01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-17 | 29 | 2025-03-17 | 9 |
| Cycle 2 | 2024-01-16 | 27 | 2024-01-16 | 8 |
| Cycle 3 | 2022-09-12 | 17 | 2022-09-12 | 6 |
CMS CCN 5255652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Geneva Lake Manor
211 S. Curtis St. · Lake Geneva, WI 53147 · Walworth County
Certified beds60CMS provider file
Recent citation rows96current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
96 rows in the current release
5 rows carry G–L scope/severity codes; 2 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-10 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0691Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-12-10 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-10 · complaint2025-11-06 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint2025-11-06 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint2025-11-06 · HEALTHF0726Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint2025-03-17 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-04-172025-03-17 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-17 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-04-102025-03-17 · HEALTHF0559Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0686Severity H · pattern of actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0691Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-03-17 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-04-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-03-17 | Fine | $113,919 | 0 |
| 2024-11-12 | Fine | $16,801 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DUPONT, LORIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- GEHLER, MIRIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- GERLACH, KERIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- KERWIN, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- KUMAR, RAJEEV SHIVAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/24/2012
- LACKE (CARRIG), KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- LYNN, NICHOLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/14/2011
- CARRIAGE HEALTHCARE COMPANIES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/15/2001
- BEZOTTE, JENNIFERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/09/2025
- SHERMAN, STEPHANIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/12/2012
- CARRIAGE HEALTHCARE COMPANIES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/06/2025
- HBT IT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2024
- JT AND ASSOCIATES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2010
- OAK MEDICAL SCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/10/2022
- PARTNERS IN WEALTH MANAGEMENT, INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- PINION, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/1995
- REHAB SOLUTIONS GROUP, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- TWOMAGNETS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.32per resident day
RN hours0.51per resident day
Weekend nurse hours3.77per resident day
Staff turnover70.9%CMS reported field
06 / LOCAL RECORDS
Open the Lake Geneva ledger →