Geneva Lake Manor

CCN 525565 · WISCONSIN ILLINOIS SENIOR HOUSING INC · Non profit - Corporation · WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain · 60 certified beds · Walworth · WI


Geneva Lake Manor is a 60-bed nursing home in Lake Geneva, Wisconsin. CMS has certified it for Medicare and Medicaid since 1995-05-01. It averages 50.8 residents a day.

What harm was found in the violations cited at Geneva Lake Manor?

CMS lists 73 health-inspection deficiencies for Geneva Lake Manor since 2022-09-12, 58 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-10.

Survey dateTagDeficiencySeverity
2025-12-10F0686, F0691, F0698, F0755, F0760, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2025-11-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-11-06F0607, F0726Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2025-03-17F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H
2025-03-17F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.G
2025-03-17F0725, F0880, F0881Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.F
2025-03-17F0623, F0757, F0812Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-03-17F0559, F0561, F0604, F0625, F0645, F0661, F0689, F0690, F0692, F0698, F0760Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that residents are free from significant medication errors.D
2025-03-17F0732Post nurse staffing information every day.C
2024-11-12F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-11-12F0585, F0609Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2024-11-12F0551, F0610, F0655, F0660, F0745, F0755, F0760Give the resident's representative the ability to exercise the resident's rights. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Plan the resident's discharge to meet the resident's goals and needs. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.D
2024-01-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-01-16F0880Provide and implement an infection prevention and control program.F
2024-01-16F0656, F0700, F0761, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-01-16F0552, F0609, F0610, F0645, F0677, F0678, F0684, F0687, F0698, F0755, F0757, F0759, F0583Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Keep residents' personal and medical records private and confidential.D
2022-09-12F0730, F0908, F0947Observe each nurse aide's job performance and give regular training. / Keep all essential equipment working safely. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2022-09-12F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E
2022-09-12F0623, F0625, F0684, F0686, F0689, F0698, F0742, F0757, F0758, F0760, F0886Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure that residents are free from significant medication errors. / Perform COVID19 testing on residents and staff.D

Why was Geneva Lake Manor fined 2 times?

DateTypeAmount
2025-03-17Fine$113,919
2024-11-12Fine$16,801

How is Geneva Lake Manor staffed?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day4.316314.21234
Total nursing staff turnover (%)70.946.9
Average number of residents per day50.854.8

Who owns Geneva Lake Manor, and what chain is it in?

Geneva Lake Manor is registered with CMS as Non profit - Corporation, operates under the legal business name WISCONSIN ILLINOIS SENIOR HOUSING INC and belongs to the WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain.

RoleOwnerAssociation date
CORPORATE DIRECTORDUPONT, LORI, GEHLER, MIRIAM, GERLACH, KERI, KERWIN, ANDREW, KUMAR, RAJEEV SHIVA, LACKE (CARRIG), KAREN, LYNN, NICHOLASsince 01/01/2015
OPERATIONAL/MANAGERIAL CONTROLCARRIAGE HEALTHCARE COMPANIES INC, BEZOTTE, JENNIFER, SHERMAN, STEPHANIEsince 02/15/2001
ADP OF THE SNFCARRIAGE HEALTHCARE COMPANIES INC, HBT IT LLC, JT AND ASSOCIATES LLC, OAK MEDICAL SC, PARTNERS IN WEALTH MANAGEMENT, INC, PINION, LLC, REHAB SOLUTIONS GROUP, LLC, TWOMAGNETS LLC, BEZOTTE, JENNIFER, SHERMAN, STEPHANIEsince 01/01/1995

Were you or a family member harmed at Geneva Lake Manor?