Oak Park Place of Nakoma
Madison · 4.2 mi · 33 beds
Citations0Substantiated0
Capitol Lakes Health Center
333 W MAIN ST, Madison, WI, 53703
Nursing home49 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 1 deficiency against Capitol Lakes Health Center in Madison, Wisconsin at its most recent standard inspection on 2026-03-10. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
49certified beds
1deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.12
Potential for minimal harmThe least serious band.0
Most recentJFFFEDDDDFDDD
The last 13 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2026-03-10 · standard survey · Immediate jeopardy to resident health or safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · F0687 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-11-06 · from a complaint · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0688 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-11-06 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0809 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS6.69428
Nursing staff turnoverShare of nursing staff who left in a year57.3%
Ownership
Who owns Capitol Lakes Health Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| KBC BANK NV | Organization | NOT APPLICABLE | since 01/01/2022 |
| LAPIS MUNICIPAL OPPORTUNITIES FUND III LP | Organization | NOT APPLICABLE | since 01/01/2022 |
| CONROY, TIMOTHY | Individual | NOT APPLICABLE | since 03/23/2009 |
| DREW, SALLY | Individual | NOT APPLICABLE | since 10/10/2016 |
| BISHOP, RICHARD | Individual | NOT APPLICABLE | since 10/01/2021 |
| CENTER, SUE | Individual | NOT APPLICABLE | since 06/21/2017 |
| JOHANNSEN, STEPHEN | Individual | NOT APPLICABLE | since 01/16/2019 |
| NORRBOM, CLAY | Individual | NOT APPLICABLE | since 11/17/2017 |
| PETERSON, HARRY | Individual | NOT APPLICABLE | since 06/21/2017 |
| SHOLTY, ERIC | Individual | NOT APPLICABLE | since 05/27/2018 |
| PACIFIC RETIREMENT SERVICES INC | Organization | NOT APPLICABLE | since 04/01/2008 |
Part of the PACIFIC RETIREMENT SERVICES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Madison Health and Rehabilitation Center
Madison · 4.5 mi · 83 beds
Citations0Substantiated0
Contact
Ask Capitol Lakes Health Center a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525305.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction