Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenway Manor during CMS and state inspections, most recent first.
Failure to Provide Needed Grooming Assistance: A resident with Parkinson’s disease, pain, arthritis, and repeated falls was care planned for daily grooming with 1-assist, but was observed on multiple occasions with long facial hair and not shaved. The resident and his wife indicated he needed staff help with shaving, and multiple CNAs and the RN confirmed he required assistance with personal care and shaving, while the DON stated staff should assist with shaving during morning cares, after showers, and as needed.
The facility did not ensure two residents with PTSD received trauma-informed care that reflected their triggers and preferences. One resident had a documented history of trauma, sensitivity to loud noises, and a request for staff to knock before entering, but the care plan did not include those triggers or resident-specific interventions. Staff reported they did not know the resident’s PTSD triggers, and the SW said the trauma assessment form had not been completed with her. A second resident’s care plan noted calling out, swearing, or crying related to PTSD, but it also lacked triggers and interventions, and staff stated they were unaware of the PTSD diagnosis.
A resident with multiple medical and mental health diagnoses was involved in an alleged abuse incident that was witnessed by a CNA but not reported immediately. The incident, involving potential sexual misconduct by another CNA, was only brought to facility leadership's attention weeks later after being discussed among staff. The delay resulted in the administrator and state authorities not being notified within the required timeframe, contrary to facility policy and regulatory requirements.
A facility failed to thoroughly investigate an allegation of sexual misconduct involving a CNA and a resident with severe anemia and mental health diagnoses. The investigation was limited to interviewing only two residents and select staff, with no documentation of staff education or comprehensive skin assessments. The facility did not provide evidence that all necessary steps were taken to prevent further abuse or to ensure a thorough investigation.
A facility failed to implement its abuse prevention policy during an investigation involving a resident who reported rough treatment by a CNA. The resident, who was cognitively intact and dependent on staff for mobility, reported hitting her head during care. Despite this, the CNA continued to work in the same hallway before the investigation was completed. The facility's investigation was not thorough, as it did not include interviews with other residents or staff, violating the facility's policy.
A facility failed to report an allegation of staff-to-resident physical abuse to the State Agency within the required timeframe. A resident reported that a CNA was rough during care, causing her to hit her head. The facility did not consider the incident as abuse and handled it internally without notifying the State Agency, despite policy requirements.
A resident reported rough treatment by a CNA, leading to an incomplete investigation by the facility. The DON found no physical injuries and interviewed other residents, who noted the CNA's fast pace but did not report abuse. However, the investigation lacked documentation and cooperation from the CNA, resulting in a deficiency.
The facility failed to ensure two CNAs completed the required 12 hours of inservice training per year. CNA5 completed 10.25 hours, and CNA8 completed 8.75 hours. The DON confirmed the lack of documentation and absence of a policy for mandatory training hours, potentially impacting care for 46 residents.
Failure to Provide Needed Grooming Assistance
Penalty
Summary
The facility did not ensure that a resident who was unable to complete activities of daily living received the necessary assistance to maintain good grooming and personal hygiene. R20 was admitted with diagnoses including Parkinson’s disease, pain, arthritis, and repeated falls, and his care plan stated he was to be groomed appropriately daily with 1-assist for grooming. During observation on 2/23/26, 2/24/26, and the morning of 2/25/26, R20 was seen with long facial hair and not shaved. R20 stated he had a razor and staff assisted him with shaving and personal cares, and his wife stated he needed to be shaved and that staff usually assisted him. Staff interviews showed CNA H knew R20 needed assistance with personal cares but did not ask if he wanted to be shaved, CNA I stated residents are assisted with shaving in the morning, after showers, and as requested, and CNA J stated she intended to shave R20 but initially could not find a working razor. Additional interviews confirmed that R20 needed assistance with shaving despite sometimes saying he could do it himself. CNA K stated R20 needed assistance with cares and shaving and had not refused care, RN D stated he needed assistance with personal cares and shaving, and the DON stated staff should assist residents with shaving during morning cares, after showers, and as needed. The DON also stated that if a resident refuses care, that should be care planned. The report concluded that the facility did not ensure all residents received the necessary services to maintain good grooming and personal hygiene.
Failure to Care Plan PTSD Triggers and Trauma-Informed Interventions
Penalty
Summary
The facility did not ensure that two residents with PTSD received trauma-informed and culturally competent care that accounted for their experiences, preferences, triggers, and resident-specific interventions. R6 was admitted with diagnoses including major depressive disorder and PTSD, had a BIMS score of 14 out of 15, and was documented as having sensitivity to loud noises and wanting staff to knock before entering her room. Although a Historical Trauma Assessment note was completed in 2022, R6’s care plan did not include her triggers or resident-specific interventions and instead focused on health-seeking questions and general coping approaches. Surveyor interviews showed staff were not aware of R6’s PTSD triggers or how to address them. The social worker stated the Historical Trauma Assessment form was introduced after R6 had already been admitted and was not completed with her, and the DON stated the facility tries to gather behaviors for care planning and believed R6 would answer the questions if asked. RN E stated she did not know R6 had PTSD or any triggers, CNA F stated she was not aware of the diagnosis or triggers, and CNA G knew PTSD was on the care plan but did not know the triggers or how to address related behaviors. R32 was admitted with multiple diagnoses including Parkinson’s disease, dementia, major depressive disorder, and PTSD. R32’s care plan stated that he may have episodes of calling out, swearing, or crying related to PTSD, but it did not include triggers or interventions. CNA J and CNA K stated they did not know about R32’s PTSD diagnosis, and the DON stated the facility would move forward with care planning R32’s PTSD diagnosis and possible triggers, noting that triggers and interventions should be on the resident’s care plan.
Failure to Timely Report Alleged Abuse to Administrator and State Authorities
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately to the administrator and to the State Survey Agency as required by policy and regulation. Specifically, a staff member witnessed an incident involving potential sexual misconduct by a CNA toward a resident but did not report the incident at the time it occurred. The staff member later communicated the event to another CNA, who then relayed the information to additional staff, resulting in a delay of approximately two to three weeks before the allegation was formally reported to facility leadership. The resident involved had diagnoses including severe anemia, major depressive disorder, and anxiety disorder, and was assessed as cognitively intact. The incident in question was described as the CNA performing a repetitive motion in the resident's genital area under a towel, which was observed by another CNA. The observing CNA did not immediately report the incident due to personal trauma and uncertainty about the reporting process, only coming forward after discussing the event with another staff member. Upon learning of the allegation, the facility removed the accused CNA from the schedule and began an internal investigation. However, the delay in reporting meant that the administrator and state authorities were not notified within the required timeframe. Interviews with facility leadership confirmed that the expectation was for such allegations to be reported to the state within two hours of discovery, which did not occur in this case.
Failure to Thoroughly Investigate and Prevent Further Abuse Following Allegation
Penalty
Summary
The facility failed to ensure that all alleged violations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated and that steps were taken to prevent further abuse for one resident. Upon learning of an allegation of sexual misconduct involving a certified nursing assistant (CNA) and a resident, the facility did not provide evidence that all necessary protective measures were implemented for the affected resident and other residents. The facility's own policy requires immediate protection of the resident, removal from harm, and a thorough investigation, including interviewing all potentially affected residents and relevant staff, as well as documentation of staff education and timely reporting to authorities. The incident involved a resident with severe anemia, major depressive disorder, and anxiety disorder, who was cognitively intact at the time of the event. The allegation was based on a staff report of a rumor regarding potential sexual misconduct by a CNA during a resident's bath. The facility removed the accused CNA from the schedule and interviewed two male residents who could communicate and had received whirlpools from the accused CNA. However, the investigation did not include interviews with all residents or staff from different shifts, and there was no documentation of staff education on abuse reporting. Additionally, the facility did not conduct a comprehensive skin assessment of all residents after the allegation was reported. Interviews with facility leadership confirmed that only staff with direct knowledge of the incident were interviewed, and education on abuse reporting was provided verbally but not documented. The facility did not interview all residents or staff, nor did it complete a house-wide skin assessment following the allegation. The investigation was limited in scope, and the facility failed to provide evidence that all steps were taken to prevent further abuse or to ensure a thorough investigation as required by policy.
