Geneva Lake Manor: Resident Wake Time Rights Ignored - WI
The resident, identified in inspection records only as R13, wanted to be out of bed by 6:30 AM. That preference was documented. It was posted. It was known.
When a surveyor asked a certified nursing assistant about R13's wake time on the morning of March 4, the aide said the resident must have gotten up before 6:30 because they were already up when the shift started. The aide said they had finished helping R13 get ready that morning. Whether R13 had actually been up at the desired time, or had been waiting, wasn't something the aide could confirm.
The Director of Nursing, identified as DON-B, told the surveyor that R13 sometimes refuses when staff come to help, and that those refusals should be documented. They weren't.
That gap matters. Without documentation, there is no way to know whether R13 was declining help on a given morning or whether staff simply weren't coming. The sign on the door and the name on the get-up list don't answer that question. The missing documentation does not answer it either, because it doesn't exist.
The surveyor told DON-B directly that this was a concern, that a resident has the right to get up at the time they choose. DON-B offered nothing further. No additional information was provided, the inspection record states.
Geneva Lake Manor, located at 211 S. Curtis Street in Lake Geneva, received this deficiency during a health inspection completed March 17, 2025. CMS rated the level of harm as minimal, with potential for actual harm, and noted that few residents were affected.
The finding is narrow in scope. One resident. One preference. One gap in documentation that left no reliable record of whether that preference was being honored on any given morning.
But the preference itself is not a small thing to the person who holds it. The time a person gets out of bed, whether they rise in the dark before a shift change or wait until mid-morning, is one of the few decisions a nursing home resident can still make for themselves. R13 had made that decision. R13 wanted to be up by 6:30.
The facility knew. The aides knew. The sign was on the door.
What the record cannot show, because nobody wrote it down, is how many mornings R13 lay waiting, or whether anyone came.
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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Last verified: November 3, 2026 · Our methodology
Geneva Lake Manor in Lake Geneva, WI was cited for violations during a health inspection on March 17, 2025.
The resident, identified in inspection records only as R13, wanted to be out of bed by 6:30 AM.
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.