Data / Nursing homes / Wisconsin / St Elizabeth Nursing Home
St Elizabeth Nursing Home, Janesville, WI: 2 star rating, fined $31,171 across 2 fines
St Elizabeth Nursing Home in Janesville, WI is run by Sisters of Charity of Our Lady Mother of the Church, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $31,171 across 2 fines in the three years to October 1, 2026. CMS lists 55 health citations from inspections in that time, the latest survey on April 28, 2026, and 2 of them found actual harm or immediate jeopardy.
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- Address
- 109 S. Atwood Ave., Janesville, WI 53545
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 2 of 5
- Certified beds
- 43
- Residents per day
- 39 on average
- Ownership type
- Nonprofit, corporation
- Legal business name
- Sisters of Charity of Our Lady Mother of the Church
- Chain
- Illuminus, 5 facilities
- Fines
- $31,171 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 55, of which 2 with actual harm or immediate jeopardy
- Latest survey
- April 28, 2026
- CMS Certification Number
- 525639
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| January 8, 2025 | Fine | $8,824 | Not listed | data.cms.gov | |
| October 17, 2024 | Fine | $22,347 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| April 28, 2026 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F690 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| April 28, 2026 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2026 | data.cms.gov |
| February 3, 2026 | F584 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | February 24, 2026 | data.cms.gov |
| February 13, 2025 | F887 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| February 13, 2025 | F578 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| January 8, 2025 | F881 | Implement a program that monitors antibiotic use. | G: isolated, actual harm | Corrected | January 22, 2025 | data.cms.gov |
| January 8, 2025 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | January 22, 2025 | data.cms.gov |
| January 8, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 22, 2025 | data.cms.gov |
| January 8, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 22, 2025 | data.cms.gov |
| October 17, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J: isolated, immediate jeopardy | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F838 | 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: widespread, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F760 | Ensure that residents are free from significant medication errors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F690 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F687 | Provide appropriate foot care. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 17, 2024 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| July 17, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F727 | 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: widespread, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| July 17, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 16, 2024 | data.cms.gov |
| June 21, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 18, 2024 | data.cms.gov |
| June 21, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 18, 2024 | data.cms.gov |
| June 21, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 18, 2024 | data.cms.gov |
| January 30, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F881 | Implement a program that monitors antibiotic use. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C: widespread, minimal harm potential | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F693 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F678 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | January 31, 2024 | data.cms.gov |
| January 30, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 23, 2024 | data.cms.gov |
| January 30, 2024 | F585 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F584 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 30, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| November 9, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 11, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (3 managers, 10 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Illuminus Inc | Operational or managerial control | Not listed | April 30, 2018 | data.cms.gov |
| Illuminus Inc | Additional disclosable party | Not listed | October 17, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Wisconsin
- Every nursing home Illuminus Inc owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.