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No fines or payment denials in the published 3-year window.
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★)
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.
▲ 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)
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
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
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
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
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 10, 2026 | ▲ 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 |
| Nov 6, 2024 | 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 |
| Nov 6, 2024 | 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 |
| Nov 6, 2024 | F · Potential for more than minimal harm, widespread | The 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, 2024 | E · Potential for more than minimal harm, pattern | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2023 | F · Potential for more than minimal harm, widespread | The 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, 2023 | D · Potential for more than minimal harm, isolated | The 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, 2023 | D · Potential for more than minimal harm, isolated | The 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, 2023 | D · Potential for more than minimal harm, isolated | The 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 |
Citations from standard inspections decreased between the last two inspection cycles (8 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 8 | 0 | F |
| 2026 | 1 | 1 | J ▲ |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 7.06 | 4.29 | 3.95 | top 2% in Wisconsin; top 1% in the U.S. |
| Registered Nurse hours | 2.10 | 1.01 | 0.69 | top 3% in Wisconsin; top 2% in the U.S. |
| Weekend total nurse staffing | 5.89 | 3.84 | 3.50 | top 4% in Wisconsin; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.01 | 0.68 | 0.48 | top 12% in Wisconsin; top 6% in the U.S. |
| Total nursing staff turnover (%) | 57.3 | 46.9 | 45.8 | bottom 23% in Wisconsin; bottom 21% in the U.S. |
| RN turnover (%) | 25.0 | 39.7 | 42.9 | top 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.
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
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.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bishop, Richard | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2021 |
| Center, Sue | Individual | Corporate Officer | NOT APPLICABLE | 06/21/2017 |
| Conroy, Timothy | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/23/2009 |
| Drew, Sally | Individual | Corporate Director | NOT APPLICABLE | 10/10/2016 |
| Johannsen, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 01/16/2019 |
| KBC Bank NV | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2022 |
| Lapis Municipal Opportunities Fund III LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2022 |
| Norrbom, Clay | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2017 |
| Pacific Retirement Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2008 |
| Peterson, Harry | Individual | Corporate Officer | NOT APPLICABLE | 06/21/2017 |
| Sholty, Eric | Individual | Corporate Officer | NOT APPLICABLE | 05/27/2018 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oak Park Place of Nakoma | 3.8 mi | Madison, WI | ★★★☆☆ | 3/5 | |
| Madison Health and Rehabilitation Center | 4.0 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Middleton Village Nursing and Rehab | 5.4 mi | Middleton, WI | ★☆☆☆☆ | 1/5 | |
| Oak Park Nursing and Rehab Center | 5.4 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Hebron Oaks | 6.2 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Complete Care at Maple Grove LLC | 7.0 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Oakwood Village East Health and Rehab Center | 7.9 mi | Madison, WI | ★★★☆☆ | 2/5 | |
| Badger Prairie HCC | 8.8 mi | Verona, WI | ★★★★★ | 5/5 | |
| Waunakee Valley Senior Living | 8.8 mi | Waunakee, WI | ★★★☆☆ | 2/5 | |
| Four Winds Manor | 9.3 mi | Verona, WI | ★★☆☆☆ | 2/5 | |
| Avina of Sun Prairie | 10.5 mi | Sun Prairie, WI | ★★★★★ | 4/5 | |
| Sun Prairie Senior Living | 11.6 mi | Sun Prairie, WI | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
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.
Facility data as of CMS processing date 2026-08-01. CCN 525305.
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