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Health Inspection

Geneva Lake Manor

March 17, 2025 · Lake Geneva, WI · 211 S Curtis St
Citations 2
CMS Rating 1/5
Beds 60
Provider ID 525565
Healthcare Facility
Geneva Lake Manor
Lake Geneva, WI  ·  View full profile →
Inspection Summary

Geneva Lake Manor in LAKE GENEVA, WI — inspection on March 17, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF604
B Few protection options. Surveyor asked what type of staff training had occurred since R13 got the nephrostomy affected

F-F604).

On 03/04/25, at 09:30 AM, Surveyor interviewed R13 regarding the abdominal binder, R13 stated they are not using it now because it is so tight that R13 got a rash. R13 decided on own that they did not want the rash so have asked staff not to put it on.

On 03/04/25, at 09:39 AM, Surveyor interviewed CNA-K regarding the care used for R13's nephrostomy tubes. CNA-K stated they have gotten a little training from Facility on how to clean around the nephrostomy tubes. It is kinda the same as cleaning the penis. CNA-K stated that when R13 first got the nephrostomy tubes it was discussed at a staff meeting, topics like precautions when transfer with Hoyer, always use a two assist with R13 and both staff should watch the cords.

Surveyor asked about R13's abdominal binder and was told ya he wear it.

525565

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525565 B.

Wing 03/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Geneva Lake Manor 211 S Curtis St Lake Geneva, WI 53147

During the skin assessment, inspect: a.

Presence of erythema. b.

Temperature of skin and soft tissue; and c.

Edema.

3.

Inspect the skin on a daily basis when performing or assisting with personal care of ADLs. a.

Identify any signs of developing pressure injuries (i.e., non-blanchable erythema). for darkly pigmented skin, inspect for changes in skin tone, temperature, and consistency; b.

Inspect pressure points (sacrum, heels, buttocks, coccyx, elbows, ischium, trochanter, etc.); c.

Wash the skin after any episodes of incontinence, using pH balanced skin cleanser; d.

Moisturize dry skin daily; and e.

Reposition resident as indicated on the care plan.

4. A weekly skin prevalence will be conducted each week over a 24-hour period.

See Skin Prevalence process and form.

Skin prevalence should be completed the day prior to wound rounds.

5.

Weekly RN assessment and documentation completed.

Wound rounds must be completed at a minimum of at least once every 7 days.

6.

Measurements and documentation to support treatment, interventions, type of wound must be part of the weekly documentation.

7.

There must be a current PI care plan in place to support the wound status and all interventions and goals.

525565

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525565 B.

Wing 03/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Geneva Lake Manor 211 S Curtis St Lake Geneva, WI 53147

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAKE GENEVA, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Geneva Lake Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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