Elder Care Record

Wisconsin › Dane County › Middleton

Middleton Village Nursing and Rehab

6201 Elmwood Ave, Middleton, WI 53562

CCN 525330 · For-profit, individual · 97 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 97 beds, Middleton Village Nursing and Rehab serves Middleton in Dane County, Wisconsin and has taken Medicare and Medicaid residents since 1982.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.

Inspectors recorded 63 health deficiencies across the three most recent survey cycles (12, 16, 35 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 64.9 per 100 beds, more than the state median of 31.8.

CMS lists 3 penalties in the period covered: fines totalling $68K and 1 payment denial.

Reported nurse staffing is 4.1 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 51.1%.

63health deficiencies, 3 survey cycles4 at actual harm or worse
$68Kfines listed by CMS3 penalties in period
4.1nurse hours per resident per daystate median 4.0
75%occupancy (residents ÷ beds)73 residents a day

Compared with county, state and nation

MeasureThis facilityDane Co. medianWisconsin medianUS average
Overall star rating1333.0
Health citations, 3 cycles63282128.7
Citations per 100 beds64.943.031.826.8
Total nurse hours per resident day4.14.84.03.9
RN hours per resident day0.81.10.90.7
Nursing staff turnover51.1%57.8%46.2%45.8%
Fines listed$67,772$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

Cycle 1 (latest)12
Cycle 216
Cycle 335

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 28 Oct 2024.

Severity mix: J ×1 G ×3 D ×43 E ×7 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Mar 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey6 Mar 2026
5 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Mar 2026
5 Mar 2026F0838Conduct 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.FStandard survey6 Mar 2026
5 Mar 2026F0584Honor 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.EStandard survey20 Mar 2026
5 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey23 Mar 2026
5 Mar 2026F0761Ensure 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.EStandard survey23 Mar 2026
5 Mar 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey23 Mar 2026
5 Mar 2026F0578Honor 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.DStandard survey23 Mar 2026
5 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 Mar 2026
5 Mar 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey6 Mar 2026
8 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation9 Oct 2025
8 Oct 2025F0610Respond appropriately to all alleged violations.DComplaint investigation9 Oct 2025
7 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation22 May 2025
7 May 2025F0584Honor 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.EComplaint investigation10 Jul 2025
7 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 May 2025
7 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation22 May 2025
7 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 May 2025
7 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation22 May 2025
28 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation19 Nov 2024
28 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation22 Nov 2024
28 Oct 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation19 Nov 2024
28 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey19 Nov 2024
28 Oct 2024F0814Dispose of garbage and refuse properly.FComplaint investigation19 Nov 2024
28 Oct 2024F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard survey15 Nov 2024
28 Oct 2024F0688Provide 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.DComplaint investigation19 Nov 2024
28 Oct 2024F0758Implement 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.DStandard survey19 Nov 2024
28 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey19 Nov 2024
28 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation19 Nov 2024
24 May 2024F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint investigation4 Jun 2024
24 May 2024F0693Ensure 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.DComplaint investigation4 Jun 2024
24 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation4 Jun 2024
16 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Jun 2024
16 May 2024F0610Respond appropriately to all alleged violations.DComplaint investigation4 Jun 2024
16 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation4 Jun 2024
16 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation4 Jun 2024
24 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation16 May 2024
24 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 May 2024
18 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation25 Feb 2024
18 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation10 May 2024
18 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation10 May 2024
18 Apr 2024F0610Respond appropriately to all alleged violations.DComplaint investigation10 May 2024
18 Apr 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation10 May 2024
12 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Feb 2024
12 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation19 Feb 2024
23 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation8 Feb 2024
26 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation17 Nov 2023
26 Oct 2023F0814Dispose of garbage and refuse properly.FStandard survey17 Nov 2023
26 Oct 2023F0880Provide and implement an infection prevention and control program.FStandard survey17 Nov 2023
26 Oct 2023F0758Implement 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.EStandard survey17 Nov 2023
26 Oct 2023F0881Implement a program that monitors antibiotic use.EStandard survey17 Nov 2023
26 Oct 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey17 Nov 2023
26 Oct 2023F0584Honor 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.DStandard survey17 Nov 2023
26 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey17 Nov 2023
26 Oct 2023F0679Provide activities to meet all resident's needs.DStandard survey17 Nov 2023
26 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Nov 2023
26 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Nov 2023
26 Oct 2023F0688Provide 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.DStandard survey17 Nov 2023
26 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Nov 2023
26 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey17 Nov 2023
26 Oct 2023F0693Ensure 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.DComplaint investigation17 Nov 2023
26 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Nov 2023
26 Oct 2023F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey17 Nov 2023
26 Oct 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey17 Nov 2023

Penalties

DateTypeAmountDetail
28 Oct 2024Payment denial—10 days
28 Oct 2024Fine$55,734
18 Apr 2024Fine$12,038

Staffing

Total nursing4.09 h
Nurse aides2.54 h
LPN0.72 h
RN0.84 h
Weekend total3.41 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 51.1%, RNs 62.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.4%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.8%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.2%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.1%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.9%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, individual. CMS groups this facility with 10 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.

No organisations are listed in the CMS ownership record for this facility.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avina of Sun PrairieSun Prairie505421632.0—8 Jan 2026
Badger Prairie HCCVerona12055597.5—10 Sep 2025
Skaalen Nursing and Rehabilitation CenterStoughton70555811.4—10 Sep 2024
Capitol Lakes Health CenterMadison494351326.5—10 Mar 2026
Hebron OaksMadison704351014.3$15K8 Jan 2026
Oak Park Place of NakomaMadison333343090.9—22 Jan 2026
Oakwood Village East Health and Rehab CenterMadison403251640.0$212K22 Oct 2025
Sun Prairie Senior LivingSun Prairie523323159.6—1 Apr 2026

All 16 facilities in Dane County

Questions and answers

How many deficiencies has Middleton Village Nursing and Rehab been cited for?

63 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Middleton Village Nursing and Rehab been fined?

Yes. CMS lists fines totalling $68K in the period covered, plus 1 payment denial.

How does staffing at Middleton Village Nursing and Rehab compare?

Reported total nurse staffing is 4.1 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Middleton Village Nursing and Rehab?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.

When was Middleton Village Nursing and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 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.