Complete Care at Nazareth LLC
814 Jackson St., Stoughton, WI 53589 · Dane County · 99 certified beds · avg 61 residents/day · certified since Jan 1, 2005
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 10, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 13, 2026 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Sep 30, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 10, 2026 | F · Potential for harm, facility-wide | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Apr 2, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 2, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 2, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 2, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Jan 9, 2025 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 9, 2025 | F · Potential for harm, facility-wide | 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. |
| Jan 9, 2025 | D · Potential for harm, one-off | 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 |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 9, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Sep 30, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 30, 2023 | F · Potential for harm, facility-wide | 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. |
| Nov 30, 2023 | F · Potential for harm, facility-wide | 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. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 30, 2023 | D · Potential for harm, one-off | 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. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 1 | 1 | J ▲ |
| 2025 | 7 | 0 | F |
| 2026 | 12 | 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.
Fines and enforcement (last 3 years)
1 fine totaling $15,642, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 30, 2024 | Fine | $15,642 |
| Sep 30, 2024 | Payment Denial | 20 days from Oct 22, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.57 | 4.29 | 3.95 | top 33% in Wisconsin; top 21% in the U.S. |
| Registered Nurse hours | 0.81 | 1.01 | 0.69 | bottom 35% in Wisconsin; top 26% in the U.S. |
| Weekend total nurse staffing | 4.24 | 3.84 | 3.50 | top 30% in Wisconsin; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.68 | 0.48 | top 47% in Wisconsin; top 19% in the U.S. |
| Total nursing staff turnover (%) | 61.6 | 46.9 | 45.8 | bottom 18% in Wisconsin; bottom 14% in the U.S. |
| RN turnover (%) | 60.0 | 39.7 | 42.9 | bottom 20% in Wisconsin; bottom 22% in the U.S. |
Hours are per resident per day, 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 5.20, RN 0.93, weekend 4.83. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eef Capital LLC | Organization | 5% or Greater Direct Ownership Interest | 40% | 06/01/2018 |
| Schlaff, Benny | Individual | 5% or Greater Indirect Ownership Interest | 20% | 06/01/2018 |
| Schlaff, Nachum | Individual | 5% or Greater Indirect Ownership Interest | 20% | 06/01/2018 |
| Silverberg, Nisanel | Individual | 5% or Greater Indirect Ownership Interest | 11% | 06/01/2018 |
| SNJ Wisconsin LLC | Organization | 5% or Greater Direct Ownership Interest | 60% | 06/01/2018 |
| Culp, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/03/2020 |
| Culp, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 02/03/2020 |
| Eef Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Hellman, Yosef | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2018 |
| Hellman, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2018 |
| Hellman, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Nazareth Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Schlaff, Benny | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Schlaff, Nachum | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Schmidt, Lonna | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Sidhu, Sarfraz | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Sidhu, Sarfraz | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Silverberg, Nisanel | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| SNJ Wisconsin LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Stein, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Skaalen Nursing and Rehabilitation Center | 1.1 mi | Stoughton, WI | ★★★★★ | 5/5 | |
| Edgerton Care Center, INC | 9.6 mi | Edgerton, WI | ★☆☆☆☆ | 1/5 | abuse |
| Evansville Manor Nursing and Rehab, LLC | 10.4 mi | Evansville, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Oak Park Nursing and Rehab Center | 11.8 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Madison Health and Rehabilitation Center | 12.8 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Capitol Lakes Health Center | 13.1 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Oak Park Place of Nakoma | 13.8 mi | Madison, WI | ★★★☆☆ | 3/5 | |
| Complete Care at Maple Grove LLC | 15.0 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Hebron Oaks | 15.6 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Badger Prairie HCC | 15.7 mi | Verona, WI | ★★★★★ | 5/5 | |
| Four Winds Manor | 15.9 mi | Verona, WI | ★★☆☆☆ | 2/5 | |
| Oakwood Village East Health and Rehab Center | 16.6 mi | Madison, WI | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525681.