ST DOMINIC VILLA

Grant · WI · Non profit - Corporation · ILLUMINUS chain · 62 certified beds · CCN 525660 · SINSINAWA NURSING INC


ST DOMINIC VILLA operates 62 certified beds in HAZEL GREEN, Wisconsin. Its Medicare and Medicaid certification dates to 2000-12-08. It averages 59.3 residents a day.

What harm was found in the violations cited at ST DOMINIC VILLA?

CMS lists 34 health-inspection deficiencies for ST DOMINIC VILLA since 2023-04-19, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-22.

Survey dateTagDeficiencySeverity
2025-12-22F0700Try 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.J
2025-12-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-22F0740, F0880Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program.D
2024-08-15F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2024-08-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-08-15F0812, F0880, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-08-15F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2024-08-15F0580, F0684, F0729, F0759, F0760Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2024-02-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-12F0711, F0740Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2023-11-30F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2023-10-06F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2023-10-06F0725, F0868Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2023-10-06F0585, F0609, F0610, F0684, F0686, F0689, F0880Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2023-04-19F0554, F0609, F0610, F0656, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.D

Why was ST DOMINIC VILLA fined 2 times?

DateTypeAmount
2024-08-15Fine$49,823
2023-10-06Fine$79,644

Has ST DOMINIC VILLA had payment denied by Medicare more than once?

Payment denial startLength in days
2024-09-1349
2023-11-03119

How is ST DOMINIC VILLA staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.811964.21234
Total nursing staff turnover (%)45.246.9
Average number of residents per day59.354.8

Who owns ST DOMINIC VILLA, and what chain is it in?

ST DOMINIC VILLA is registered with CMS as Non profit - Corporation, operates under the legal business name SINSINAWA NURSING INC and belongs to the ILLUMINUS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSOUTHWEST HEALTH CENTER INC, SWR1 INCsince 06/10/2020
DIRECT OWNERSHIP INTERESTTHE HILLS AT CORTLAND RIDGE, INC.since 06/10/2020
CORPORATE DIRECTORMAUTHE, MATTHEW, ROGERS, DOUG, ROSEMEYER, JOSEPH, SMITH, KENNETH, SOOKOCHOFF, JESSEsince 06/10/2020
CORPORATE OFFICERMARKS, JULIE, MAUTHE, MATTHEWsince 06/09/2025
OPERATIONAL/MANAGERIAL CONTROLILLUMINUS INC, BRUNER, JOSHUA, DROESZLER, ZACHARY, MARKS, JULIE, MAUTHE, MATTHEWsince 05/06/2024
ADP OF THE SNFILLUMINUS INC, BRUNER, JOSHUA, DROESZLER, ZACHARY, MARKS, JULIE, MAUTHE, MATTHEWsince 04/25/2025

Were you or a family member harmed at ST DOMINIC VILLA?