Starfile

Starfile / Wisconsin

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.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-03-17299.89.5+19.2 worse
22024-01-16279.29.8+17.8 worse
32022-09-12178.39.3+8.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care10
Resident assessment and care planning2
Nursing and physician services3
Resident rights4
Nutrition and dietary1
Pharmacy service4
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.9573.8%
RN staffing (reported)0.5678.6%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. DF0760Ensure that residents are free from significant medication errors.2025-12-10 · Health · corrected 2026-01-10

    Potential for more than minimal harm

  6. DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2026-01-10

    Potential for more than minimal harm

  7. 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

  8. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-06 · Health · corrected 2025-12-01

    Immediate jeopardy

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-17 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  16. 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

  17. HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-17 · Health · corrected 2025-04-11

    Actual harm

  18. 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

  19. 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

  20. 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

  21. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-17 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  22. 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

  23. 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

  24. CF0732Post nurse staffing information every day.2025-03-17 · Health · corrected 2025-04-11

    Potential for minimal harm

  25. 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

  26. DF0760Ensure that residents are free from significant medication errors.2025-03-17 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  27. 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

  28. FF0880Provide and implement an infection prevention and control program.2025-03-17 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  29. FF0881Implement a program that monitors antibiotic use.2025-03-17 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  30. 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

  31. 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

  32. 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

  33. DF0610Respond appropriately to all alleged violations.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

  34. 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

  35. 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

  36. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-12 · Health · corrected 2024-12-06

    Immediate jeopardy

  37. 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

  38. 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

  39. DF0760Ensure that residents are free from significant medication errors.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

  40. 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

  41. DF0583Keep residents' personal and medical records private and confidential.2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  42. 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

  43. DF0610Respond appropriately to all alleged violations.2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  44. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  45. 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

  46. 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

  47. 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

  48. 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

  49. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-16 · Health · corrected 2024-02-14

    Actual harm

  50. DF0687Provide appropriate foot care.2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  51. 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

  52. 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

  53. 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

  54. 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

  55. 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

  56. DF0759Ensure medication error rates are not 5 percent or greater.2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  57. 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

  58. FF0880Provide and implement an infection prevention and control program.2024-01-16 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  59. 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

  60. 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

  61. 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

  62. 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

  63. 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

  64. 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

  65. 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

  66. 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

  67. 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

  68. 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

  69. DF0760Ensure that residents are free from significant medication errors.2022-09-12 · Health · corrected 2022-10-03

    Potential for more than minimal harm

  70. DF0886Perform COVID19 testing on residents and staff.2022-09-12 · Health · corrected 2022-09-29

    Potential for more than minimal harm

  71. 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

  72. FF0908Keep all essential equipment working safely.2022-09-12 · Health · corrected 2022-09-29

    Potential for more than minimal harm

  73. 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

OwnerTypeRolePercentSince
CARRIAGE HEALTHCARE COMPANIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2001-02-15
DUPONT, LORIIndividualCORPORATE DIRECTOR2015-01-01
GEHLER, MIRIAMIndividualCORPORATE DIRECTOR2015-01-01
GERLACH, KERIIndividualCORPORATE DIRECTOR2019-01-01
KERWIN, ANDREWIndividualCORPORATE DIRECTOR2016-01-01
KUMAR, RAJEEVIndividualCORPORATE DIRECTOR2012-04-24
LACKE (CARRIG), KARENIndividualCORPORATE DIRECTOR2016-01-01
LYNN, NICHOLASIndividualCORPORATE DIRECTOR2011-03-14
SHERMAN, STEPHANIEIndividualCORPORATE OFFICER2016-01-01
SIEBEL, ROBERTIndividualCORPORATE OFFICER2016-01-01
BURKE, DANAIndividualW-2 MANAGING EMPLOYEE2019-10-07
SHERMAN, STEPHANIEIndividualW-2 MANAGING EMPLOYEE2015-05-01

Other facilities in LAKE GENEVA

NameOverallBeds
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.