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Nursing homeFAID #13064

Capitol Lakes Health Center

333 W MAIN ST, MADISON, WI, 53703
(608) 283-2000
retirement.org
49 licensed beds
★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
49
State license
0010301
CMS facility ID
525305
Care type
Nursing home
Facility name
Capitol Lakes Health Center
Street address
333 W MAIN ST
City / state / ZIP
Madison, WI 53703
Phone
(608) 283-2000
Website
retirement.org
State license #
0010301

About this facility — Capitol Lakes Health Center

Capitol Lakes Health Center is a Medicare/Medicaid-certified skilled nursing facility in Madison, Wisconsin. It is licensed for 49 beds — below the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 107 senior care facilities in Madison and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Capitol Lakes Health Center 41 times across 7 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Capitol Lakes Inc
Parent company
Pacific Retirement Services
Ownership type
Non profit - Corporation
Administrator
Tim Conroy

Registered owners & officers

Bishop, Richard
Officer — since 2021
Center, Sue
Officer — since 2017
Conroy, Timothy
Managing employee — since 2009
Drew, Sally
Director — since 2016
Johannsen, Stephen
Officer — since 2019
Kbc Bank Nv
Security-interest holder — since 2022
Lapis Municipal Opportunities Fund Iii Lp
Security-interest holder — since 2022
Norrbom, Clay
Officer — since 2017
Pacific Retirement Services Inc
Operational control — since 2008
Peterson, Harry
Officer — since 2017
Sholty, Eric
Officer — since 2018

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1979-09-04
CMS overall rating
4 of 5 stars
Health deficiencies
1 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-10
Nurse staffing
6.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$515 per day (≈ $15,660/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
16% Medicaid · 18% Medicare · 66% private/other
Occupancy
50% (fiscal year 2023)
Vs. state median
27% above the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
49
Licensed as
RCAC
Medicare
Accepted
Medicaid
Accepted
Reported monthly rate range
$1,150 – $2,716
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-10Health inspection1 citation
F-0678
J · Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2026-03-31
2024-11-06Health inspectionComplaint-triggered8 citations
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-06
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-06
F-0687
E · No harm found
Provide appropriate foot care.
Corrected 2024-12-06
F-0688
D · No harm found
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.
Corrected 2024-12-06
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-06
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-06
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-06
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
4 earlier / fire-safety inspections (32 citations)
2023-10-05Health inspection4 citations
F-0578
D · No harm found
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.
Corrected 2023-11-03
F-0758
D · No harm found
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.
Corrected 2023-11-03
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-03
F-0809
F · No harm foundFood safety
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.
Corrected 2023-11-03
2026-03-10Fire-safety inspection10 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-03-31
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-03-31
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-31
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-31
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-03-31
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-31
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-03-31
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-03-31
K-0912
E · No harm found
Have power receptacles that are properly grounded.
Corrected 2026-03-31
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2026-03-31
2024-11-06Fire-safety inspection9 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-12-06
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-12-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-06
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-06
K-0541
E · No harm found
Install properly constructed and protected linen or trash chutes.
Corrected 2024-12-06
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-12-06
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-12-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-06
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-12-06
2023-10-05Fire-safety inspection9 citations
K-0131
F · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-12-19
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-23
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-23
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-16
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-23
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-10-18
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-10-18
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-23
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-10-26
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525305.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 41 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered