Greenway Manor
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm
been reported to the state. DON B indicated that day it occurred within two hours. On 12/23/25 at 2:15 PM, Surveyor interviewed NHA A (Nursing Home Administrator) and asked what his expectation is for reporting
an allegation of abuse. NHA A indicated report it to the state within two hours from the time the facility finds out and complete an investigation and submit it to the state in 5 days. Staff had knowledge of a potential abuse allegation that was not reported to the NHA timely or to the state within the required time frames.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Greenway Manor
501 S Winsted St Spring Green, WI 53588
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
messaged CNA F the facility would not have found out. Surveyor asked when did the alleged incident occur, and DON B indicated three weeks ago per CNA G's statement. Surveyor asked DON B when the allegation should have been reported to the state. DON B indicated the day it occurred within two hours. Surveyor asked DON B what a thorough investigation includes. DON B indicated the facility interviewed the cnas involved. CNA D was removed from the floor. DON B indicated the facility interviewed the resident (Resident R1) and another resident Resident R2 on that hall. DON B indicated they were the only two residents on that hall that are able to communicate who received whirlpools from CNA D. Surveyor asked DON B if all residents should have been interviewed, and DON B indicated yes. Surveyor asked if all staff should have been interviewed. DON B indicated we only interviewed the cnas with knowledge of alleged incident. Surveyor asked if education was provided on abuse reporting to all staff. DON B indicated education was provided verbally but was not documented. DON B indicated if not documented it was not done. Surveyor asked if skin checks on all residents were completed. DON B indicated skin checks were completed with the residents' weekly skin checks. Surveyor asked if a house sweep of skin assessment had been completed on all residents after the allegation of abuse was reported to the facility. DON B indicated no. On 12/23/25 at 2:15 PM, Surveyor interviewed NHA A (Nursing Home Administrator) and asked what his expectation is for reporting an allegation of abuse. NHA A indicated report it to the state within two hours from the time the facility finds out and complete an investigation and submit it to the state in 5 days. Surveyor asked what is included in a thorough investigation. NHA A indicated the facility would interview staff that are aware of what happened,
interview a sample of residents depending on the allegation. If general allegation we would interview all residents and if it is a specific allegation, we may not do that. It would be more to specific staff involved, residents and area of facility. Surveyor asked if the facility would provide education to staff. NHA A indicated education would be provided to the staff involved in the investigation. The facility failed to provide evidence to prevent further abuse to Resident R1 and other residents. The facility did not complete a thorough investigation of
the alleged allegation of abuse.
Event ID:
Facility ID:
If continuation sheet
GREENWAY MANOR in SPRING GREEN, WI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SPRING GREEN, 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 GREENWAY MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.