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Nursing home report

Complete Care at Nazareth LLC

Stoughton, WI · Medicare-certified · 99 beds

Needs attention
For-profitChain member
2 of 5 overall

Complete Care at Nazareth LLC in Stoughton, WI has a 2 out of 5 overall rating, with a 2-star health inspection rating and a recent federal penalty plus $15,642 in fines over the last 24 months. Staffing is a relative strength at 4 stars, with reported nurse staffing of 4.96 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

4.9591 hrs/resident/day

Quality measures

Last inspection: April 2, 2025Penalties, last 24 months: $15,642recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9591.

Staffing detail

Registered nurses
1.03
Licensed practical nurses
0.74
Nurse aides
3.18
Weekend nursing
4.58

Hours per resident per day.

Total staff turnover: 60%
Registered nurse turnover: 64%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

13.5%9.8%Improving

Residents with a fall causing major injury

5.5%1.7%Improving

Residents with pressure ulcers (bedsores)

4.1%4.9%Worsening

Residents with a urinary tract infection

5.7%5.1%Improving

Residents who lost too much weight

7.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19%2.4%Improving

Residents whose ability to walk got worse

24.5%

Long-stay residents on antianxiety or sleep medication

9.5%11.4%Worsening

Short-stay residents newly given an antipsychotic

0%3.2%Worsening

Residents with a long-term catheter

1.7%2.3%Worsening

Residents with new or worsening incontinence

30.4%25.3%Improving

Residents with depressive symptoms

0%29.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

98.2%100%Improving

Short-stay residents given the seasonal flu vaccine

84.3%

Short-stay residents given the pneumonia vaccine

80%94%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited September 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — 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 January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $15,642 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $32,443 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Sep 30, 2024

    20 days
  • Federal fine

    Sep 30, 2024

    $15,642
  • Federal fine

    Jul 20, 2023

    $16,801

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of COMPLETE CARE · 85 homes · 3.2 stars avg
Occupancy
61.3 residents on an average day (62% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 21 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.