CareSentinel

Federal Nursing-Home Survey Record

ST DOMINIC VILLA

CCN 525660 · 2375 SINSINAWA RD, HAZEL GREEN, WI, 53811 · Operated within the ILLUMINUS chain

Does ST DOMINIC VILLA have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ST DOMINIC VILLA (CCN 525660), in HAZEL GREEN, WI, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 4 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-12-22. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $129,467 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$129,467

CMS has $129,467 in civil money penalties on file against this facility. CMS also records 168 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-22
CURRENT CYCLE
F700S/S J

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2025-12-22
CURRENT CYCLE
F812S/S F

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

2025-12-22
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-12-22
CURRENT CYCLE
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2024-08-15
HISTORICAL
F686S/S J

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

2024-08-15
HISTORICAL
F689S/S G

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

2024-08-15
HISTORICAL
F882S/S F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2024-08-15
HISTORICAL
F812S/S F

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

2024-08-15
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-08-15
HISTORICAL
F607S/S E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2024-08-15
HISTORICAL
F580S/S D

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

2024-08-15
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-08-15
HISTORICAL
F729S/S D

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

2024-08-15
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-15
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-02-12
HISTORICAL
F689S/S J

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

2024-02-12
HISTORICAL
F711S/S D

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

2024-02-12
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2023-11-30
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-10-06
HISTORICAL
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-10-06
HISTORICAL
F868S/S F

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2023-10-06
HISTORICAL
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2023-10-06
HISTORICAL
F585S/S D

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.

2023-10-06
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-10-06
HISTORICAL
F689S/S D

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

2023-10-06
HISTORICAL
F609S/S D

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

2023-10-06
HISTORICAL
F686S/S D

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

2023-10-06
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-10-06
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-04-19
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-04-19
HISTORICAL
F609S/S D

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

2023-04-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-04-19
HISTORICAL
F554S/S D

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

2023-04-19
HISTORICAL
F656S/S D

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at ST DOMINIC VILLA?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…