GOLDEN YEARS NURSING HOME, INC.
NPI 1831693936
Skilled Nursing Facility in Lake Geneva, WI

Active since March 22, 2018CLIA 52D0961537 · Waiver
4/5
Overall Rating
611 HARMONY DR, LAKE GENEVA, WI 53147(262) 275-6103 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Years Nursing Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN YEARS NURSING HOME, INC. (NPI 1831693936) is a healthcare organization registered as a skilled nursing facility in Lake Geneva, Wisconsin and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Jonathan Stankevitz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831693936
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDEN YEARS NURSING HOME, INC.
Location Address611 HARMONY DRLake Geneva, WI 53147-8800
Mailing Address270 Ridge RdWalworth, WI 53184-9526 · (262) 275-6103
Organization SubpartYes
Authorized OfficialJonathan StankevitzAdministrator · (262) 275-6103
Enumeration DateMarch 22, 2018
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1831693936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
611 HARMONY DR, Lake Geneva, WI 53147

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0961537

Golden Years Nursing Home, Inc · Walworth, WI
Active · expires Jun 8, 2027
CLIA Number52D0961537
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorPerla Davila
Laboratory Phone(262) 275-6103
Laboratory LocationGolden Years Nursing Home, Inc270 Ridge Road, Walworth, WI 53184
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Golden Years Of Lake Geneva (CMS certification number 525727), from CMS Care Compare.

Golden Years Of Lake Geneva

Nursing home · Lake Geneva, WI
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number525727
Certified Beds54 beds33 residents per day on average
Medicare & Medicaid Participant SinceJune 18, 2018
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 4.08 · LPN 0.24 · RN 1.72
6.05 hrs per resident per day
Weekend Nurse Staffing
5.22 hrs per resident per day
Physical Therapist Staffing
0.16 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
611 HARMONY DR
LAKE GENEVA, WI 53147
Occupational Therapy Assistant
611 HARMONY DR
LAKE GENEVA, WI 53147
Nurse Practitioner (Family)
611 HARMONY DR
LAKE GENEVA, WI 53147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Years Nursing Home, Inc.'s NPI number?

The NPI number for Golden Years Nursing Home, Inc. is 1831693936. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Golden Years Nursing Home, Inc. located?

Golden Years Nursing Home, Inc. is located at 611 Harmony Dr, Lake Geneva, WI 53147. The listed phone number is (262) 275-6103.

What is Golden Years Nursing Home, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Golden Years Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0961537) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Golden Years Nursing Home, Inc. a Medicare-certified nursing home?

Yes. Golden Years Of Lake Geneva is a Medicare-certified nursing home with 54 certified beds.

What quality rating does Golden Years Nursing Home, Inc. have?

CMS rates Golden Years Of Lake Geneva 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Golden Years Nursing Home, Inc. was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.