Complete Care At Nazareth LLC
Nursing home · 814 Jackson St., Stoughton, WI 53589 · Dane County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 99
- State license
- 1159
- Medicare CCN
- 525681
- Licensed entity
- COMPLETE CARE AT NAZARETH LLC
- Chain
- COMPLETE CARE
- Ownership
- For profit - Corporation
- Phone
- (608) 873-6448
- Nurse staffing
- 5.20 hours per resident per day; 61.6% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 4★ · Quality 3★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Sep 30, 2024 — Fine ($15,642)
- Sep 30, 2024 — Payment Denial · payment denial 20 days
Inspection findings
-
Jun 10, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jul 6, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jul 6, 2026 · CMS health inspection
-
Serious
Scope/severity J
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 May 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 2, 2026 Fire Safety · 19 findings
-
Not serious
Scope/severity F
E0029 Emergency Preparedness Deficiencies
Develop a communication plan.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity D
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 Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0803 Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0809 Nutrition and Dietary Deficiencies
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.
Corrected Apr 27, 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 Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Apr 27, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Apr 27, 2026 · 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 Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity E
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 Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Apr 27, 2026 · CMS fire safety
-
Not serious
Scope/severity F
-
Apr 2, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Apr 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 9, 2025 Fire Safety · 19 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Feb 3, 2025 · CMS health inspection
-
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 Feb 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
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 Feb 3, 2025 · 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 Feb 3, 2025 · 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 Feb 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Feb 3, 2025 · 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 Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0232 Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Corrected Feb 3, 2025 · 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 Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0331 Smoke Deficiencies
Construct fire resistant interior walls.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Feb 3, 2025 · 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 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Feb 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Sep 30, 2024 Health · 1 finding
-
Serious
Scope/severity J
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 Nov 11, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Nov 30, 2023 Fire Safety · 21 findings
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected Jan 25, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Dec 27, 2023 · CMS health inspection
-
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 Dec 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Dec 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Dec 27, 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 Dec 27, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Dec 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0132 Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected Dec 27, 2023 · CMS fire safety
-
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 Jan 12, 2024 · 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 Dec 27, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
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 Dec 27, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Dec 27, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Dec 27, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Dec 27, 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 Jan 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0531 Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Corrected Jan 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Jan 12, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0912 Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Corrected Dec 27, 2023 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- CULP, KAREN — adp of the snf, NOT APPLICABLE, since 02/03/2020
- CULP, KAREN — operational/managerial control, NOT APPLICABLE, since 02/03/2020
- HELLMAN, YOSEF — adp of the snf, NOT APPLICABLE, since 06/01/2018
- HELLMAN, YOSEF — operational/managerial control, NOT APPLICABLE, since 06/01/2018
- HELLMAN, YOSEF — managing control - governing body, NOT APPLICABLE, since 06/01/2018
- SCHLAFF, BENNY — adp of the snf, NOT APPLICABLE, since 06/01/2018
- SCHLAFF, BENNY — 5% or greater indirect ownership interest, 20%, since 06/01/2018
- SCHLAFF, NACHUM — adp of the snf, NOT APPLICABLE, since 06/01/2018
- SCHLAFF, NACHUM — 5% or greater indirect ownership interest, 20%, since 06/01/2018
- SCHMIDT, LONNA — adp of the snf, NOT APPLICABLE, since 03/31/2025
- SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 07/01/2024
- SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 07/01/2024
- SILVERBERG, NISANEL — 5% or greater indirect ownership interest, 11%, since 06/01/2018
- SILVERBERG, NISANEL — adp of the snf, NOT APPLICABLE, since 06/01/2018
- STEIN, SHALOM — adp of the snf, NOT APPLICABLE, since 06/01/2018
- STEIN, SHALOM — managing control - governing body, NOT APPLICABLE, since 06/01/2018
- WILLIAMS, JASON — adp of the snf, NOT APPLICABLE, since 08/21/2023
- WILLIAMS, JASON — operational/managerial control, NOT APPLICABLE, since 08/21/2023
- EEF CAPITAL LLC — adp of the snf, NOT APPLICABLE, since 06/01/2018
- EEF CAPITAL LLC — 5% or greater direct ownership interest, 40%, since 06/01/2018
- NAZARETH PROPERTY LLC — adp of the snf, NOT APPLICABLE, since 03/31/2025
- SNJ WISCONSIN LLC — 5% or greater direct ownership interest, 60%, since 06/01/2018
- SNJ WISCONSIN LLC — adp of the snf, NOT APPLICABLE, since 06/01/2018
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.