Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Capitol Lakes Health Center during CMS and state inspections, most recent first.
Failure to Initiate CPR for a Full-Code Resident: A resident with Parkinson’s disease, Lewy body dementia, CKD, diabetes, and dysphagia had documented wishes and physician orders for full code status. When he was found unresponsive, pulseless, and not breathing, the NP contacted the activated HCPOA, who said not to start CPR, and staff did not initiate resuscitation. The resident later died at the facility, despite staff interviews confirming that CPR should be started for a resident whose code status remains full code.
Failure to Initiate CPR for a Full-Code Resident
Penalty
Summary
The facility failed to honor a resident’s advance directive and physician orders indicating he chose to receive full resuscitation, including CPR, when he was found unresponsive, pulseless, and not breathing. The resident had multiple diagnoses including Parkinson’s disease with dyskinesia, Lewy body neurocognitive disorder, type 2 diabetes, chronic kidney disease, depression, and dysphagia. His record showed he had elected to be a full code on the facility’s advance directive form, and this status was documented in physician orders and discussed in care conferences and provider visits with the resident and his activated HCPOA. When the resident was found unresponsive in bed, staff assessed him and determined he had no breathing and no pulse. The nurse and NP were present, and the NP contacted the activated HCPOA. During that call, the HCPOA stated he did not want CPR started, and staff were instructed not to begin CPR. The resident remained without CPR and later died at the facility. Surveyor interviews showed staff understood that a resident who is full code should receive CPR, and multiple staff stated they would have initiated CPR if they had been acting on the resident’s documented code status. The record also showed that the resident had not changed his code status before the event. Notes from prior care conferences and provider visits documented that he remained full code, even while hospice was being discussed and a referral was being arranged. The survey findings identified that the resident’s documented wish for CPR was not followed at the time he was found pulseless and not breathing, and the facility’s own CPR policy stated CPR should be initiated on any resident suffering cardiac or respiratory arrest unless otherwise specified by a physician’s order consistent with the resident’s expressed wishes.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Madison
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Park Place Of Nakoma | 3.8 mi | ★★★★★ | 19 | 0 |
| Madison Health And Rehabilitation Center | 4.1 mi | — | 39 | 0 |
| Middleton Village Nursing And Rehab | 5.4 mi | ★★★★★ | 21 | 0 |
| Oak Park Nursing And Rehab Center | 5.4 mi | ★★★★★ | 41 | 3 |
| Hebron Oaks | 6.2 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.