Wisconsin ›Madison

Capitol Lakes Health Center

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333 W Main St, Madison, WI 53703 (opens Google Maps) · Dane County · (608) 283-2000· 49 certified beds · avg 26 residents/day · certified since Sep 4, 1979 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: PACIFIC RETIREMENT SERVICES (10 facilities, chain avg rating 4.6★)

3/5
Health inspection rating (on-site)
inspected Mar 10, 2026
1
Serious findings on record
most recent Mar 10, 2026
$0
Fines, last 3 years
7.06
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Mar 10, 2026 · F-0678

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 31, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. F-0678

  2. F · Potential for more than minimal harm, widespread

    The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804

  3. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

View all 13 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 10, 2026▲ J · Immediate jeopardy, isolatedThe facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678
Nov 6, 2024F · Potential for more than minimal harm, widespreadThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Nov 6, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 6, 2024F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Nov 6, 2024E · Potential for more than minimal harm, patternThe facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687
Nov 6, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 6, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Nov 6, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Nov 6, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Oct 5, 2023F · Potential for more than minimal harm, widespreadThe facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · F-0809
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202340F
202480F
202611J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 7.06
Wisconsin average: 4.29
U.S. average: 3.95
Registered Nurse hours
This facility: 2.10
Wisconsin average: 1.01
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.89
Wisconsin average: 3.84
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWisconsin avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)7.064.293.95top 2% in Wisconsin; top 1% in the U.S.
Registered Nurse hours2.101.010.69top 3% in Wisconsin; top 2% in the U.S.
Weekend total nurse staffing5.893.843.50top 4% in Wisconsin; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)1.010.680.48top 12% in Wisconsin; top 6% in the U.S.
Total nursing staff turnover (%)57.346.945.8bottom 23% in Wisconsin; bottom 21% in the U.S.
RN turnover (%)25.039.742.9top 24% in Wisconsin; top 20% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.69, RN 2.00, weekend 5.59.Comparing with Medicare Care Compare? Care Compare shows the raw figure (6.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Capitol Lakes Health Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Bishop, RichardIndividualCorporate OfficerNOT APPLICABLE10/01/2021
Center, SueIndividualCorporate OfficerNOT APPLICABLE06/21/2017
Conroy, TimothyIndividualW-2 Managing EmployeeNOT APPLICABLE03/23/2009
Drew, SallyIndividualCorporate DirectorNOT APPLICABLE10/10/2016
Johannsen, StephenIndividualCorporate OfficerNOT APPLICABLE01/16/2019
KBC Bank NVOrganization5% or Greater Security InterestNOT APPLICABLE01/01/2022
Lapis Municipal Opportunities Fund III LPOrganization5% or Greater Security InterestNOT APPLICABLE01/01/2022
Norrbom, ClayIndividualCorporate OfficerNOT APPLICABLE11/17/2017
Pacific Retirement Services INCOrganizationOperational/Managerial ControlNOT APPLICABLE04/01/2008
Peterson, HarryIndividualCorporate OfficerNOT APPLICABLE06/21/2017
Sholty, EricIndividualCorporate OfficerNOT APPLICABLE05/27/2018

All 11 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Pacific Retirement Services — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How is routine foot care handled here, and does a podiatrist visit regularly?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 57% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 16 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Oak Park Place of Nakoma3.8 miMadison, WI★★★☆☆3/5
Madison Health and Rehabilitation Center4.0 miMadison, WI★☆☆☆☆1/5
Middleton Village Nursing and Rehab5.4 miMiddleton, WI★☆☆☆☆1/5
Oak Park Nursing and Rehab Center5.4 miMadison, WI★☆☆☆☆1/5
Hebron Oaks6.2 miMadison, WI★★★★☆3/5
Complete Care at Maple Grove LLC7.0 miMadison, WI★☆☆☆☆1/5
Oakwood Village East Health and Rehab Center7.9 miMadison, WI★★★☆☆2/5
Badger Prairie HCC8.8 miVerona, WI★★★★★5/5
Waunakee Valley Senior Living8.8 miWaunakee, WI★★★☆☆2/5
Four Winds Manor9.3 miVerona, WI★★☆☆☆2/5
Avina of Sun Prairie10.5 miSun Prairie, WI★★★★★4/5
Sun Prairie Senior Living11.6 miSun Prairie, WI★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dane, WI — 16 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 525305.

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