St Elizabeth Nursing Home in Janesville, WI has a 2-star overall rating, with 2-star health inspection, staffing, and quality ratings. It has reported nurse staffing below the federal benchmark (2.96 vs 4.1 hours per resident per day), $31,171 in fines over the last 24 months, and a recent federal penalty tied to inspection issues including treatment and care orders, antibiotic monitoring, and infection prevention and control.
Last inspection: April 28, 2026Penalties, last 24 months: $31,171recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9573.
Staffing detail
Registered nurses
0.53
Licensed practical nurses
0.42
Nurse aides
2.01
Weekend nursing
2.54
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 50%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.3%21.7%Worsening
Residents with a fall causing major injury
3.7%6.2%Worsening
Residents with pressure ulcers (bedsores)
3.1%4.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
14.3%6.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28.6%22.2%Improving
Residents whose ability to walk got worse
—17.9%—
Long-stay residents on antianxiety or sleep medication
18.2%17.2%Improving
Short-stay residents newly given an antipsychotic
0%4.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.6%25.5%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—89.7%—
Long-stay residents given the pneumonia vaccine
92.6%90.6%Worsening
Short-stay residents given the seasonal flu vaccine
—59.5%—
Short-stay residents given the pneumonia vaccine
70.2%69%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to monitor antibiotic use properly. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: G
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 February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — 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 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
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PENALTY
A federal fine of $8,824 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
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PENALTY
A federal fine of $22,347 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $31,171 in total fines.
Federal fine
Jan 8, 2025
$8,824
Federal fine
Oct 17, 2024
$22,347
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of ILLUMINUS · 5 homes · 2 stars avg
Occupancy
40.3 residents on an average day (94% of 43 beds)
Resident voice
Resident council
Medicare history
Certified for 28 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.