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Capitol Lakes Health Center

333 W Main St, Madison, WI 53703
6082832000
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

5.0/5

Staffing Level

vs State Average: 3.7/5

4.0/5

Quality Measures

vs State Average: 3.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 6, 2024 Provide appropriate foot care. E
Nov 6, 2024 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D
Nov 6, 2024 Provide safe, appropriate dialysis care/services for a resident who requires such services. D
Nov 6, 2024 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F
Nov 6, 2024 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Score
5.0
State Average
3.7
National Average
2.9
2.0 RN Hours / Resident / Day
7.8 Total Nurse Hours / Resident / Day
20.0% RN Turnover Rate
Score
4.0
State Average
3.1
National Average
3.6
5.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
27.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL PACIFIC RETIREMENT SERVICES INC
CORPORATE DIRECTOR DREW, SALLY
CORPORATE OFFICER BISHOP, RICHARD
CORPORATE OFFICER CENTER, SUE
CORPORATE OFFICER JOHANNSEN, STEPHEN
CORPORATE OFFICER NORRBOM, CLAY
CORPORATE OFFICER PETERSON, HARRY
CORPORATE OFFICER SHOLTY, ERIC
W-2 MANAGING EMPLOYEE CONROY, TIMOTHY
5% OR GREATER SECURITY INTEREST KBC BANK NV
Recent Penalties

No penalty records found.

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