St Elizabeth Nursing Home
Nursing home · 109 S. Atwood Ave., Janesville, WI 53545 · Rock County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 43
- State license
- 624
- Medicare CCN
- 525639
- Licensed entity
- SISTERS OF CHARITY OF OUR LADY MOTHER OF THE CHURCH
- Chain
- ILLUMINUS
- Ownership
- Non profit - Corporation
- Phone
- (608) 752-6709
- Nurse staffing
- 2.96 hours per resident per day; 57.8% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 2★ · Quality 2★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Jan 8, 2025 — Fine ($8,824)
- Oct 17, 2024 — Fine ($22,347)
Inspection findings
-
Apr 28, 2026 Health · 18 findings
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 22, 2026 · 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 May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity E
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 May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 22, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected May 14, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 19, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected May 14, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected May 16, 2026 · 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 May 15, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected May 13, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected May 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 May 14, 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 May 13, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Feb 3, 2026 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected Feb 24, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Feb 13, 2025 Fire Safety · 20 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Mar 14, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Mar 10, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
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.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 14, 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 Mar 14, 2025 · CMS health inspection
-
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 14, 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 Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0887 Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0331 Smoke Deficiencies
Construct fire resistant interior walls.
Corrected Mar 14, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 28, 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 Mar 4, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Mar 13, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 10, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0912 Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Corrected Feb 26, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Mar 18, 2025 · 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 14, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0919 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Corrected Feb 26, 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 26, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 8, 2025 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jan 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jan 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 Jan 22, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Jan 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 17, 2024 Health · 8 findings
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 15, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
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 Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0758 Pharmacy Service Deficiencies
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.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0838 Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 17, 2024 Health · 7 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity E
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 Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0727 Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 21, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jul 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jul 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0624 Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected Jul 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 30, 2024 Fire Safety · 25 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Apr 1, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Feb 23, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Jan 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 1, 2024 · CMS health inspection
-
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 Mar 1, 2024 · CMS health inspection
-
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 Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0758 Pharmacy Service Deficiencies
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.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity C
F0868 Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Mar 1, 2024 · 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 3, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Apr 4, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 1, 2024 · 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 May 29, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected May 10, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0912 Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Corrected Mar 8, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Nov 9, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 11, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 15, 2023 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Sep 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Sep 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
Owners and managers (as published by CMS)
- DETTMAN, SCOTT — corporate director, NOT APPLICABLE, since 09/01/2020
- FISCHER, TODD — corporate director, NOT APPLICABLE, since 04/30/2018
- HEROUX, STEVEN — corporate director, NOT APPLICABLE, since 08/01/2024
- KOHLHOFF, KEVIN — corporate director, NOT APPLICABLE, since 09/01/2023
- KONKOL, DENNIS — corporate director, NOT APPLICABLE, since 10/01/2024
- MARKS, JULIE — adp of the snf, NOT APPLICABLE, since 06/09/2025
- MARKS, JULIE — corporate officer, NOT APPLICABLE, since 06/09/2025
- MAUTHE, MATTHEW — corporate officer, NOT APPLICABLE, since 04/30/2018
- MAUTHE, MATTHEW — operational/managerial control, NOT APPLICABLE, since 04/30/2018
- MAUTHE, MATTHEW — adp of the snf, NOT APPLICABLE, since 04/30/2018
- MEIDENBAUER, ROBERT — corporate director, NOT APPLICABLE, since 09/01/2019
- SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 04/06/2021
- SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 04/06/2021
- VAN DER LINDEN, KATIE — corporate director, NOT APPLICABLE, since 05/01/2021
- WAGNER, LYNNE — corporate director, NOT APPLICABLE, since 10/01/2024
- WILSON, DEANNA — adp of the snf, NOT APPLICABLE, since 04/22/2025
- WILSON, DEANNA — operational/managerial control, NOT APPLICABLE, since 10/28/2024
- ILLUMINUS INC — operational/managerial control, NOT APPLICABLE, since 04/30/2018
- ILLUMINUS INC — adp of the snf, NOT APPLICABLE, since 10/17/2025
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.