Wisconsin › Rock County › Janesville
St Elizabeth Nursing Home
109 S. Atwood Ave., Janesville, WI 53545
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.
St Elizabeth Nursing Home is a Non-profit, corporation nursing home in Janesville, Wisconsin, certified for 43 beds and caring for about 40 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 59 health deficiencies across the three most recent survey cycles (9, 20, 30 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 137.2 per 100 beds, more than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $31K.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), below the Wisconsin median of 4.0; nursing staff turnover is 57.8%.
Compared with county, state and nation
| Measure | This facility | Rock Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 59 | 33 | 21 | 28.7 |
| Citations per 100 beds | 137.2 | 41.8 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.0 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 57.8% | 50.0% | 46.2% | 45.8% |
| Fines listed | $31,171 | $31,171 | $0 | — |
County and state figures are medians across facilities (10 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: 28 Apr 2026, 13 Feb 2025.
Severity mix: J ×1 G ×1 D ×44 E ×7 F ×5 C ×1
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 |
|---|---|---|---|---|---|
| 28 Apr 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 May 2026 |
| 28 Apr 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 22 May 2026 |
| 28 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 May 2026 |
| 28 Apr 2026 | 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 | Standard survey | 22 May 2026 |
| 28 Apr 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 May 2026 |
| 28 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2026 |
| 28 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2026 |
| 28 Apr 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 May 2026 |
| 3 Feb 2026 | 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 | 24 Feb 2026 |
| 13 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Mar 2025 |
| 13 Feb 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 | 14 Mar 2025 |
| 13 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 14 Mar 2025 |
| 13 Feb 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 | 14 Mar 2025 |
| 13 Feb 2025 | 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 | 14 Mar 2025 |
| 13 Feb 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 14 Mar 2025 |
| 8 Jan 2025 | F0881 | Implement a program that monitors antibiotic use. | G | Complaint investigation | 22 Jan 2025 |
| 8 Jan 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 | 22 Jan 2025 |
| 8 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Jan 2025 |
| 8 Jan 2025 | 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 | Complaint investigation | 22 Jan 2025 |
| 17 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | 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 | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0687 | Provide appropriate foot care. | E | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | 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 | 15 Nov 2024 |
| 17 Oct 2024 | 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 | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 15 Nov 2024 |
| 17 Jul 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Aug 2024 |
| 21 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 | 18 Jul 2024 |
| 21 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Jul 2024 |
| 21 Jun 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 18 Jul 2024 |
| 30 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | 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 | 1 Mar 2024 |
| 30 Jan 2024 | 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. | E | Complaint investigation | 31 Jan 2024 |
| 30 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | 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 | 1 Mar 2024 |
| 30 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Feb 2024 |
| 30 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0693 | Ensure 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. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | 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 | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard survey | 1 Mar 2024 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Dec 2023 |
| 15 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Sep 2023 |
| 15 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Sep 2023 |
| 15 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 15 Sep 2023 |
| 15 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 | 15 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Jan 2025 | Fine | $8,824 | |
| 17 Oct 2024 | Fine | $22,347 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 57.8%, RNs 50.0%; 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 | 25.0% | 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 | 2.5% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.9% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.5% | 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: Sisters Of Charity Of Our Lady Mother Of The Church. Chain: Illuminus (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Illuminus Inc | Operational/managerial control | NOT APPLICABLE | 04/30/2018 |
| Illuminus Inc | Adp of the snf | NOT APPLICABLE | 10/17/2025 |
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 Rock County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cedar Crest Health Center | Janesville | 71 | 5 | 5 | 5 | 5 | 7.0 | — | 12 Feb 2025 |
| Mercy Manor Transition Center | Janesville | 28 | 5 | 4 | 4 | 9 | 32.1 | $54K | 30 Jan 2025 |
| Rock Haven | Janesville | 128 | 4 | 3 | 5 | 23 | 18.0 | $43K | 29 Jan 2026 |
| Alden Meadow Park HCC | Clinton | 94 | 3 | 3 | 2 | 19 | 20.2 | — | 23 Apr 2026 |
| Autumn Lake Healthcare At Beloit | Beloit | 120 | 3 | 3 | 2 | 14 | 11.7 | — | 12 Feb 2026 |
| Beloit Health and Rehabilitation Center | Beloit | 110 | 2 | 2 | 3 | 46 | 41.8 | $47K | 29 Jan 2026 |
| Oak Park Place of Janesville | Janesville | 35 | 2 | 2 | 3 | 33 | 94.3 | — | 21 Jan 2026 |
| Edgerton Care Center, Incabuse icon | Edgerton | 61 | 1 | 1 | 4 | 52 | 85.2 | — | 18 Jun 2026 |
All 10 facilities in Rock County
Questions and answers
How many deficiencies has St Elizabeth Nursing Home been cited for?
59 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 St Elizabeth Nursing Home been fined?
Yes. CMS lists fines totalling $31K in the period covered.
How does staffing at St Elizabeth Nursing Home compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates St Elizabeth Nursing Home?
It is part of the Illuminus chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Illuminus Inc. Individual owners and managers are not listed on this site.
When was St Elizabeth Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 28 Apr 2026; the most recent standard health survey was 28 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.