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GENEVA LAKE MANOR

Open-data reference.

GENEVA LAKE MANOR is a non profit - corporation facility in LAKE GENEVA, WI with 60 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $201K.

211 S CURTIS ST, LAKE GENEVA, WI 53147

Phone: 2622483145

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
525565
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
46
In Hospital
No
County
Walworth
Last Inspection
Mar 17, 2025

Staffing Data

RN Hours
0.56 (nat'l avg: 0.68)
LPN Hours
1.17
CNA Hours
3.23
Total Nursing Hours
4.95 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
73.8%
RN Turnover
78.6%

What the CMS Record Reveals About GENEVA LAKE MANOR

GENEVA LAKE MANOR operates 60 certified beds in LAKE GENEVA, WI with approximately 46 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $201K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.56 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, GENEVA LAKE MANOR falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 73.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2026

E — Pattern - Minimal harm Nov 6, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 1, 2025

J — Isolated - Jeopardy Nov 6, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 1, 2025

E — Pattern - Minimal harm Nov 6, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2025

F — Widespread - Minimal harm Mar 17, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Apr 11, 2025

F — Widespread - Minimal harm Mar 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 11, 2025

E — Pattern - Minimal harm Mar 17, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 11, 2025

E — Pattern - Minimal harm Mar 17, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 11, 2025

C — Widespread - No harm Mar 17, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 11, 2025

F — Widespread - Minimal harm Mar 17, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

G — Isolated - Actual harm Mar 17, 2025 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

H — Pattern - Actual harm Mar 17, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2025

E — Pattern - Minimal harm Mar 17, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Mar 17, 2025 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2024

J — Isolated - Jeopardy Nov 12, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

E — Pattern - Minimal harm Nov 12, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

E — Pattern - Minimal harm Nov 12, 2024 Tag: 0585

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 12, 2024 Tag: 0551

Give the resident's representative the ability to exercise the resident's rights.

Category: Resident Rights Deficiencies

Corrected: Dec 6, 2024

E — Pattern - Minimal harm Jan 16, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 16, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 16, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 16, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 58.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.6% Yes

Penalty History 2 penalties totaling $201K

Date Type Amount
Mar 17, 2025 Fine $175K
Nov 12, 2024 Fine $26K

Frequently Asked Questions

What is the overall CMS rating for GENEVA LAKE MANOR?
GENEVA LAKE MANOR has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at GENEVA LAKE MANOR?
GENEVA LAKE MANOR reports 4.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.56 per resident day (national average: 0.68). Nursing staff turnover is 73.8%.
How many beds does GENEVA LAKE MANOR have?
GENEVA LAKE MANOR has 60 certified beds with approximately 46 residents. The facility is located at 211 S CURTIS ST, LAKE GENEVA, WI 53147.
Does GENEVA LAKE MANOR have any deficiencies on record?
Yes, GENEVA LAKE MANOR has 50 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has GENEVA LAKE MANOR received any fines or penalties?
Yes, GENEVA LAKE MANOR has received 2 penalties totaling $201K.
Who owns GENEVA LAKE MANOR?
GENEVA LAKE MANOR is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was GENEVA LAKE MANOR last inspected?
The most recent health inspection for GENEVA LAKE MANOR was on Mar 17, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for GENEVA LAKE MANOR?
GENEVA LAKE MANOR is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial