Autumn Lake Healthcare at Beloit
2121 Pioneer Dr · Beloit, WI · 53511 · 6083659526
120 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Total nurse staffing below 3.0 hours per resident-day
2.75 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 2.37 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D February 12, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · F February 12, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 13, 2026 · Nutrition and Dietary
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Potential for harm · F February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 13, 2026 · Nutrition and Dietary
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Potential for harm · D January 6, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 30, 2026 · Nursing and Physician Services
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Potential for harm · D January 6, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 30, 2026 · Pharmacy Service
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No harm found · C January 6, 2026 · found via complaint
Post nurse staffing information every day.
Corrected January 30, 2026 · Nursing and Physician Services
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Actual harm · G November 25, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 17, 2025 · Quality of Life and Care
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Actual harm · G November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D December 21, 2023 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 18, 2024 · Resident Rights
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Potential for harm · D December 21, 2023 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected January 18, 2024 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · F June 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 24, 2023 · Nutrition and Dietary
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Potential for harm · F June 29, 2023
Provide and implement an infection prevention and control program.
Corrected July 24, 2023 · Infection Control
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Potential for harm · D June 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2023 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525663 · certified since July 12, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.