With a score of 14/100, Geneva Lake Manor ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Geneva Lake Manor exceed national averages, with 4.95 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.56 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 73 deficiencies at Geneva Lake Manor, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.95 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.17 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.23 | 2.4 | Above Average |
| Weekend Total Nursing | 4.30 | 3.8 | Above Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0691 Severity DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0698 Severity DProvide safe, appropriate dialysis care/services for a resident who requires such services.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 9, 2025 · Pharmacy Service Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Dec 9, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.6% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 13.6% | 14.5% | Average |
| Urinary tract infections | 4.7% | 2.5% | Worse |
| ADL decline (daily activities) | 7.4% | 14.0% | Better |
| Excessive weight loss | 11.1% | 7.5% | Worse |
| New/worsened incontinence | 7.3% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $201,107
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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