01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-28 | 9 | 2026-04-28 | 10 |
| Cycle 2 | 2025-02-13 | 20 | 2025-02-13 | 12 |
| Cycle 3 | 2024-01-30 | 30 | 2024-01-30 | 10 |
CMS CCN 5256392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Elizabeth Nursing Home
109 S. Atwood Ave. · Janesville, WI 53545 · Rock County
Certified beds43CMS provider file
Recent citation rows91current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
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.
02 / CITATION DETAIL
91 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 22 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-28 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-05-22 · complaint2026-04-28 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · HEALTHF0725Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2026-05-22 · complaint2026-04-28 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-28 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-28 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-04-28 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-28 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-05-162026-04-28 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-28 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-05-132026-04-28 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-28 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2026-05-132026-04-28 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-28 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-05-132026-02-03 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-02-24 · complaint2025-02-13 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-03-142025-02-13 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-13 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-142025-02-13 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-142025-02-13 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure 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 · 2025-03-1403 / ENFORCEMENT FILE
Penalties reported by CMS
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 |
|---|---|---|---|
| 2025-01-08 | Fine | $8,824 | 0 |
| 2024-10-17 | Fine | $22,347 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DETTMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2020
- FISCHER, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/30/2018
- HEROUX, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2024
- KOHLHOFF, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2023
- KONKOL, DENNISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MEIDENBAUER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2019
- VAN DER LINDEN, KATIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2021
- WAGNER, LYNNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MARKS, JULIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/09/2025
- MAUTHE, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/30/2018
- ILLUMINUS INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2018
- MAUTHE, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2018
- SIDHU, SARFRAZIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/06/2021
- WILSON, DEANNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/28/2024
- ILLUMINUS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/17/2025
- MARKS, JULIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/09/2025
- MAUTHE, MATTHEWIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/30/2018
- SIDHU, SARFRAZIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/06/2021
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.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.96per resident day
RN hours0.53per resident day
Weekend nurse hours2.54per resident day
Staff turnover57.8%CMS reported field
06 / LOCAL RECORDS
Open the Janesville ledger →