ST DOMINIC VILLA
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-12-22 — IMMEDIATE JEOPARDY (tag F0700, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
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.
2024-08-15 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-15 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-02-12 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-30 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-10-06 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.06
state median 3.58
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.47
registered nurses only
Contract (agency) staff
7%
share of all nursing hours
Nursing staff turnover
45%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $129,467 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-15 | Fine | $49,823 |
| 2024-08-15 | Payment Denial | payment denial |
| 2023-10-06 | Fine | $79,644 |
| 2023-10-06 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the ILLUMINUS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- St. Anne's Salvatorian Campus (MILWAUKEE, WI) —
- Marquardt Memorial Manor (Watertown, WI) —
- St Elizabeth Nursing Home (Janesville, WI) —
- Fond du Lac Lutheran Home (Fond du Lac, WI) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-22 | F0700 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-22 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-22 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-12-22 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-08-15 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-15 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-08-15 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-15 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-08-15 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-15 | F0729 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-08-15 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-15 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-08-15 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-08-15 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2024-02-12 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-02-12 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-02-12 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-30 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-10-06 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-06 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-10-06 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-06 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-06 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-10-06 | F0868 | Administration Deficiencies | F | not recorded |
| 2023-10-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-04-19 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-04-19 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-04-19 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-04-19 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-19 | F0880 | Infection Control Deficiencies | D | not recorded |