Geneva Lake Manor: Medical Device Safety Crisis - WI
These protocols require staff to wear gowns and gloves during high-contact care activities including wound treatment, bathing, and device care....
Latest reports, citations, and penalties from CMS data
These protocols require staff to wear gowns and gloves during high-contact care activities including wound treatment, bathing, and device care....
For diabetic residents, this pattern of errors creates significant health risks....
The situation became critical when the resident's condition deteriorated dramatically....
Despite multiple medical evaluations confirming her inability to make healthcare decisions, the facility failed to implement appropriate protective measures....
The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support....
Federal regulations require nursing homes to maintain active QAPI programs that systematically identify, analyze, and correct deficient care practices....
Multiple staff members, including three nurses and two nursing aides, responded to the scene....
This oversight represents a fundamental breakdown in care coordination....
R5 immediately stopped the interaction, saying "No, no....
## Inspection Reveals Documentation Gaps The August 13, 2024 inspection was conducted in response to a complaint filed against the nursing facility....
The violations centered on kitchen staff's failure to follow established recipes for specialized diets....
CHESTERFIELD, MO - A skilled nursing facility affiliated with St....
These temperatures far exceed the facility's own policy, which mandates water temperatures not exceed 120 degrees Fahrenheit in resident areas....
Documentation shows the resident first appeared before the facility's nutrition committee in May 2024 after losing 11 pounds in April alone....
**Resident 110 reported that a certified nursing assistant (CNA) kissed them and attempted to climb into their bed**....
The incidents escalated on January 8, 2025, when another resident pushed Resident #44 into a wall, causing a hip fracture that required emergency surgery....
Most concerning was the presence of ants both inside the glass jar and crawling on the floor around the resident's bed area....
Between March 12 and April 8, 2025, inspectors documented at least 10 separate incidents where residents attacked each other due to insufficient oversight....
On the morning of November 9, 2024, Resident 117 arrived by bicycle and entered through a back door after being discharged the previous day....
When questioned by inspectors, the Food Services Supervisor acknowledged the temperature was insufficient and told staff to halt dishwashing operations....