• CMS rates this facility 3/5 stars (average)
• Has 72 certified beds with an average of 27.7 residents per day (38% occupancy)
• Last health inspection found 8 deficiencies (inspected Nov 6, 2024)
• No fines on record
• Total nursing staff: 7.79 hours per resident per day
• Staff turnover rate: 47.6%
• Part of the Pacific Retirement Services chain (10 facilities)
Capitol Lakes Health Center is a 3-star Medicare and Medicaid certified nursing home in Madison, Wisconsin with 72 certified beds. It has been operating since 1979. The facility scored at average compared to Wisconsin facilities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate foot care.
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.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure medication error rates are not 5 percent or greater.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide safe, appropriate pain management for a resident who requires such services.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Keep residents' personal and medical records private and confidential.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PACIFIC RETIREMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2008 |
| DREW, SALLY | CORPORATE DIRECTOR | Individual | N/A | Oct 10, 2016 |
| BISHOP, RICHARD | CORPORATE OFFICER | Individual | N/A | Oct 1, 2021 |
| CENTER, SUE | CORPORATE OFFICER | Individual | N/A | Jun 21, 2017 |
| JOHANNSEN, STEPHEN | CORPORATE OFFICER | Individual | N/A | Jan 16, 2019 |
| NORRBOM, CLAY | CORPORATE OFFICER | Individual | N/A | Nov 17, 2017 |
| PETERSON, HARRY | CORPORATE OFFICER | Individual | N/A | Jun 21, 2017 |
| SHOLTY, ERIC | CORPORATE OFFICER | Individual | N/A | May 27, 2018 |
| CONROY, TIMOTHY | W-2 MANAGING EMPLOYEE | Individual | N/A | Mar 23, 2009 |
| KBC BANK NV | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jan 1, 2022 |
| LAPIS MUNICIPAL OPPORTUNITIES FUND III LP | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jan 1, 2022 |
This chain operates 10 facilities. View all →