St Elizabeth Nursing Home

109 S. Atwood Ave., Janesville, WI 53545 · (608) 752-6709
Non profit - Corporation · 43 certified beds

St Elizabeth Nursing Home has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 8 citations (the Wisconsin average is 9.5). It was fined 2 times in the last three years, $31,171 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 28, 2026 found 8 citations. What an inspection citation means

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 28, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• PASARR screening for Mental disorders or Intellectual DisabilitiesApril 28, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 28, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 28, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.April 28, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.April 28, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 28, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.April 28, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 39 citations.

• Provide care and assistance to perform activities of daily living for any resident who is unable.April 28, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 28, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 3, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 8, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 8, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 8, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement a program that monitors antibiotic use.January 8, 2025 · F0881 · Level of harm: Actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 17, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 17, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate foot care.October 17, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 17, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 17, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.October 17, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.October 17, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Allow residents to self-administer drugs if determined clinically appropriate.July 17, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 17, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 17, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Plan the resident's discharge to meet the resident's goals and needs.July 17, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 17, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 17, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.July 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 21, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prepare residents for a safe transfer or discharge from the nursing home.June 21, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents have reasonable access to and privacy in their use of communication methods.January 30, 2024 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.January 30, 2024 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 30, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 30, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 30, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.January 30, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 30, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.January 30, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.January 30, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 9, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $8,824January 8, 2025
• Fine of $22,347October 17, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home