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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.

DateTypeFine amountDenial startsDenial daysSource
January 8, 2025Fine$8,824Not listeddata.cms.gov
October 17, 2024Fine$22,347Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 28, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F725Provide 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 harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F690Provide 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 harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F677Provide 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 harmCorrectedMay 22, 2026data.cms.gov
April 28, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
February 3, 2026F584Honor 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 harmCorrectedFebruary 24, 2026data.cms.gov
February 13, 2025F887Educate 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 harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F758Implement 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 harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F755Provide 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 harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F689Ensure 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 harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F656Develop 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 harmCorrectedMarch 14, 2025data.cms.gov
February 13, 2025F578Honor 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 harmCorrectedMarch 14, 2025data.cms.gov
January 8, 2025F881Implement a program that monitors antibiotic use.G: isolated, actual harmCorrectedJanuary 22, 2025data.cms.gov
January 8, 2025F761Ensure 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 harmCorrectedJanuary 22, 2025data.cms.gov
January 8, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2025data.cms.gov
January 8, 2025F580Immediately 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 harmCorrectedJanuary 22, 2025data.cms.gov
October 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F838Conduct 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 harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F758Implement 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 harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F725Provide 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 harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F690Provide 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 harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F687Provide appropriate foot care.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
October 17, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
July 17, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F727Have 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 harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F677Provide 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 harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F660Plan the resident's discharge to meet the resident's goals and needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F657Develop 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 harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
July 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
June 21, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2024data.cms.gov
June 21, 2024F609Timely 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 harmCorrectedJuly 18, 2024data.cms.gov
June 21, 2024F580Immediately 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 harmCorrectedJuly 18, 2024data.cms.gov
January 30, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyC: widespread, minimal harm potentialCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F758Implement 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 harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F693Ensure 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 harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F689Ensure 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 harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F678Provide 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 harmCorrectedJanuary 31, 2024data.cms.gov
January 30, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 30, 2024F585Honor 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 harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F584Honor 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 harmCorrectedMarch 1, 2024data.cms.gov
January 30, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
November 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2023data.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.

OrganizationRoleShareSinceSource
Illuminus IncOperational or managerial controlNot listedApril 30, 2018data.cms.gov
Illuminus IncAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov

Also on SpecStream

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.