Capitol Lakes Health Center
333 W Main St, Madison, WI, 53703
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Pacific Retirement Services
- Certified beds
- 49 · avg 25 residents/day
- Total nursing staff turnover
- 51.8% — near the Wisconsin averageWisconsin avg: 47.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 20% — lower than most Wisconsin nursing homesWisconsin avg: 39.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Wisconsin averageWisconsin avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 525305
- Certified beds
- 49 beds · avg 25 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Capitol Lakes Inc.
- Chain affiliation
- Pacific Retirement Services
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Pacific Retirement Services chain — 10 facilities across 5 states. Chain-wide average overall rating 4.4 / 5.
Disclosed owners (11 on record)
- Kbc Bank nv
5% or Greater Security Interest · 55% · since 2022
- Lapis Municipal Opportunities Fund Iii lp
5% or Greater Security Interest · 45% · since 2022
- Richard Bishop
Corporate Officer · since 2021
- Stephen Johannsen
Corporate Officer · since 2019
- Eric Sholty
Corporate Officer · since 2018
- Clay Norrbom
Corporate Officer · since 2017
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 15)
- J0678·Mar 10, 2026
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D0686·Nov 6, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F0880·Nov 6, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Nov 6, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0804·Nov 6, 2024
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0698·Nov 6, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0688·Nov 6, 2024
Quality of Life and Care Deficiencies
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.
- E0687·Nov 6, 2024
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Fire-safety citations
28 Life-Safety-Code citations on file. Most recent: Mar 10, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Capitol Lakes Health Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.