Wisconsin › Dane County › Madison
Capitol Lakes Health Center
333 W Main St, Madison, WI 53703
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 49 beds, Capitol Lakes Health Center serves Madison in Dane County, Wisconsin and has taken Medicare and Medicaid residents since 1979.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (1, 8, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.5 per 100 beds, about the same as the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 6.7 hours per resident per day (2.0 RN), above the Wisconsin median of 4.0; nursing staff turnover is 57.3%.
Compared with county, state and nation
| Measure | This facility | Dane Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 28 | 21 | 28.7 |
| Citations per 100 beds | 26.5 | 43.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 6.7 | 4.8 | 4.0 | 3.9 |
| RN hours per resident day | 2.0 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 57.3% | 57.8% | 46.2% | 45.8% |
| Fines listed | $0 | $15,642 | $0 | — |
County and state figures are medians across facilities (16 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Mar 2026, 6 Nov 2024.
Severity mix: J ×1 D ×7 E ×1 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Mar 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 31 Mar 2026 |
| 6 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0687 | Provide appropriate foot care. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Dec 2024 |
| 6 Nov 2024 | F0688 | Provide 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. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 6 Dec 2024 |
| 5 Oct 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0578 | Honor 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. | D | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0758 | 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. | D | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 3 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 57.3%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Capitol Lakes Inc.. Chain: Pacific Retirement Services (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kbc Bank Nv | 5% or greater security interest | NOT APPLICABLE | 01/01/2022 |
| Pacific Retirement Services Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2008 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dane County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avina of Sun Prairie | Sun Prairie | 50 | 5 | 4 | 2 | 16 | 32.0 | — | 8 Jan 2026 |
| Badger Prairie HCC | Verona | 120 | 5 | 5 | 5 | 9 | 7.5 | — | 10 Sep 2025 |
| Skaalen Nursing and Rehabilitation Center | Stoughton | 70 | 5 | 5 | 5 | 8 | 11.4 | — | 10 Sep 2024 |
| Hebron Oaks | Madison | 70 | 4 | 3 | 5 | 10 | 14.3 | $15K | 8 Jan 2026 |
| Oak Park Place of Nakoma | Madison | 33 | 3 | 3 | 4 | 30 | 90.9 | — | 22 Jan 2026 |
| Oakwood Village East Health and Rehab Center | Madison | 40 | 3 | 2 | 5 | 16 | 40.0 | $212K | 22 Oct 2025 |
| Sun Prairie Senior Living | Sun Prairie | 52 | 3 | 3 | 2 | 31 | 59.6 | — | 1 Apr 2026 |
| Waunakee Valley Senior Living | Waunakee | 84 | 3 | 2 | 2 | 24 | 28.6 | $33K | 9 Apr 2026 |
All 16 facilities in Dane County
Questions and answers
How many deficiencies has Capitol Lakes Health Center been cited for?
13 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Capitol Lakes Health Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Capitol Lakes Health Center compare?
Reported total nurse staffing is 6.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Capitol Lakes Health Center?
It is part of the Pacific Retirement Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Pacific Retirement Services Inc. Individual owners and managers are not listed on this site.
When was Capitol Lakes Health Center last inspected?
The most recent survey or investigation in the CMS record is dated 10 Mar 2026; the most recent standard health survey was 10 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.