St Elizabeth Nursing Home

CCN 525639 · SISTERS OF CHARITY OF OUR LADY MOTHER OF THE CHURCH · Non profit - Corporation · ILLUMINUS chain · 43 certified beds · Rock · WI


St Elizabeth Nursing Home is a 43-bed nursing home in Janesville, Wisconsin. CMS has certified it for Medicare and Medicaid since 1998-02-01. It averages 40.3 residents a day.

What harm was found in the violations cited at St Elizabeth Nursing Home?

CMS lists 59 health-inspection deficiencies for St Elizabeth Nursing Home, all 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 2026-04-28.

Survey dateTagDeficiencySeverity
2026-04-28F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2026-04-28F0645, F0677, F0690, F0692, F0695, F0880, F0883PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2026-02-03F0584Honor 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.E
2025-02-13F0880Provide and implement an infection prevention and control program.F
2025-02-13F0578, F0656, F0689, F0697, F0755, F0758, F0887Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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.D
2025-01-08F0881Implement a program that monitors antibiotic use.G
2025-01-08F0580, F0658, F0761Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / 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.D
2024-10-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-10-17F0725, F0838Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.F
2024-10-17F0687Provide appropriate foot care.E
2024-10-17F0610, F0690, F0758, F0760Respond appropriately to all alleged violations. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure that residents are free from significant medication errors.D
2024-07-17F0727Have 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.F
2024-07-17F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-07-17F0554, F0610, F0660, F0677, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Respond appropriately to all alleged violations. / Plan the resident's discharge to meet the resident's goals and needs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.D
2024-06-21F0580, F0609, F0624Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Prepare residents for a safe transfer or discharge from the nursing home.D
2024-01-30F0880Provide and implement an infection prevention and control program.F
2024-01-30F0584, F0678, F0684Honor 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. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-01-30F0576, F0585, F0607, F0686, F0689, F0693, F0757, F0758, F0881, F0883Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-01-30F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyC
2023-11-09F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-08-15F0609, F0610, F0623, F0842Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was St Elizabeth Nursing Home fined 2 times?

DateTypeAmount
2025-01-08Fine$8,824
2024-10-17Fine$22,347

How is St Elizabeth Nursing Home staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day2.957324.21234
Total nursing staff turnover (%)57.846.9
Average number of residents per day40.354.8

Who owns St Elizabeth Nursing Home, and what chain is it in?

St Elizabeth Nursing Home is registered with CMS as Non profit - Corporation, operates under the legal business name SISTERS OF CHARITY OF OUR LADY MOTHER OF THE CHURCH and belongs to the ILLUMINUS chain.

RoleOwnerAssociation date
CORPORATE DIRECTORDETTMAN, SCOTT, FISCHER, TODD, HEROUX, STEVEN, KOHLHOFF, KEVIN, KONKOL, DENNIS, MEIDENBAUER, ROBERT, VAN DER LINDEN, KATIE, WAGNER, LYNNEsince 04/30/2018
CORPORATE OFFICERMARKS, JULIE, MAUTHE, MATTHEWsince 04/30/2018
OPERATIONAL/MANAGERIAL CONTROLILLUMINUS INC, MAUTHE, MATTHEW, SIDHU, SARFRAZ, WILSON, DEANNAsince 04/06/2021
ADP OF THE SNFILLUMINUS INC, MARKS, JULIE, MAUTHE, MATTHEW, SIDHU, SARFRAZ, WILSON, DEANNAsince 04/06/2021

Were you or a family member harmed at St Elizabeth Nursing Home?