Madison Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 110 Belmont Rd., Madison, WI 53714
- CCN
- 525074
- Ownership type
- For-profit, limited liability company
- Certified beds
- 83
- Chain
- Champion Care
- Residents per day
- 69
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Madison Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 19 Feb 2026. The latest survey cycle has 8 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 4 fines with a total of $289,198 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dane County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 16 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Feb 2026 | 8 | 7 |
| Cycle 2 | 26 Aug 2025 | 9 | 7 |
| Cycle 3 | No date | 40 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 May 2026 |
| 8 Apr 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 5 May 2026 |
| 19 Feb 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 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 | 16 Mar 2026 |
| 19 Feb 2026 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 16 Mar 2026 |
| 15 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 9 Jan 2026 |
| 15 Dec 2025 | F0584 | 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. | D | Complaint investigation | 9 Jan 2026 |
| 15 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Jan 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Aug 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Sep 2025 |
| 26 Aug 2025 | 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 | 20 Sep 2025 |
| 26 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Sep 2025 |
| 26 Aug 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 | 20 Sep 2025 |
| 26 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 20 Sep 2025 |
| 26 Aug 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 | 20 Sep 2025 |
| 26 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Sep 2025 |
| 13 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Dec 2024 |
| 27 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Sep 2024 |
Survey cycle 3: 40 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0584 | 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. | E | Complaint investigation | 14 Apr 2025 |
| 25 Mar 2025 | F0585 | 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. | D | Complaint investigation | 14 Apr 2025 |
| 25 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 14 Apr 2025 |
| 25 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Mar 2025 |
| 25 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | K | Complaint investigation | 18 Apr 2025 |
| 25 Mar 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 15 Apr 2025 |
| 25 Mar 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 | 15 Apr 2025 |
| 25 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 8 Apr 2025 |
| 25 Mar 2025 | F0838 | 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. | F | Standard survey | 15 Apr 2025 |
| 25 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | G | Standard survey | 18 Apr 2025 |
| 25 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 14 Apr 2025 |
| 19 Jun 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | G | Complaint investigation | 16 Jul 2024 |
| 19 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jul 2024 |
| 19 Jun 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 1 Aug 2024 |
| 19 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Jul 2024 |
| 7 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 1 Apr 2024 |
| 7 Mar 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Apr 2024 |
| 4 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Jan 2024 |
| 4 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 19 Jan 2024 |
| 21 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Jan 2024 |
| 21 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 19 Jan 2024 |
| 21 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 19 Jan 2024 |
| 30 Aug 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 12 Sep 2023 |
| 30 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 12 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 25 Mar 2025 | Fine | $177,862 | |
| 27 Aug 2024 | Fine | $16,055 | |
| 19 Jun 2024 | Fine | $80,580 | |
| 19 Jun 2024 | Payment denial | 15 | |
| 21 Dec 2023 | Fine | $14,701 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.85 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.56 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 1.30 | 0.64 | |
| Nurse aides | 2.00 | 2.58 | |
| All nurse staff, weekends | 3.39 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 66.7%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.0% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Bay at Belmont Health and Rehabilitation Center LLC
- Chain
- Champion Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bay at Belmont Holdings LLC | 5% or greater direct ownership interest | 100% | 13 Sep 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dane County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Oak Park Nursing and Rehab Center | Madison | 1 of 5 | 27 | $67,410 | 9 Sep 2025 | |
| Capitol Lakes Health Center | Madison | 4 of 5 | 1 | $0 | 10 Mar 2026 | |
| Oakwood Village East Health and Rehab Center | Madison | 3 of 5 | 10 | $212,069 | 29 Jul 2025 | |
| Avina of Sun Prairie | Sun Prairie | 5 of 5 | 3 | $0 | 8 Jan 2026 | |
| Sun Prairie Senior Living | Sun Prairie | 3 of 5 | 14 | $0 | 1 Apr 2026 | |
| Oak Park Place of Nakoma | Madison | 3 of 5 | 11 | $0 | 22 Jan 2026 | |
| Middleton Village Nursing and Rehab | Middleton | 1 of 5 | 12 | $67,772 | 5 Mar 2026 | |
| Waunakee Valley Senior Living | Waunakee | 3 of 5 | 5 | $32,856 | 9 Apr 2026 | |
| Hebron Oaks | Madison | 4 of 5 | 5 | $14,901 | 17 Jul 2025 | |
| Complete Care at Maple Grove LLC | Madison | 1 of 5 | 25 | $153,657 | 5 May 2025 | |
| Badger Prairie HCC | Verona | 5 of 5 | 1 | $0 | 10 Sep 2025 | |
| Complete Care at Nazareth LLC | Stoughton | 2 of 5 | 12 | $15,642 | 2 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Madison Health and Rehabilitation Center (CCN 525074). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/madison-health-and-rehabilitation-center-madison-wi-525074/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Madison Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 8 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 26 Aug 2025.
- Who operates Madison Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Champion Care. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Madison Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.