NURSING HOME PUBLIC RECORD
CMS lists this provider in Hazel Green, WI, with 62 certified beds, an overall rating of 2/5, and 51 citation rows in the current August 2026 release.
2375 Sinsinawa Rd · Hazel Green, WI 53811 · Grant County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for St Dominic Villa in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-22 | 4 | 2025-12-22 | 5 |
| Cycle 2 | 2024-08-15 | 11 | 2024-08-15 | 5 |
| Cycle 3 | 2023-04-19 | 19 | 2023-04-19 | 7 |
CMS reports 51 citation rows, including 6 with G–L codes and 4 with J–L codes.
6 rows carry G–L scope/severity codes; 4 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
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.
Correction field: Deficient, Provider has date of correction · 2026-01-23Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-01-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-23Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-23Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-01-22Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-01-22Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-01-22Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2026-01-22Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-01-22Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-09-16Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-16Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-09-16Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-16Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-16Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-01Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Correction field: Deficient, Provider has date of correction · 2024-09-16Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-09-16Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-09-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-16Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-16Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-09-16Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-09-16Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-09-16Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-16The August 2026 file contains 4 penalty rows and $129,467 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-08-15 | Fine | $49,823 | 0 |
| 2024-08-15 | Payment Denial | $0 | 49 |
| 2023-10-06 | Fine | $79,644 | 0 |
| 2023-10-06 | Payment Denial | $0 | 119 |
CMS matched 20 ownership disclosure rows to St Dominic Villa; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.81 total nurse hours and 0.72 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Hazel Green, WI met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
