CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Geneva Lake Manor
View the most recent health deficiencies and inspection results for Geneva Lake Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Geneva Lake Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-10 | 2026-01-10 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-12-10 | 2026-01-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-10 | 2026-01-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-10 | 2026-01-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-10 | 2026-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2026-01-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-11-06 | 2025-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-06 | 2025-12-01 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-11-06 | 2025-12-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-17 | 2025-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-17 | 2025-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-17 | 2025-04-16 | N |
| Have an externally vented heating system. | Fire Safety | 2025-03-17 | 2025-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-17 | 2025-04-14 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-03-17 | 2025-04-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-17 | 2025-04-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-03-17 | 2025-04-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-17 | 2025-04-11 | N |
| Post nurse staffing information every day. | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-17 | 2025-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-17 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-17 | 2025-04-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-03-17 | 2025-04-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-17 | 2025-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-17 | 2025-04-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-17 | 2025-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-17 | 2025-04-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-12 | 2024-12-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-12 | 2024-12-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-11-12 | 2024-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-12 | 2024-12-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-11-12 | 2024-12-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-12 | 2024-12-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-12 | 2024-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-12 | 2024-12-06 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-12 | 2024-12-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-11-12 | 2024-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-16 | 2024-02-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide appropriate foot care. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-16 | 2024-02-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-01-16 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-16 | 2024-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-16 | 2024-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-16 | 2024-02-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-16 | 2024-02-14 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-16 | 2024-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-16 | 2024-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-12 | 2022-10-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-12 | 2022-09-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-09-12 | 2022-09-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-12 | 2022-09-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-09-12 | 2022-09-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-12 | 2022-09-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-12 | 2022-09-29 | N |
| Keep all essential equipment working safely. | Health | 2022-09-12 | 2022-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-12 | 2022-09-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-12 | 2022-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-12 | 2022-09-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-12 | 2022-09-28 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-09-12 | 2022-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-12 | 2022-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-12 | 2022-09-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-12 | 2022-09-28 | N |