EVANSVILLE MANOR NURSING AND REHAB, LLC
NPI 1205311917
Skilled Nursing Facility in Evansville, WI

Q: What is Evansville Manor Nursing And Rehab, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Evansville Manor Nursing And Rehab, LLC have?

CMS rates Evansville Manor Nursing And Rehab, LLC 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since September 27, 2018CLIA 52D0882881 · Waiver

2/5

Overall Rating

470 GARFIELD AVE, EVANSVILLE, WI 53536(608) 882-5700 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 16, 2020, Sep 27, 2018 (2 updates tracked since 2018).

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About Evansville Manor Nursing And Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANSVILLE MANOR NURSING AND REHAB, LLC (NPI 1205311917) is a healthcare organization registered as a skilled nursing facility in Evansville, Wisconsin and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Pamela Rice, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1205311917

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameEVANSVILLE MANOR NURSING AND REHAB, LLC

Location Address470 GARFIELD AVEEvansville, WI 53536-1099

Mailing Address8170 Mccormick Blvd Ste 112Skokie, IL 60076-2914 · (773) 825-3336 · Fax (773) 570-4554

Phone(608) 882-5700

Organization SubpartNo

Authorized OfficialPamela RiceDirector Of Revenue · (773) 825-3336

Enumeration DateSeptember 27, 2018

Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2020

✔ NPI 1205311917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

470 GARFIELD AVE, Evansville, WI 53536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, MercyCare, MercyCare Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0882881

Evansville Manor · Evansville, WI

Active · expires Feb 18, 2028

CLIA Number52D0882881

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateFebruary 19, 2026

Certificate Expiration DateFebruary 18, 2028

Laboratory DirectorJocelyn Glass

Laboratory Phone(608) 882-5700

Laboratory LocationEvansville Manor470 Garfield Ave, Evansville, WI 53536

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Evansville Manor Nursing And Rehab, LLC (CMS certification number 525418), from CMS Care Compare.

Evansville Manor Nursing And Rehab, LLC

Nursing home · Evansville, WI

2/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number525418

Certified Beds71 beds56 residents per day on average

Medicare & Medicaid Participant SinceSeptember 6, 1988

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

4/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

109.5

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.97 · LPN 0.91 · RN 0.66

3.54 hrs per resident per day

Weekend Nurse Staffing

3.11 hrs per resident per day

Physical Therapist Staffing

0.09 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

58.5%

Registered Nurse Turnover

72.2%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $23,660.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE MAEL

Physical Therapist