Complete Care at Nazareth LLC
814 Jackson St., Stoughton, WI 53589 · CCN 525681
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 99
- Avg residents/day
- 65.1
- Phone
- 6088736448
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-09 | 7 | 9.8 | 9.5 | -2.8 better |
| 2 | 2023-11-30 | 8 | 9.2 | 9.8 | -1.2 better |
| 3 | 2022-09-13 | 10 | 8.3 | 9.3 | +1.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.69 | 53.5% |
| RN staffing (reported) | 0.91 | 60.0% |
| Total nurse staffing (adjusted) | 4.39 | — |
Fines & penalties
- Total fines
- $32,443
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (25)2 immediate jeopardy2 actual harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-04-02 · Health · corrected 2025-04-21
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-09 · Health · corrected 2025-02-03
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-30 · Health · corrected 2024-11-11
Immediate jeopardy
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-11-30 · Health · corrected 2023-12-27
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-20 · Health · corrected 2023-08-04
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-07-20 · Health · corrected 2023-08-04
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-20 · Health · corrected 2023-08-04
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-20 · Health · corrected 2023-06-16
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2023-07-20 · Health · corrected 2023-08-04
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-03-07 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-07 · Health · corrected 2023-03-27
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-13 · Health · corrected 2022-10-12
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-09-13 · Health · corrected 2022-10-12
Actual harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-13 · Health · corrected 2022-10-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SNJ WISCONSIN LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60% | 2018-06-01 |
| EEF CAPITAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2018-06-01 |
| SCHLAFF, BENNY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-06-01 |
| SCHLAFF, NACHUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-06-01 |
| SILVERBERG, NISANEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-06-01 |
| STEIN, SHALOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-06-01 |
| SILVERBERG, NISANEL | Individual | W-2 MANAGING EMPLOYEE | — | 2018-06-01 |
| HELMAN, YOSEF | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-06-01 |
Other facilities in Stoughton
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.