The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
AUTUMN LAKE HEALTHCARE AT BELOIT
BELOIT, WI · Medicare-certified · 120 beds
In good standing
For-profitChain member
3 of 5 overall
AUTUMN LAKE HEALTHCARE AT BELOIT has a 3 out of 5 star overall rating, with 3-star health inspection and quality measures scores but a lower 2-star staffing rating. It reports 2.75 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.7499 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7499.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.36
- Nurse aides
- 1.74
- Weekend nursing
- 2.37
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 15%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.9%Worsening
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
2.8%Improving
Residents with a urinary tract infection
2.2%Steady
Residents who lost too much weight
4.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.1%Improving
Residents whose ability to walk got worse
6.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
14.8%Improving
Short-stay residents newly given an antipsychotic
4.1%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.4%Worsening
Residents with depressive symptoms
1.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.7%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 3 stars avg
- Occupancy
- 81.1 residents on an average day (68% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.