Geneva Lake Manor: Discharge Notice Delays - Lake Geneva, WI
February's went out the day inspectors arrived.
The facility sits on South Curtis Street in Lake Geneva, a small resort city in southeastern Wisconsin. On the morning of March 3rd, 2025, the Nursing Home Administrator walked surveyors through the emails sent to the Ombudsman showing which residents had been discharged. December and January had been bundled together and sent nearly seven weeks after December ended. The February notifications went out at 9:05 that same morning, as the inspection was already underway.
The Ombudsman program exists specifically to advocate for nursing home residents, including those who have just left a facility. Timely discharge notification is how that oversight works. When a facility falls two months behind, the Ombudsman has no way of knowing who left, when, or under what circumstances.
At 9:45 that morning, surveyors sat down with the social worker. They asked her directly why December and January information hadn't gone out until February 20th.
She said she knew it should be done by the first of each month. She said it was her error. She said it had been a busy time.
The administrator offered a different explanation, or at least an additional one. The social worker had been out sick for a couple of weeks, and things got delayed.
Neither explanation addressed why no one else sent the notifications while the social worker was out, or why they remained unsent for weeks after she returned.
The inspection report notes that no further information was provided regarding whether discharge notifications had been sent in a timely manner in any other months.
That last detail is the one that sits. The surveyor asked about December and January. The facility answered about December and January. Nobody volunteered whether October looked like December, or whether November looked like January.
CMS rated the violation at the lowest level of harm, minimal harm or potential for actual harm, affecting some residents. It is not a deficiency that puts anyone in physical danger. No one fell. No one went without medication. The harm here is bureaucratic in the narrow sense, and real in the broader one: the people whose job it is to watch out for discharged nursing home residents didn't know those residents had left.
Geneva Lake Manor is a small facility. The social worker is, by the account given to inspectors, the person responsible for getting this done. When she was sick, it didn't get done. When she came back, it still didn't get done for weeks. It got done on the morning strangers with clipboards walked through the door.
The inspection was completed March 17th, 2025, two weeks after that first conversation with the administrator. The report was printed more than a year later, in August 2026.
Somewhere in that gap are the residents who left Geneva Lake Manor in December and January, whose departures the Ombudsman learned about in late February, and whose February departures the Ombudsman learned about the day a surveyor happened to ask.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Geneva Lake Manor from 2025-03-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 4, 2026 · Our methodology
Geneva Lake Manor in Lake Geneva, WI was cited for violations during a health inspection on March 17, 2025.
February's went out the day inspectors arrived.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.