Benedictine Manor of Lacrosse
2902 East Avenue South · La Crosse, WI · 54601 · 6087889870
80 certified beds Non profit - Corporation Chain: Benedictine Health System
Why this verdict
- Federal penalties on record: $43,517 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.00 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 5 · $97,481 |
Inspection citations (18 in the current record)
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Actual harm · G January 21, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2026 · Quality of Life and Care
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Actual harm · G March 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · E March 5, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 25, 2025 · Resident Rights
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Potential for harm · D March 5, 2025
Provide and implement an infection prevention and control program.
Corrected March 25, 2025 · Infection Control
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Immediate jeopardy · J June 11, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 17, 2024 · Quality of Life and Care
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Actual harm · G January 11, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2024 · Quality of Life and Care
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Potential for harm · E January 11, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 6, 2024 · Pharmacy Service
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Potential for harm · E January 11, 2024
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.
Corrected February 6, 2024 · Pharmacy Service
-
Potential for harm · D January 11, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 11, 2024
Provide and implement an infection prevention and control program.
Corrected February 6, 2024 · Infection Control
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Potential for harm · D January 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 25, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 20, 2023 · Pharmacy Service
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Potential for harm · D December 8, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 17, 2023 · Resident Rights
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Potential for harm · E December 8, 2022
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.
Corrected January 17, 2023 · Pharmacy Service
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Potential for harm · F December 8, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2023 · Nutrition and Dietary
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Potential for harm · E December 8, 2022
Provide and implement an infection prevention and control program.
Corrected January 17, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 21, 2026 | Fine | $19,135 |
| March 5, 2025 | Fine | $24,382 |
| June 11, 2024 | Fine | $10,036 |
| January 11, 2024 | Fine | $30,275 |
| October 25, 2023 | Fine | $13,653 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525438 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.