordinator confirmed that these care areas were expected to be included in the care plan but were not addressed. For another resident diagnosed with unspecified dementia and exhibiting severe cognitive impairment, the care plan failed to document the resident's wandering behavior, despite staff observations and the implementation of a door alarm to manage this behavior. The care plan only mentioned the use of a door alarm under a self-care deficit problem but did not address the wandering behavior itself. Interviews with staff, including the MDS Coordinator and the Director of Nursing, revealed a lack of communication and responsibility in updating the care plan to reflect the resident's current condition and behaviors.
Inadequate Infection Control During COVID-19 Outbreak
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak, which was identified when a staff member tested positive. The facility did not complete line listings contemporaneously, and the lists lacked symptomology. Staff were observed not wearing source control, and the facility did not track community transmission rates or hospital admissions. The outbreak was not recognized, and COVID-19 procedures were not implemented, including screening all residents for signs and symptoms of COVID-19. The facility allowed a staff member who tested positive for COVID-19 to work, contrary to infection control policies. Testing of residents and staff was not conducted once a confirmed case was identified. The facility's infection control policies and procedures were outdated and did not reflect current CDC guidance. Additionally, the Medical Director was not notified of the outbreak, and the facility failed to complete screening of residents for signs and symptoms of COVID-19 during the outbreak. The Assistant Director of Nursing/Infection Preventionist (ADON/IP) admitted to not updating line listings daily and not recognizing the outbreak due to a misunderstanding of the criteria. The facility's policies were not reviewed or updated regularly, and the ADON/IP was following outdated practices. The facility began testing residents and staff only after the survey team's intervention, with no additional positive cases identified at that time.
Failure to Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to implement its policies and procedures for reporting a reasonable suspicion of a crime, as required by section 1150B of the Act, in one of three reportable incidents. On March 19, 2024, a physical altercation occurred between two residents, R1 and R2, where R2 was observed hitting R1 with a closed fist in the back of the head. Despite the facility's policy mandating immediate investigation and reporting of such incidents, the altercation was not reported to local law enforcement. The facility's policy, last reviewed on January 15, 2024, outlines the necessity of notifying law enforcement or other official agencies in cases of abuse, neglect, or mistreatment. R2, who was admitted with diagnoses including dementia, coronary artery disease, chronic obstructive pulmonary disease, and transient ischemic attack, was involved in the incident. R1, assessed with severe cognitive impairment, was the victim of the altercation. The incident was self-reported by an LPN who witnessed the event and ensured the safety of both residents. However, the social worker confirmed that the police were not notified, as the previous nursing home administrator did not deem it necessary, despite acknowledging that they should have been informed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Viroqua
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Norseland Nursing Home | 6.3 mi | — | 0 | 0 |
| Soldiers Grove Health Services | 14.2 mi | — | 0 | 0 |
| Hillview Health Care Ctr | 21.2 mi | — | 15 | 0 |
| Bethany St Joseph Care Ctr | 21.2 mi | — | 0 | 0 |
| Benedictine Manor Of Lacrosse | 22.3 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.