Autumn Lake Healthcare At Beloit
Nursing home · 2121 Pioneer Dr., Beloit, WI 53511 · Rock County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 120
- State license
- 3061
- Medicare CCN
- 525663
- Licensed entity
- AJ OPERATIONS LLC
- Chain
- AUTUMN LAKE HEALTHCARE
- Ownership
- For profit - Limited Liability company
- Phone
- (608) 365-9526
- Nurse staffing
- 2.78 hours per resident per day; 37.3% nursing staff turnover
- Medicare ratings
- Inspections 3★ · Staffing 2★ · Quality 4★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Inspection findings
-
Feb 12, 2026 Health · 11 findings
-
Not serious
Scope/severity D
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0347 Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity C
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Mar 13, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Jan 6, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Jan 30, 2026 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Jan 30, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 30, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 25, 2025 Health · 2 findings
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Dec 17, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 17, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Sep 25, 2024 Fire Safety · 9 findings
-
Not serious
Scope/severity F
E0024 Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Dec 21, 2023 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Jan 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0691 Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected Jan 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 29, 2023 Health · 15 findings
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jul 24, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 24, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 24, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0223 Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 31, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Feb 26, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Aug 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- DAVIS, YEHOSHUA — 5% or greater direct ownership interest, 13%, since 02/01/2019
- DAVIS, YEHOSHUA — adp of the snf, NOT APPLICABLE, since 02/01/2019
- GLUCK, RIVKA — 5% or greater direct ownership interest, 20%, since 02/01/2019
- GLUCK, RIVKA — adp of the snf, NOT APPLICABLE, since 02/01/2019
- SCHWARTZ, MARK — corporate officer, NOT APPLICABLE, since 02/01/2019
- SCHWARTZ, MARK — operational/managerial control, NOT APPLICABLE, since 02/01/2019
- STERN, ARYEH — adp of the snf, NOT APPLICABLE, since 02/01/2019
- STERN, ARYEH — direct ownership interest, NOT APPLICABLE, since 02/01/2019
- TOLENTINO, ANNABELLE — adp of the snf, NOT APPLICABLE, since 02/01/2019
- TOLENTINO, ANNABELLE — operational/managerial control, NOT APPLICABLE, since 02/01/2019
- VIKEN, SUSAN — operational/managerial control, NOT APPLICABLE, since 02/01/2019
- VIKEN, SUSAN — adp of the snf, NOT APPLICABLE, since 02/01/2019
- A&R STERN FAMILY HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 02/01/2019
- A&R STERN FAMILY HOLDINGS, LLC — 5% or greater direct ownership interest, 62%, since 02/01/2019
- ACCURATE STAFFING LLC — adp of the snf, NOT APPLICABLE, since 02/01/2019
- BELOIT REHAB REALTY LLC — adp of the snf, NOT APPLICABLE, since 02/01/2019
- BELOIT REHAB REALTY LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 02/01/2019
- BRAND SONNENSCHINE LLP — adp of the snf, NOT APPLICABLE, since 02/01/2019
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.