Wisconsin › Dane County › Stoughton
Complete Care At Nazareth LLC
814 Jackson St., Stoughton, WI 53589
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.
Complete Care At Nazareth LLC is a For-profit, corporation nursing home in Stoughton, Wisconsin, certified for 99 beds and caring for about 61 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (12, 8, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 27.3 per 100 beds, about the same as the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $16K and 1 payment denial.
Reported nurse staffing is 5.2 hours per resident per day (0.9 RN), above the Wisconsin median of 4.0; nursing staff turnover is 61.6%.
Compared with county, state and nation
| Measure | This facility | Dane Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 28 | 21 | 28.7 |
| Citations per 100 beds | 27.3 | 43.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 5.2 | 4.8 | 4.0 | 3.9 |
| RN hours per resident day | 0.9 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 61.6% | 57.8% | 46.2% | 45.8% |
| Fines listed | $15,642 | $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: 2 Apr 2026, 9 Jan 2025.
Severity mix: J ×2 D ×13 E ×3 F ×9
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 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 May 2026 |
| 10 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Complaint investigation | 6 Jul 2026 |
| 10 Jun 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 6 Jul 2026 |
| 2 Apr 2026 | 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 | 27 Apr 2026 |
| 2 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Apr 2026 |
| 2 Apr 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 27 Apr 2026 |
| 2 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 May 2026 |
| 2 Apr 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 27 Apr 2026 |
| 2 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Apr 2026 |
| 2 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Apr 2026 |
| 2 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 27 Apr 2026 |
| 2 Apr 2026 | F0761 | 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 | Standard survey | 27 Apr 2026 |
| 2 Apr 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 21 Apr 2025 |
| 9 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 3 Feb 2025 |
| 9 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Feb 2025 |
| 9 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 3 Feb 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Feb 2025 |
| 9 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Feb 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Feb 2025 |
| 30 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Nov 2024 |
| 30 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Dec 2023 |
| 30 Nov 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 27 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Sep 2024 | Payment denial | — | 20 days |
| 30 Sep 2024 | Fine | $15,642 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 61.6%, RNs 60.0%; 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 | 10.1% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.8% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.2% | 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: for-profit, corporation. Legal business name: Complete Care At Nazareth Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eef Capital LLC | 5% or greater direct ownership interest | 40% | 06/01/2018 |
| Snj Wisconsin LLC | 5% or greater direct ownership interest | 60% | 06/01/2018 |
| Eef Capital LLC | Adp of the snf | NOT APPLICABLE | 06/01/2018 |
| Nazareth Property LLC | Adp of the snf | NOT APPLICABLE | 03/31/2025 |
| Snj Wisconsin LLC | Adp of the snf | NOT APPLICABLE | 06/01/2018 |
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 |
| Capitol Lakes Health Center | Madison | 49 | 4 | 3 | 5 | 13 | 26.5 | — | 10 Mar 2026 |
| 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 |
All 16 facilities in Dane County
Questions and answers
How many deficiencies has Complete Care At Nazareth LLC been cited for?
27 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Complete Care At Nazareth LLC been fined?
Yes. CMS lists fines totalling $16K in the period covered, plus 1 payment denial.
How does staffing at Complete Care At Nazareth LLC compare?
Reported total nurse staffing is 5.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Complete Care At Nazareth LLC?
It is part of the Complete Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Eef Capital LLC and Snj Wisconsin LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Nazareth LLC last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 2 Apr 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.