Golden Age Manor: Missing Laundry, Unresolved Grievances - WI
The man, identified in inspection records only as R44, approached the nursing station in the 100 wing on April 9 just before 3 in the afternoon. He was motioning at his clothing and struggling to get words out. A registered nurse asked if he was looking for pads. He managed one word: "Pants."
Ten minutes later, a surveyor from the Centers for Medicare and Medicaid Services watched R44 try to push through a locked door leading to the basement. A staff member stopped him and asked what he needed. R44 pointed to his pants again. The staff member told him she would let the activities department know to check the laundry room downstairs.
There is no record in the inspection report that his pants were found.
The surveyor had already been asking about missing items before R44 ever approached that nursing station. The facility's administrator, identified as NHA A, told the surveyor that she was not aware of any recent missing items, then added that her expectation was for staff to report concerns from residents who might not know how to file a grievance formally, so the facility could look into it.
The Director of Nursing told a different story the next day.
On April 10, the surveyor sat down with DON B and asked directly about the process for resolving grievances tied to missing laundry. DON B acknowledged that the facility had an incorrect labeling process for residents' clothing. DON B acknowledged that missing laundry was a known, recurring concern. Then DON B said the facility had not resolved it.
That acknowledgment is the core of what federal inspectors cited. Not a single catastrophic event, but something quieter and in some ways harder to fix: a system the facility's own leadership admitted was broken, affecting residents who depend entirely on staff to protect what little they own, and who in some cases cannot clearly explain what they've lost or ask for it back.
The inspection report notes that the concern is especially acute when items have personal or financial value, and that family members are sometimes involved in flagging missing belongings. For residents who cannot speak for themselves, the gap between what they need and what gets done can stretch into days.
R44's situation made that gap visible. He knew what he was missing. He knew roughly where it might be. He walked to the desk, he pointed, he tried to open the door himself. He did everything a person without reliable speech could do. A staff member acknowledged the problem and passed it to another department.
The administrator told the surveyor she wasn't aware of anything missing recently. The director of nursing told the surveyor the problem had never been resolved. Both statements came from the same facility, on the same inspection, one day apart.
Golden Age Manor sits on Scholl Court in Amery, a small city in Polk County in northwestern Wisconsin. The April 10 inspection was a standard health survey. The missing laundry deficiency was cited at a level of minimal harm or potential for actual harm, affecting some residents.
Minimal harm is the lowest tier on the federal scale. It does not mean the harm is imaginary. It means inspectors judged it had not yet risen to something worse.
R44 spent part of his afternoon trying to open a locked door to find his own clothes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Golden Age Manor from 2025-04-10 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.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 29, 2026 · Our methodology
GOLDEN AGE MANOR in AMERY, WI was cited for violations during a health inspection on April 10, 2025.
The man, identified in inspection records only as R44, approached the nursing station in the 100 wing on April 9 just before 3 in the afternoon.
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.