Geneva Lake Manor
Nursing home · 211 S. Curtis St., Lake Geneva, WI 53147 · Walworth County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 60
- State license
- 2693
- Medicare CCN
- 525565
- Licensed entity
- WISCONSIN ILLINOIS SENIOR HOUSING INC
- Chain
- WISCONSIN ILLINOIS SENIOR HOUSING, INC.
- Ownership
- Non profit - Corporation
- Phone
- (262) 248-3145
- Nurse staffing
- 4.32 hours per resident per day; 70.9% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 2★ · Quality 4★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Mar 17, 2025 — Fine ($113,919)
- Nov 12, 2024 — Fine ($16,801)
Inspection findings
-
Dec 10, 2025 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0691 Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 6, 2025 Health · 3 findings
-
Not serious
Scope/severity E
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Dec 1, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 1, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Dec 1, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Mar 17, 2025 Fire Safety · 29 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Apr 17, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0031 Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Corrected Apr 9, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Apr 10, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0559 Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0625 Resident Rights Deficiencies
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.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0661 Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Apr 11, 2025 · CMS health inspection
-
Serious
Scope/severity H
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Apr 11, 2025 · CMS health inspection
-
Serious
Scope/severity G
F0691 Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity C
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Apr 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Apr 11, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 15, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Apr 14, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0522 Services Deficiencies
Have an externally vented heating system.
Corrected Apr 14, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Apr 16, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Nov 12, 2024 Health · 10 findings
-
Not serious
Scope/severity D
Complaint
F0551 Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Dec 6, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Dec 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 16, 2024 Health · 27 findings
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 14, 2024 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0700 Quality of Life and Care Deficiencies
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.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Feb 14, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Sep 12, 2022 Health · 21 findings
-
Not serious
Scope/severity D
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0625 Resident Rights Deficiencies
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.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity F
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0742 Quality of Life and Care Deficiencies
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.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Oct 3, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0886 Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity E
F0887 Infection Control Deficiencies
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.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity F
F0908 Environmental Deficiencies
Keep all essential equipment working safely.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity F
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Sep 29, 2022 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0361 Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Sep 28, 2022 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- BEZOTTE, JENNIFER — adp of the snf, NOT APPLICABLE, since 06/09/2025
- BEZOTTE, JENNIFER — operational/managerial control, NOT APPLICABLE, since 06/09/2025
- DUPONT, LORI — corporate director, NOT APPLICABLE, since 01/01/2015
- GEHLER, MIRIAM — corporate director, NOT APPLICABLE, since 01/01/2015
- GERLACH, KERI — corporate director, NOT APPLICABLE, since 01/01/2019
- KERWIN, ANDREW — corporate director, NOT APPLICABLE, since 01/01/2016
- KUMAR, RAJEEV SHIVA — corporate director, NOT APPLICABLE, since 04/24/2012
- LACKE (CARRIG), KAREN — corporate director, NOT APPLICABLE, since 01/01/2016
- LYNN, NICHOLAS — corporate director, NOT APPLICABLE, since 03/14/2011
- SHERMAN, STEPHANIE — adp of the snf, NOT APPLICABLE, since 08/12/2012
- SHERMAN, STEPHANIE — operational/managerial control, NOT APPLICABLE, since 08/12/2012
- CARRIAGE HEALTHCARE COMPANIES INC — adp of the snf, NOT APPLICABLE, since 10/06/2025
- CARRIAGE HEALTHCARE COMPANIES INC — operational/managerial control, NOT APPLICABLE, since 02/15/2001
- HBT IT LLC — adp of the snf, NOT APPLICABLE, since 07/01/2024
- JT AND ASSOCIATES LLC — adp of the snf, NOT APPLICABLE, since 01/01/2010
- OAK MEDICAL SC — adp of the snf, NOT APPLICABLE, since 10/10/2022
- PARTNERS IN WEALTH MANAGEMENT, INC — adp of the snf, NOT APPLICABLE, since 01/01/2024
- PINION, LLC — adp of the snf, NOT APPLICABLE, since 01/01/1995
- REHAB SOLUTIONS GROUP, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2024
- TWOMAGNETS LLC — adp of the snf, NOT APPLICABLE, since 01/01/2022
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.