CAPITOL LAKES HEALTH CENTER

333 W MAIN ST, MADISON, WI 53703 · CCN 525305 · 49 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections3 of 5CMS staffing5 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2026-03-10 — IMMEDIATE JEOPARDY (tag F0678, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Staffing, from payroll records

Nursing hours / resident / day

5.40

state median 3.58

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

1.27

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

57%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: Non profit - Corporation. Part of the PACIFIC RETIREMENT SERVICES chain.

Other facilities under the same ownership, with their CMS overall ratings:

MIRABELLA AT ASU (TEMPE, AZ) — CMS overall3 of 5
ROGUE VALLEY MANOR (MEDFORD, OR) — CMS overall5 of 5
HOLLADAY PARK PLAZA (PORTLAND, OR) — CMS overall5 of 5
MIRABELLA PORTLAND (PORTLAND, OR) — CMS overall5 of 5
CASCADE MANOR (EUGENE, OR) — CMS overall4 of 5
SARATOGA RETIREMENT COMMUNITY HEALTH CENTER (SARATOGA, CA) — CMS overall5 of 5
THE MEADOWS OF NAPA VALLEY (NAPA, CA) — CMS overall5 of 5
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS (DAVIS, CA) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 12 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-10	F0678	Quality of Life and Care Deficiencies	J	not recorded
2024-11-06	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-11-06	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-11-06	F0687	Quality of Life and Care Deficiencies	E	not recorded
2024-11-06	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-11-06	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-11-06	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2024-11-06	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-11-06	F0880	Infection Control Deficiencies	F	not recorded
2023-10-05	F0578	Resident Rights Deficiencies	D	not recorded
2023-10-05	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-10-05	F0759	Pharmacy Service Deficiencies	D	not recorded
2023-10-05	F0809	Nutrition and Dietary Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “CAPITOL LAKES HEALTH CENTER, MADISON” at medicare.gov/care-compare.