Middleton Village Nursing and Rehab
Middleton, Wisconsin · CCN 525330
64 surveys since 2010, 30 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
- 330
- Surveys
- 64
- Harm or worse
- 30
- Immediate jeopardyall corrected before survey
- 12
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 97
- Ownership
- For profit - Individual
- Chain
- SHLOMO HOFFMAN
- County
- Dane
- Medicare-certified since
- 1982
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
Mar 5, 2026
249 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 | 4.09 | 3.71 |
| Registered-nurse hours per resident day | 0.84 | — |
| Annual nurse turnover | 51.1% | 44.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $67,772 across 2 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 | J11.6% | K— | L— |
| Actual harm | G34.8% | H— | I— |
| No harm, potential for more than minimal | D4368.3% | E711.1% | F914.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6096×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6105×
Respond appropriately to all alleged violations.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Middleton Village Nursing and Rehab, in the surveyor’s own words.
- Immediate jeopardy, widespreadF812May 6, 2021
Based on observation, interview and record review, the facility did not follow proper sanitation and food handling practices in accordance with professional standards for food service safety. This has the potential to affect all 62 residents. The facility failed to check surface temperatures of dishes and utensils in a high temperature ware dish machine and failed to [MEDICATION(S)] when temperatures were below the established guidelines for wash and rinse temperatures. Additionally on [DATE], the external dishwasher temperature gauge indicated the dishwasher was not reaching the required wash or rinse temperature and (Agency) CNA I (Certified Nursing Assistant) continued to use the dish machine. (Agency) CNA I and (Agency) CNA H were pulled to work as Dietary Aides in the kitchen. […]
- Immediate jeopardy, isolatedF689Apr 18, 2024
Based on staff interview, record review, document review, and policy review, the facility did not ensure staff responded appropriately to an alarm and provided adequate supervision to 1 of 2 (R5) residents reviewed for elopement. R5 was assessed by the facility to be at risk for elopement. He did wear a WanderGuard. On 12/18/23, R5 eloped from the facility and was found on facility grounds by staff. On 02/25/24, at approximately 04:26am, R5 eloped from the facility through an alarmed door. Staff responded to the alarm but did not look outside the door to determine if anyone was outside. Staff did not begin a room-by-room search until approximately 30 minutes later when it was noted R5 was not in the building. Law Enforcement was not notified of the missing resident for 2 hours. […]
- Immediate jeopardy, isolatedF580Jun 21, 2023
Based on interview and record review, the facility did not promptly consult with the physician for 3 of 24 (R2, R6, and R7) sampled residents when they experienced significant changes in condition or met parameters set by the physician to be notified. R2 has a significant cardiac history with previous myocardial infarction. The facility failed to promptly consult with R2's physician when R2 presented with chest pain and numbness in the arm and face and a noted respiratory rate of 32 on [DATE]. R2 was later sent to the hospital and found to have an acute myocardial infarction (MI). The facility's failure to immediately consult with R2's physician when she was experiencing chest pain and numbness in the arm and face created a finding of Immediate Jeopardy (IJ) beginning on [DATE]. […]
- Immediate jeopardy, isolatedF689Jun 2, 2022
Based on interview and record review, the facility did not ensure that each resident received needed supervision to prevent accidents for 1 of 3 residents (R1) reviewed for falls from a total sample of 19. R1, who is on an antiplatelet medication and may bruise and bleed more easily, was transferred via a Hoyer lift with assist of 1, instead of 2 as care planned. R1 fell out of the Hoyer lift and struck his head on the floor. The likelihood for harm was then exacerbated when the certified nursing assistant (CNA) moved R1 into bed by himself without waiting for a nursing assessment. […]
- Immediate jeopardy, isolatedF686Aug 31, 2021
Based on observation, interview, medical record review, and facility policy and procedure review, the facility did not implement professional standards of practice to prevent PIs (pressure injuries) from developing, worsening, or to promote healing of PIs. Assessments of PIs were not consistently being completed by an RN (Registered Nurse), for 2 of 3 residents (R1, R2) reviewed for PIs out of a sample of 5 residents. On [DATE] a CNA (Certified Nursing Assistant) discovered a stage 3 PI on R1's coccyx measuring 10.0 cm x 10.0 cm and a stage 3 PI on R1's left heel measuring 8.0 cm x 7.0 cm. The heel PI was malodorous. R1 was hospitalized [DATE] where both PIs were identified as being infected. R1 received four (4) IV (intravenous) antibiotics during his 1 week hospitalization . […]
Read 48 findings in full →The most serious and the most recent: 48 of 330 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 5, 2026Standard10 findings
- Oct 8, 2025Complaint2 findings
- May 7, 2025Complaint6 findings
- Oct 28, 2024Standard and complaint10 findings · 3 harm
- May 24, 2024Complaint3 findings
- May 16, 2024Complaint4 findings
- Apr 24, 2024Complaint2 findings
- Apr 18, 2024Complaint5 findings · 1 harm
Show the 56 earlier surveys
- Feb 12, 2024Complaint2 findings
- Jan 23, 2024Complaint1 finding
- Oct 26, 2023Standard and complaint18 findings
- Jun 21, 2023Complaint12 findings · 1 harm
- Aug 18, 2022Standard and complaint8 findings · 2 harm
- Jun 2, 2022Complaint6 findings · 1 harm
- Feb 3, 2022Complaint4 findings
- Oct 25, 2021Complaint1 finding · 1 harm
- Oct 6, 2021Complaint5 findings
- Aug 31, 2021Complaint2 findings · 2 harm
- Jun 1, 2021Complaint2 findings · 1 harm
- May 6, 2021Standard and complaint16 findings · 3 harm
- Jan 27, 2021Complaint3 findings · 2 harm
- Oct 28, 2020Infection control1 finding
- Jun 24, 2020Complaint1 finding
- Feb 17, 2020Complaint3 findings · 1 harm
- Dec 11, 2019Complaint4 findings · 1 harm
- Aug 2, 2019Complaint1 finding
- Jul 18, 2019Complaint6 findings
- May 29, 2019Complaint1 finding
- Apr 9, 2019Standard and complaint14 findings · 2 harm
- Nov 9, 2018Complaint4 findings
- Oct 17, 2018Complaint4 findings · 1 harm
- Sep 17, 2018Complaint4 findings · 1 harm
- Jun 13, 2018Complaint2 findings
- Feb 26, 2018Complaint1 finding
- Jan 11, 2018Standard and complaint11 findings
- Aug 7, 2017Complaint1 finding
- Jul 3, 2017Complaint1 finding
- May 10, 2017Complaint5 findings
- Mar 9, 2017Complaint8 findings
- Feb 14, 2017Complaint1 finding
- Nov 10, 2016Standard2 findings
- Oct 13, 2016Complaint2 findings · 1 harm
- Sep 22, 2015Standard and complaint30 findings · 1 harm
- Jul 13, 2015Complaint5 findings · 1 harm
- Jun 24, 2015Complaint6 findings · 2 harm
- Apr 2, 2015Complaint4 findings
- Jan 21, 2015Complaint4 findings
- Dec 16, 2014Complaint3 findings
- Oct 28, 2014Complaint4 findings
- Sep 22, 2014Complaint4 findings · 1 harm
- Jul 31, 2014Standard11 findings
- Jun 9, 2014Complaint2 findings
- Apr 22, 2014Complaint2 findings
- Oct 24, 2013—4 findings
- May 7, 2013—3 findings
- Apr 1, 2013—1 finding
- Feb 7, 2013—5 findings · 1 harm
- Jul 31, 2012—16 findings
- Jul 18, 2011—2 findings
- May 17, 2011—6 findings
- Apr 13, 2011—2 findings
- Jan 20, 2011—1 finding
- Oct 27, 2010—9 findings
- Sep 9, 2010—7 findings
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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