Capitol Lakes Health Center

Nursing Home · Madison, WI

CMS overall rating 4/5 Non profit - Corporation

CMS certification number525305

Contact & location

333 W Main ST
Madison, WI 53703
Dane County
Phone
(608) 283-2000
ZIP code
53703 – all care providers

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Facility details

Certified beds
49
Residents per day
26.1 (53% occupied)
Ownership
Non profit - Corporation
Legal name
Capitol Lakes INC.
Chain
Pacific Retirement Services (10 facilities, avg 4.6★)
Medicare certified since
September 4, 1979
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.0
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
6.69 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
2.00 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.79 (state 0.64 · U.S. 0.86)
Nurse aides
3.91 (state 2.58 · U.S. 2.32)
Weekend total
5.59 (state 3.77 · U.S. 3.42)
Nursing staff turnover
57.3 (state 46.9 · U.S. 45.8)%
RN turnover
25.0 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 10, 2026
Health deficiencies (last cycle)
1.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
13 health · 28 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-10 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2026-03-31
2024-11-06 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-06 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2023-10-05 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-03
2023-10-05 Honor 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-03
2023-10-05 Implement 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-03
2023-10-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-03

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
KBC Bank NV (organization)5%+ Security Interest · NOT APPLICABLE
Lapis Municipal Opportunities Fund III LP (organization)5%+ Security Interest · NOT APPLICABLE
Drew, Sally (individual)Corporate Director · NOT APPLICABLE
Bishop, Richard (individual)Corporate Officer · NOT APPLICABLE
Center, Sue (individual)Corporate Officer · NOT APPLICABLE
Johannsen, Stephen (individual)Corporate Officer · NOT APPLICABLE
Norrbom, Clay (individual)Corporate Officer · NOT APPLICABLE
Peterson, Harry (individual)Corporate Officer · NOT APPLICABLE
Sholty, Eric (individual)Corporate Officer · NOT APPLICABLE
Pacific Retirement Services INC (organization)Operational/managerial Control · NOT APPLICABLE
Conroy, Timothy (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Capitol Lakes Health Center?

Capitol Lakes Health Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Capitol Lakes Health Center have?

It has 49 certified beds and cares for about 26 residents per day.

Has Capitol Lakes Health Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Capitol Lakes Health Center?

It is part of Pacific Retirement Services and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Capitol Lakes Health Center?

(608) 283-2000. The facility is located at 333 W Main ST, Madison, WI 53703.

Other nursing homes in Madison

Compare all nursing homes in Madison, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.