St Elizabeth Nursing Home: Call Light Delays - WI
That was one incident. He told an inspector he had waited anywhere from 30 minutes to two or three hours on other occasions. When nobody came, he tried to handle his own toileting. His care plan required staff assistance.
The resident, identified in the inspection report as R34, is cognitively intact, scoring a perfect 15 out of 15 on a standard mental status assessment. He knew exactly how long he was waiting. He knew exactly what he needed help with. He was not confused about any of it.
The Director of Nursing, identified as DON B, reviewed the call light logs with the inspector on April 28. She acknowledged that wait times of 20, 30, 45 minutes to over an hour were not timely. She said there was no reason for those response times. She also said there were enough staff on the floor.
Then she said the problem was the specific staff who happened to work those days.
The nursing scheduler told the inspector the facility runs as few as two CNAs on the night shift, with one nurse. When a CNA calls in sick on a weekend, the Director of Nursing tries to fill the position. The scheduler and the dietary manager are both CNAs and can help on the floor when needed.
The facility has no written goal for how quickly call lights should be answered. DON B told the inspector nothing more than 15 minutes should pass. A CNA the inspector interviewed separately said that answering a call light 20 minutes to an hour after it was turned on was not addressing residents' needs in a timely manner.
R34 said the facility is short-staffed and needs more help. At 5:27 in the morning, with blood clots behind his knee and a failing heart, he waited over an hour to find out if anyone was coming.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for St Elizabeth Nursing Home from 2026-04-28 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 13, 2026 · Our methodology
St Elizabeth Nursing Home in Janesville, WI was cited for violations during a health inspection on April 28, 2026.
He told an inspector he had waited anywhere from 30 minutes to two or three hours on other occasions.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.