Nursing HomeInspections

Capitol Lakes Health Center

Nursing home in Madison, WI

Medicare & Medicaid certified4★ overall (CMS)

Call (608) 283-2000Send a messageMap ↗

Public-record details

Address
333 W Main St, Madison, WI 53703
Phone
(608) 283-2000
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
525305
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
49
Average residents per day
26
Ownership
Nonprofit, corporation
Legal business name
Capitol Lakes INC.
Chain
Pacific Retirement Services (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 4, 1979
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525305. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 10, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Mar 10, 2026): 1 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 10, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care
J
Immediate jeopardy, isolated
Nov 6, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 6, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 6, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 6, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 6, 2024Provide appropriate foot care.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Nov 6, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Nov 6, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Nov 6, 2024Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Oct 5, 2023Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 5, 2023Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Oct 5, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.69 hours
Registered nurse (RN) time per resident per day
2.00 hours
Nurse aide time per resident per day
3.91 hours
Total nurse staffing on weekends
5.59 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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