Overall Rating
Address
333 W Main St
Madison, WI 53703
Contact
6082832000
Certification Date
1979-09-04
CMS Certification Number
525305
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Average Number of Residents per Day
30.7
Provider Type
Medicare and Medicaid
Legal Business Name
CAPITOL LAKES INC.
Affiliated Entity Name
PACIFIC RETIREMENT SERVICES
Affiliated Entity ID
391
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
5
Reported Nurse Aide Staffing Hours per Resident per Day
3.38789
Reported LPN Staffing Hours per Resident per Day
0.84459
Reported RN Staffing Hours per Resident per Day
1.56312
Reported Total Nurse Staffing Hours per Resident per Day
5.79560
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.94948
Registered Nurse Hours per Resident per Day on the Weekend
1.12434
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10523
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
42.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-10-05
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
2
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2022-08-11
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2021-05-26
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
0
Health Deficiency Score
40
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
40
Number of Fines
2
Total Amount of Fines in Dollars
26000.00
Number of Payment Denials
0
Total Number of Penalties
2