CAPITOL LAKES HEALTH CENTER

πŸ“ 333 W MAIN ST, madison, WI 53703 πŸ“ž 6082832000 πŸ›οΈ 85 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

35
Total Violations
8 years of data
$31,250
Total Fines
2 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 6 violations

Tag 0578 D Oct 5, 2023

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.

βœ“ Corrected: Nov 3, 2023
Tag 0758 D Oct 5, 2023

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.

βœ“ Corrected: Nov 3, 2023
Tag 0759 D Oct 5, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 3, 2023
Tag 0809 F Oct 5, 2023

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.

βœ“ Corrected: Nov 3, 2023
Tag 0580 G Jun 21, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 18, 2023
Tag 0697 D Jun 21, 2023

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jul 18, 2023

2022 8 violations

Tag 0554 D Aug 11, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Sep 9, 2022
Tag 0561 D Aug 11, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Sep 9, 2022
Tag 0583 D Aug 11, 2022

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Sep 9, 2022
Tag 0678 D Aug 11, 2022

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: Sep 9, 2022
Tag 0689 D Aug 11, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 9, 2022
Tag 0755 D Aug 11, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 9, 2022
Tag 0842 B Aug 11, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Sep 9, 2022
Tag 0880 D Aug 11, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 8, 2022

2021 4 violations

Tag 0585 D May 26, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jun 25, 2021
Tag 0812 F May 26, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 25, 2021
Tag 0880 F May 26, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 25, 2021
Tag 0881 D May 26, 2021

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jun 25, 2021

2020 4 violations

Tag 0880 L Nov 19, 2020

Provide and implement an infection prevention and control program.

Tag 0880 F Nov 19, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 14, 2020
Tag 0609 D Jan 16, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 16, 2020
Tag 0610 E Jan 16, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 16, 2020

2019 1 violations

Tag 0686 D Mar 7, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 5, 2019

2018 6 violations

Tag 0578 E Jan 23, 2018

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.

βœ“ Corrected: Jan 24, 2018
Tag 0604 D Jan 23, 2018

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Feb 23, 2018
Tag 0609 D Jan 23, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 23, 2018
Tag 0610 D Jan 23, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 23, 2018
Tag 0645 D Jan 23, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jan 24, 2018
Tag 0656 D Jan 23, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 23, 2018

2017 4 violations

Tag 0689 D Dec 4, 2017

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 4, 2018
Tag 0697 D Dec 4, 2017

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 4, 2018
Tag 0842 D Dec 4, 2017

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 4, 2018
Tag 0849 D Dec 4, 2017

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Jan 4, 2018

2016 2 violations

Tag 0225 D Nov 30, 2016

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Dec 30, 2016
Tag 0371 F Nov 30, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Dec 30, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $15,000

$15,000
Fine
August 11, 2022
Average: $15,000 | Range: $15,000 - $15,000

2021 1 penalties totaling $16,250

$16,250
Fine
May 26, 2021
Average: $16,250 | Range: $16,250 - $16,250

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

October 5, 2023
0.00

Health

June 21, 2023
0.00

Health

August 11, 2022
0.00

Health

May 26, 2021
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525305
525305
6082832000
Dane

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual