Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Delavan Health Services during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection prevention and control program, with deficiencies in their Water Management Plan (WMP) and Enhanced Barrier Precautions (EBP). The WMP lacked a comprehensive risk assessment and did not include the Infection Preventionist (IP) as a team member. Additionally, a resident with a chronic wound did not have EBP implemented, as recommended by the CDC and facility policy. These oversights posed a risk of infection transmission within the facility.
The facility did not conduct thorough investigations into allegations of neglect and abuse involving two residents. One resident reported unmet needs for pain management and dressing changes, but the facility failed to interview other residents or educate staff. Another resident alleged inappropriate touching by a fellow resident, but the facility lacked documentation of interviews with other residents and staff. The Nursing Home Administrator admitted to the absence of necessary documentation, highlighting a deficiency in the investigation process.
Deficiencies in Infection Control and Water Management
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by deficiencies in their Water Management Plan (WMP) and the implementation of Enhanced Barrier Precautions (EBP). The WMP did not include the Infection Preventionist (IP) as a team member, and it lacked a comprehensive risk assessment to identify areas where Legionella could grow and spread. Additionally, the plan did not specify control measures or acceptable ranges for control measures in all areas where waterborne pathogens could proliferate. The facility's documentation was outdated, and there were no logs kept for flushing water systems, which are critical for monitoring and controlling potential Legionella growth. The surveyor's observations revealed that the facility's WMP was not based on current standards of practice. The plan did not reflect changes in program members, and the description of the building's water systems was incomplete. The facility's Maintenance Director acknowledged that the WMP flow map needed updating and that certain areas, such as dead legs, were not properly documented or monitored. The surveyor noted that the facility's WMP did not have an identified risk assessment to indicate all areas where Legionella could grow and spread, and there was no documentation of water heater temperature maintenance. In addition to the WMP deficiencies, the facility failed to implement EBP for a resident with a chronic wound, as recommended by the CDC and the facility's policy. The resident had a history of non-pressure chronic ulcers and was receiving wound care treatments. However, there was no EBP sign or Personal Protective Equipment (PPE) available in or outside the resident's room. The Wound Nurse did not use a gown during wound care, and the facility's Director of Nursing was unsure if the resident's wound was considered chronic. This oversight in implementing EBP posed a risk of infection transmission within the facility.
Failure to Conduct Thorough Investigations of Alleged Abuse and Neglect
Penalty
Summary
The facility failed to ensure thorough investigations in response to allegations of abuse, neglect, exploitation, or mistreatment for two residents. In the first case, a resident with multiple diagnoses, including metabolic encephalopathy and end-stage renal disease, reported neglect when her needs for pain management and dressing changes were not met. Although the resident later expressed no concerns and stated her wounds had healed, the facility did not interview other residents to assess if similar issues existed, nor did they provide staff education on wound care and pain management. In the second case, a resident alleged that another resident touched her inappropriately. The facility filed a Misconduct Incident Report but failed to provide documentation of interviews with other residents and staff as part of the investigation. The Nursing Home Administrator acknowledged the absence of this documentation, indicating a lack of thoroughness in the investigation process. The facility did not ensure that all necessary steps were taken to investigate the allegations of abuse, neglect, and mistreatment thoroughly.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 254 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Delavan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Williams Bay Health Services | 5.6 mi | ★★★★★ | 36 | 1 |
| Holton Manor | 5.8 mi | ★★★★★ | 19 | 0 |
| Lakeland Health Care Ctr | 6.1 mi | ★★★★★ | 7 | 1 |
| Geneva Lake Manor | 11 mi | ★★★★★ | 9 | 1 |
| Golden Years Of Lake Geneva | 12 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.