Golden Age Manor: Care Plan Documentation Failures - WI
Federal inspectors who visited the 220 Scholl Court facility on April 10, 2025 found that staff had failed to document interventions for a resident identified in records only as Resident 55, and had not updated that resident's care plan to reflect changes that had already been made to their care. The deficiency was cited as causing minimal harm or the potential for actual harm, and affected a small number of residents.
That gap, between what was done at the bedside and what was written down, is not a paperwork technicality. A care plan is the document that tells incoming staff, often people who have never met the resident before, what that person's condition is, what has been tried, and what comes next. When it goes unupdated, staff work from a version of that resident that no longer exists.
Golden Age Manor is a nursing home in Amery, a small city in Polk County in northwestern Wisconsin. The facility's address is 220 Scholl Court. The inspection was part of a standard federal health survey conducted under the Centers for Medicare and Medicaid Services.
The inspection report does not describe what changed in Resident 55's care, what the interventions were that went undocumented, or how long the care plan remained outdated before inspectors arrived. It does not say whether any staff member made a clinical decision based on the outdated record, or whether Resident 55's condition was affected.
What it says is that it should have been updated. And it wasn't.
Care planning failures like this one tend to surface in inspection reports as among the quieter violations, categorized at the lower end of the harm scale, rarely drawing the attention that medication errors or physical abuse allegations do. But they are the kind of failure that creates the conditions for more serious harm later. A nurse reading an outdated care plan does not know what they do not know. They follow the instructions in front of them.
The inspection report assigns this deficiency a harm level of minimal harm or potential for actual harm and notes that few residents were affected. Under the federal deficiency classification system, that places it toward the lower end of severity, though not at the lowest possible level. The distinction between "minimal harm" and "potential for actual harm" is meaningful: the first means something already went wrong in a limited way, the second means the conditions were present for something worse.
The report does not specify which of those two descriptions applies to Resident 55.
Golden Age Manor was given the opportunity to submit a plan of correction. The inspection report, as released, directs anyone seeking information about that plan to contact the facility or the state survey agency directly. No corrective details appear in the document.
The deficiency was the only one described in the narrative portion of the inspection report reviewed for this article. Whether additional deficiencies were cited during the same survey and not captured in the available documentation is not clear from the records.
Resident 55 remains identified only by that number. The inspection report does not describe their diagnosis, their age, their length of stay at Golden Age Manor, or what their care looked like before and after the change that prompted the documentation failure. They are a person whose needs changed, whose record did not keep up, and whose full story the public record does not tell.
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 28, 2026 · Our methodology
GOLDEN AGE MANOR in AMERY, WI was cited for violations during a health inspection on April 10, 2025.
The deficiency was cited as causing minimal harm or the potential for actual harm, and affected a small number of residents.
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.