Geneva Lake Manor: Immediate Jeopardy Care Failure - WI
That was the morning of September 4, 2025, at Geneva Lake Manor on South Curtis Street....
Latest reports, citations, and penalties from CMS data
That was the morning of September 4, 2025, at Geneva Lake Manor on South Curtis Street....
They told her she was being uncooperative....
The resident, identified in inspection records only as Resident R96, was one of three residents with similar risk profiles reviewed during the inspection....
The jeopardy had begun September 16....
She was documented as cognitively impaired and a fall risk....
The resident, identified in inspection records as R10, fell twice on September 26, 2025....
The finding came out of a complaint inspection at Quality Life Services Chicora, a Butler County nursing facility, conducted on November 9 and 10, 2025....
The problem was not isolated to one resident....
The resident also had moisture-associated skin damage to the left medial thigh and wounds on both legs requiring dressings....
The resident had been discharged from a hospital with an order for ferrous sulfate 142 mg every Friday, to be given with vitamin C....
The Nursing Home Resident Care Staffing Report visible to anyone entering the facility that morning showed a date of November 2, day shift....
The declaration at The Lutheran Home: Belle Plaine was issued on October 22, 2025, and remained in place for nearly two weeks....
The nursing home administrator and the director of nursing, identified in inspection records only as Employee E1's supervisors, failed on two distinct counts....
She did not notice he was carrying coffee....
The first resident, identified in the inspection report as Resident R1, was readmitted to the facility with a diagnosis of wound infection....
By the time the facility's Wound Nurse learned the resident had a dark, soft area on their right heel, weeks had already passed....
Inspectors determined that residents were affected, though the number was small....
Inspectors arrived on Halloween and found the gap that night....
That is what a federal inspector found at Castleton Health Care Center on November 6, 2025....
The citation, tagged F610, covered the facility's obligation to investigate allegations of misappropriation of resident property and exploitation....