GENEVA LAKE MANOR
211 S CURTIS ST, LAKE GENEVA, WI 53147 · CCN 525565
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 46.4
- Phone
- 2622483145
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-17 | 29 | 9.8 | 9.5 | +19.2 worse |
| 2 | 2024-01-16 | 27 | 9.2 | 9.8 | +17.8 worse |
| 3 | 2022-09-12 | 17 | 8.3 | 9.3 | +8.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 10 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.95 | 73.8% |
| RN staffing (reported) | 0.56 | 78.6% |
| Total nurse staffing (adjusted) | 5.22 | — |
Fines & penalties
- Total fines
- $201,107
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- WISCONSIN ILLINOIS SENIOR HOUSING, INC.
- Facilities in chain
- 7
- Chain avg overall
- 2.00 / 5
Inspection citations (73)2 immediate jeopardy3 actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-11-06 · Health · corrected 2025-12-01
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-06 · Health · corrected 2025-12-01
Immediate jeopardy
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-11-06 · Health · corrected 2025-12-01
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0625Notify 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.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-17 · Health · corrected 2025-04-11
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- GF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-03-17 · Health · corrected 2025-04-11
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-03-17 · Health · corrected 2025-04-11
Potential for minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2025-03-17 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0585Honor 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.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-12 · Health · corrected 2024-12-06
Immediate jeopardy
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-11-12 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-16 · Health · corrected 2024-02-14
Actual harm
- DF0687Provide appropriate foot care.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- EF0700Try 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.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- EF0761Ensure 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.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-01-16 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0625Notify 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.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0742Provide 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.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0758Implement 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.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-09-12 · Health · corrected 2022-10-03
Potential for more than minimal harm
- DF0886Perform COVID19 testing on residents and staff.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- EF0887Educate 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.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-09-12 · Health · corrected 2022-09-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARRIAGE HEALTHCARE COMPANIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-02-15 |
| DUPONT, LORI | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| GEHLER, MIRIAM | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| GERLACH, KERI | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| KERWIN, ANDREW | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| KUMAR, RAJEEV | Individual | CORPORATE DIRECTOR | — | 2012-04-24 |
| LACKE (CARRIG), KAREN | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| LYNN, NICHOLAS | Individual | CORPORATE DIRECTOR | — | 2011-03-14 |
| SHERMAN, STEPHANIE | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| SIEBEL, ROBERT | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| BURKE, DANA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-10-07 |
| SHERMAN, STEPHANIE | Individual | W-2 MANAGING EMPLOYEE | — | 2015-05-01 |
Other facilities in LAKE GENEVA
| Name | Overall | Beds |
|---|---|---|
| GOLDEN YEARS OF LAKE GENEVA | ★★★★☆ | 54 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.