ST DOMINIC VILLA
2375 SINSINAWA RD, HAZEL GREEN, WI 53811 · CCN 525660
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 62
- Avg residents/day
- 58.4
- Phone
- 6087489814
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 | 2025-12-22 | 4 | 9.8 | 9.5 | -5.8 better |
| 2 | 2024-08-15 | 11 | 9.2 | 9.8 | +1.8 worse |
| 3 | 2023-04-19 | 19 | 8.3 | 9.3 | +10.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.90 | 44.3% |
| RN staffing (reported) | 0.87 | 58.3% |
| Total nurse staffing (adjusted) | 4.60 | — |
Fines & penalties
- Total fines
- $129,467
- Number of fines
- 2
- Number of penalties
- 4
- Payment denials
- 2
Inspection citations (34)4 immediate jeopardy2 actual harm
- JF0700Try 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.2025-12-22 · Health · corrected 2026-01-23
Immediate jeopardy
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-12-22 · Health · corrected 2026-01-23
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.2025-12-22 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-22 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-15 · Health · corrected 2024-09-16
Immediate jeopardy
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-15 · Health · corrected 2024-11-01
Actual harm
- DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-08-15 · Health · corrected 2024-09-16
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.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-12 · Health · corrected 2024-03-01
Immediate jeopardy
- DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-02-12 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-02-12 · Health · corrected 2024-03-01
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-30 · Health · corrected 2024-02-09
Actual harm
- 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.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-06 · Health · corrected 2023-10-30
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-06 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-04-19 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-19 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-19 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-19 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-19 · Health · corrected 2023-05-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SOUTHWEST HEALTH CENTER INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2020-06-10 |
| SWR1 INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2020-06-10 |
| THE HILLS AT CORTLAND RIDGE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2020-06-10 |
| ILLUMINUS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-10 |
| BRUNER, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-06 |
| DROESZLER, ZACHARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| MARKS, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-09 |
| MAUTHE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-10 |
| MAUTHE, MATTHEW | Individual | CORPORATE DIRECTOR | — | 2020-06-10 |
| ROGERS, DOUG | Individual | CORPORATE DIRECTOR | — | 2020-12-01 |
| ROSEMEYER, JOSEPH | Individual | CORPORATE DIRECTOR | — | 2024-11-01 |
| SMITH, KENNETH | Individual | CORPORATE DIRECTOR | — | 2024-11-01 |
| SOOKOCHOFF, JESSE | Individual | CORPORATE DIRECTOR | — | 2020-12-01 |
| MARKS, JULIE | Individual | CORPORATE OFFICER | — | 2025-06-09 |
| MAUTHE, MATTHEW | Individual | CORPORATE OFFICER | — | 2020-06-10 |
Other facilities in HAZEL GREEN
| 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.