Starfile / Wisconsin

MADISON HEALTH AND REHABILITATION CENTER

110 BELMONT RD, MADISON, WI 53714 · CCN 525074

SFF

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$413,433

Number of fines

6

Number of penalties

7

Payment denials

1

Chain

Chain

CHAMPION CARE

Facilities in chain

21

Chain avg overall

2.10 / 5

Inspection citations (103)4 immediate jeopardy6 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-15 · Health · corrected 2026-01-09

   Potential for more than minimal harm

2. DF0584Honor 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.2025-12-15 · Health · corrected 2026-01-09

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2025-12-15 · Health · corrected 2026-01-09

   Potential for more than minimal harm

4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

5. DF0578Honor 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.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

7. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

8. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-26 · Health · corrected 2025-09-20

   Potential for more than minimal harm

10. EF0880Provide and implement an infection prevention and control program.2025-08-26 · Health · corrected 2025-09-20

    Potential for more than minimal harm

11. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

12. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

13. EF0584Honor 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.2025-03-25 · Health · corrected 2025-04-14

    Potential for more than minimal harm

14. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-03-25 · Health · corrected 2025-04-14

    Potential for more than minimal harm

15. DF0641Ensure each resident receives an accurate assessment.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

17. DF0679Provide activities to meet all resident's needs.2025-03-25 · Health · corrected 2025-04-14

    Potential for more than minimal harm

18. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-25 · Health · corrected 2025-04-18

    Actual harm

19. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-25 · Health · corrected 2025-04-18

    Immediate jeopardy

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-25 · Health · corrected 2025-03-25

    Potential for more than minimal harm

21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

22. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

23. KF0700Try 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.2025-03-25 · Health · corrected 2025-04-18

    Immediate jeopardy

24. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

25. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

26. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-25 · Health · corrected 2025-04-18

    Potential for more than minimal harm

27. EF0730Observe each nurse aide's job performance and give regular training.2025-03-25 · Health · corrected 2025-04-15

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-25 · Health · corrected 2025-04-15

    Potential for more than minimal harm

29. FF0814Dispose of garbage and refuse properly.2025-03-25 · Health · corrected 2025-04-08

    Potential for more than minimal harm

30. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-03-25 · Health · corrected 2025-04-15

    Potential for more than minimal harm

31. GF0880Provide and implement an infection prevention and control program.2025-03-25 · Health · corrected 2025-04-18

    Actual harm

32. DF0881Implement a program that monitors antibiotic use.2025-03-25 · Health · corrected 2025-04-14

    Potential for more than minimal harm

33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-13 · Health · corrected 2024-12-06

    Potential for more than minimal harm

34. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

35. EF0584Honor 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.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

36. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

39. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

40. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

41. DF0641Ensure each resident receives an accurate assessment.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

42. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

43. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

44. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

45. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

46. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

47. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

48. DF0687Provide appropriate foot care.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

49. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

50. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

51. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

52. EF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

53. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

54. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

55. DF0760Ensure that residents are free from significant medication errors.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

56. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

57. EF0880Provide and implement an infection prevention and control program.2024-10-10 · Health · corrected 2024-11-04

    Potential for more than minimal harm

58. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-27 · Health · corrected 2024-09-18

    Immediate jeopardy

59. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

60. GF0564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.2024-06-19 · Health · corrected 2024-07-16

    Actual harm

61. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

62. DF0583Keep residents' personal and medical records private and confidential.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

63. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

65. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

66. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-06-19 · Health · corrected 2024-08-01

    Actual harm

67. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-19 · Health · corrected 2024-07-15

    Potential for more than minimal harm

68. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-07 · Health · corrected 2024-04-01

    Potential for more than minimal harm

69. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-07 · Health · corrected 2024-04-01

    Potential for more than minimal harm

70. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-04 · Health · corrected 2024-01-19

    Actual harm

71. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-04 · Health · corrected 2024-01-19

    Potential for more than minimal harm

72. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-21 · Health · corrected 2024-01-19

    Immediate jeopardy

73. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

74. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

75. DF0583Keep residents' personal and medical records private and confidential.2023-08-30 · Health · corrected 2023-09-12

    Potential for more than minimal harm

76. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-30 · Health · corrected 2023-09-12

    Potential for more than minimal harm

77. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

78. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

79. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

80. DF0759Ensure medication error rates are not 5 percent or greater.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

81. DF0760Ensure that residents are free from significant medication errors.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

82. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-06-07 · Health · corrected 2023-07-03

    Potential for more than minimal harm

83. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

84. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

85. DF0610Respond appropriately to all alleged violations.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

86. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

87. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-04 · Health · corrected 2023-05-31

    Actual harm

88. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

89. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

90. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

91. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

92. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

93. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

94. DF0880Provide and implement an infection prevention and control program.2023-05-04 · Health · corrected 2023-05-31

    Potential for more than minimal harm

95. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-03-23 · Health · corrected 2023-04-17

    Potential for more than minimal harm

96. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-23 · Health · corrected 2023-04-17

    Potential for more than minimal harm

97. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-03-23 · Health · corrected 2023-04-17

    Potential for more than minimal harm

98. CF0732Post nurse staffing information every day.2023-03-23 · Health · corrected 2023-04-17

    Potential for minimal harm

99. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-23 · Health · corrected 2023-04-17

    Potential for more than minimal harm

100. EF0759Ensure medication error rates are not 5 percent or greater.2023-03-23 · Health · corrected 2023-04-17

     Potential for more than minimal harm

101. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-23 · Health · corrected 2023-04-17

     Potential for more than minimal harm

102. DF0880Provide and implement an infection prevention and control program.2023-03-23 · Health · corrected 2023-04-17

     Potential for more than minimal harm

103. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-23 · Health · corrected 2023-04-17

     Potential for more than minimal harm

Ownership

Other facilities in MADISON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.