Sun Prairie Senior Living
228 W. Main St., Sun Prairie, WI 53590 · Dane County · 52 certified beds · avg 35 residents/day · certified since Jun 1, 1984
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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)
▲ Actual harm, one-off · Nov 30, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 22, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 |
|---|---|---|
| Apr 1, 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 1, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 1, 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. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 1, 2026 | 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. |
| Apr 1, 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 1, 2026 | 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. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Mar 3, 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. · from a complaint |
| Jan 9, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| 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 | 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. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| 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. |
| 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 safe and appropriate pain management for a resident who needed it. |
| Jan 9, 2025 | 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. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 30, 2023 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| 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 electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Nov 30, 2023 | D · Potential for harm, one-off | 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. |
| 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 (10 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2025 | 12 | 0 | F |
| 2026 | 14 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 3.39 | 4.29 | 3.95 | bottom 19% in Wisconsin; bottom 31% in the U.S. |
| Registered Nurse hours | 0.64 | 1.01 | 0.69 | bottom 16% in Wisconsin; top 43% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.84 | 3.50 | bottom 28% in Wisconsin; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.68 | 0.48 | bottom 24% in Wisconsin; top 41% in the U.S. |
| Total nursing staff turnover (%) | 57.8 | 46.9 | 45.8 | bottom 23% in Wisconsin; bottom 20% in the U.S. |
| RN turnover (%) | 50.0 | 39.7 | 42.9 | bottom 36% in Wisconsin; bottom 39% 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 3.70, RN 0.70, weekend 3.51. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | Organization | 5% or Greater Indirect Ownership Interest | 26% | 03/01/2023 |
| American Healthcare Reit Holdings LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| American Healthcare Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Barney, Leigh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Barney, Leigh | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/05/2026 |
| Chapko, Erin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2026 |
| Chapko, Erin | Individual | ADP of the SNF | NOT APPLICABLE | 02/16/2026 |
| Conner, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Continental Merger Sub LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Corbin, Kathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Davis, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Fightmaster, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Gahc3 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| Gahc4 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| McNamara, Donald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Mehaffey, Todd | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Pietrowski, Cristina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Pietrowski, Cristina | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Prosky, Danny | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Sidhu, Sarfraz | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Avina of Sun Prairie | 1.2 mi | Sun Prairie, WI | ★★★★★ | 4/5 | |
| Oakwood Village East Health and Rehab Center | 3.9 mi | Madison, WI | ★★★☆☆ | 2/5 | |
| Oak Park Nursing and Rehab Center | 7.4 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Madison Health and Rehabilitation Center | 7.8 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Capitol Lakes Health Center | 11.6 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Waunakee Valley Senior Living | 12.5 mi | Waunakee, WI | ★★★☆☆ | 2/5 | |
| Columbus Health and Rehab | 13.9 mi | Columbus, WI | ★★☆☆☆ | 2/5 | |
| Middleton Village Nursing and Rehab | 15.3 mi | Middleton, WI | ★☆☆☆☆ | 1/5 | |
| Oak Park Place of Nakoma | 15.4 mi | Madison, WI | ★★★☆☆ | 3/5 | |
| Lake Mills Health Services | 17.2 mi | Lake Mills, WI | ★★★★☆ | 4/5 | |
| Hebron Oaks | 17.6 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Skaalen Nursing and Rehabilitation Center | 18.2 mi | Stoughton, WI | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525380.