Failure to Implement Abuse Prevention Policy
Penalty
Summary
The facility failed to implement its Abuse policy, which prohibits staff-to-resident abuse, during an investigation involving a resident. The policy mandates that residents be protected during investigations and that alleged abusers not work directly with residents until the investigation's outcome is determined. However, the facility did not adhere to these procedures. A resident, who was cognitively intact and dependent on staff for mobility, reported that a CNA was rough during care, causing her to hit her head on an assist bar. Despite this report, the CNA continued to work in the same hallway as the resident before the investigation was completed. The facility's investigation into the allegation was not thorough, as required by their policy. The Director of Nursing and Human Resources Manager confirmed that the CNA returned to work with the resident after the incident was reported. The Nurse Manager conducted a skin assessment and found no physical injuries, and the resident denied pain. However, the investigation did not include interviews with other residents or staff who worked the same shift as the accused CNA, as outlined in the facility's policy. This lack of thorough investigation and failure to protect the resident during the process constituted a deficiency in the facility's adherence to its abuse prevention policy.
Failure to Report Alleged Abuse
Penalty
Summary
The facility failed to report an allegation of staff-to-resident physical abuse to the State Agency within the required timeframe. The incident involved a resident who reported that a Certified Nursing Assistant (CNA) was rough during care, causing the resident to hit her head on an assist bar. The resident, who was cognitively intact, did not exhibit any physical injuries upon examination. Despite the resident's report, the facility did not consider the incident as abuse and handled it internally without notifying the State Agency. The facility's policy mandates that any allegations involving abuse must be reported to the Nursing Home Administrator and the Division of Quality Assurance within two hours. However, the Social Service Director and other staff believed the incident did not meet the definition of abuse and thus did not report it. The CNA involved was terminated, but the failure to report the incident as required by policy and regulations was identified as a deficiency.
Incomplete Investigation of Abuse Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of physical abuse involving a resident who reported that a Certified Nursing Assistant (CNA) was rough during care, causing the resident to bump her head on a rail. The resident, who was cognitively intact, described the incident as abusive, although the Director of Nursing (DON) assessed the situation and found no physical injuries. The facility's policy requires a thorough investigation of such allegations, including interviews with the alleged victim, witnesses, and other residents, as well as documentation of the investigation process. However, the facility's investigation was incomplete, as there was no documentation of interviews with the resident or other residents, and the CNA involved did not cooperate with the investigation. The DON did interview other residents, who reported that the CNA was too fast and did not explain her actions, but they did not describe the behavior as abusive. Despite these findings, the lack of thorough documentation and the incomplete investigation process led to the deficiency noted in the report.
Inadequate Inservice Training for CNAs
Penalty
Summary
The facility failed to ensure that two Certified Nursing Assistants (CNAs) completed the required minimum of 12 hours of inservice training per year. CNA5, hired on August 22, 2023, completed only 10.25 hours of training from August 2023 through August 2024. Similarly, CNA8, hired on July 25, 1995, completed only 8.75 hours of training from July 2023 through July 2024. During an interview, the Director of Nursing (DON) confirmed the lack of documentation for the required training hours in the personnel files of the two CNAs. Additionally, the DON stated that the facility did not have a policy mandating 12 hours of inservice training per year for CNAs. This deficiency could potentially impact the quality of care provided to all 46 residents currently residing at the facility, as the CNAs may not have the necessary skills and knowledge to adequately care for the residents, particularly in areas such as dementia care and abuse prevention.
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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.
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Nursing homes near Spring Green
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Upland Hills Nursing And Rehab | 15.5 mi | ★★★★★ | 9 | 0 |
| Heartland Country Village | 16.1 mi | — | 0 | 0 |
| Maplewood Of Sauk Prairie | 18.2 mi | ★★★★★ | 14 | 0 |
| Rivers Edge Nursing And Rehab | 19.2 mi | ★★★★★ | 34 | 1 |
| Ingleside Manor | 20 mi | ★★★★★ | 52 | 1 |
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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 July 2026) and official state health department websites.