Madison Health and Rehabilitation Center
Madison, Wisconsin · CCN 525074
60 surveys since 2011, 46 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 339
- Surveys
- 60
- Harm or worse
- 46
- Immediate jeopardy
- 20
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 83
- Ownership
- For profit - Limited Liability company
- Chain
- CHAMPION CARE
- County
- Dane
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Wisconsin.
Last survey on record
Jul 22, 2026
110 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.85 | 3.71 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 66.7% | 44.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $289,198 across 4 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J34.7% | K11.6% | L— |
| Actual harm | G57.8% | H— | I— |
| No harm, potential for more than minimal | D4367.2% | E69.4% | F69.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6898×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8125×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5543×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5803×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F5843×
Honor 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.
In the surveyor’s words
From the most serious findings on record at Madison Health and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF725Sep 22, 2022
Based on observation, interview, and record review, the facility failed to have sufficient and competent staffing to ensure resident safety and attain or maintain each resident's highest practicable physical, mental, and psychosocial well-being. This has the potential to affect all 71 residents. The facility failed to ensure sufficient and competent staffing. On [DATE] a student nurse was left in the building for 1 1/2 hours without a licensed nurse in the building. In addition there was no dietary staff in the building. The Director of Nursing (DON) has worked numerous shifts on the floor as a floor nurse and is unable to fulfill the duties of a Director of Nurses. […]
- Immediate jeopardy, widespreadF801Sep 22, 2022
Based on observations and interviews, the facility did not ensure a qualified person is named as the dietary manager. This has the potential to affect all 71 residents. The facility's failure to ensure a qualified person is named as the dietary manager created a finding of immediate jeopardy that began on 08/27/22. NHA A (Nursing Home Administrator) and Regional Nurse Consultant W (RNC) were notified of the immediate jeopardy on 09/08/22 at 11:40 AM. The immediate jeopardy was removed on 09/13/22, however the deficient practice continues at a scope/severity of F (No Actual Harm/Widespread) as the facility continues to implement its action plan. This is evidenced by: The dietary manager is responsible for the overall coordination of the dietary department. […]
- Immediate jeopardy, widespreadF802Sep 22, 2022
Based on observations, interviews, and record reviews, the facility did not ensure there were sufficient dietary support staff to carry out the functions of the food service department. The facility currently has only 3 people employed in the dietary department which is not enough to ensure that residents receive meals that meet their preferences and their nutritional needs. The facility's failure to ensure there was sufficient dietary support staff created a finding of immediate jeopardy that began on 8/27/22. The NHA (Nursing Home Administrator) was notified of the immediate jeopardy on 9/8/22 at 11:40 AM. […]
- Immediate jeopardy, widespreadF837Sep 22, 2022
Based on record review, observations, and staff interviews, the governing body did not implement policies regarding the management and operation of the facility to ensure residents received care that attained or maintained their highest practicable level of physical, mental, and psychosocial well-being this had the potential to affect all 71 residents. This resulted in 9 Immediate Jeopardy citations being issued at Nutrition/Hydration (F692), Sufficient Nurse Staffing (F725), Qualified Dietary Staff (F801), Sufficient Dietary Staff (F802), Menus Being Followed (F803), Transfer and Discharge Requirements (F622), Permitting Residents to Return to the Facility (F626), Provisions of Medically Appropriate Social Services (F745), and Governing Body (F837). […]
- Immediate jeopardy, patternF700Mar 25, 2025
Based on observation, interview, and record review, the facility failed to ensure other alternatives were tried prior to installing/utilizing side rails. The facility failed to have a system in place to assess for risk of entrapment between the mattress and side rail and failed to identify and recognize that the use of side rails with an air mattress increases the risk for entrapment for 3 (R2, R424, and R9) of 3 supplemental residents and 8 (R61, R20, R65, R25, R17, R423, R6, and R24) of 21 sampled residents reviewed for bed rails. The facility failed to ensure a system was in place regarding the use of bed rails/enabler bars prior to surveyors entering the facility. […]
Read 66 findings in full →The most serious and the most recent: 66 of 339 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2026Complaint7 findings
- Apr 8, 2026Complaint2 findings
- Feb 19, 2026Standard3 findings
- Dec 15, 2025Complaint3 findings
- Aug 26, 2025Standard7 findings
- Mar 25, 2025Standard and complaint22 findings · 4 harm
- Nov 13, 2024Complaint1 finding
- Oct 10, 2024Standard24 findings
Show the 52 earlier surveys
- Aug 27, 2024Complaint1 finding · 1 harm
- Jun 19, 2024Complaint9 findings · 2 harm
- Mar 7, 2024Complaint2 findings
- Jan 4, 2024Complaint2 findings · 1 harm
- Dec 21, 2023Complaint3 findings · 1 harm
- Oct 17, 2023Standard10 findings
- Aug 30, 2023Complaint2 findings
- Jun 7, 2023Complaint6 findings
- May 4, 2023Complaint12 findings · 1 harm
- Mar 23, 2023Complaint9 findings
- Sep 22, 2022Complaint31 findings · 10 harm
- Jul 27, 2022Standard and complaint31 findings · 3 harm
- Apr 27, 2022Complaint4 findings · 2 harm
- Mar 31, 2022Complaint1 finding
- Feb 24, 2022Complaint1 finding · 1 harm
- Jan 25, 2022Complaint2 findings
- Jan 4, 2022Complaint2 findings
- Dec 2, 2021Complaint1 finding · 1 harm
- Sep 1, 2021Complaint3 findings · 1 harm
- Aug 11, 2021Complaint1 finding
- Aug 2, 2021Complaint1 finding
- Jul 6, 2021Complaint1 finding
- Jun 16, 2021Complaint1 finding
- Apr 28, 2021Standard and complaint13 findings · 3 harm
- Jan 14, 2021Complaint3 findings · 2 harm
- Jul 21, 2020Infection control1 finding
- Jun 2, 2020Complaint3 findings · 1 harm
- Sep 19, 2019Standard and complaint10 findings · 1 harm
- Sep 12, 2018Complaint2 findings
- Aug 16, 2018Complaint2 findings
- Jul 12, 2018Standard4 findings
- Jun 7, 2018Complaint1 finding
- Feb 14, 2018Complaint2 findings
- Dec 6, 2017Complaint1 finding
- May 4, 2017Standard7 findings · 1 harm
- Oct 13, 2016Complaint4 findings
- Jun 21, 2016Complaint4 findings · 3 harm
- Apr 19, 2016Standard14 findings · 2 harm
- Dec 16, 2015Complaint2 findings · 1 harm
- Jul 1, 2015Complaint2 findings
- Mar 5, 2015Standard4 findings
- Apr 30, 2014Complaint1 finding
- Feb 13, 2014—7 findings
- Apr 16, 2013—8 findings
- Sep 10, 2012—1 finding
- Aug 14, 2012—4 findings
- May 30, 2012—1 finding
- Mar 12, 2012—17 findings · 2 harm
- Nov 2, 2011—2 findings
- Aug 3, 2011—5 findings
- Feb 16, 2011—6 findings
- Jan 19, 2011—3 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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