Madison Health and Rehabilitation Center
110 Belmont Rd · Madison, WI · 53714 · 6082497391
83 certified beds For profit - Limited Liability company Chain: Champion Care
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $191,295 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$191,295 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | 4 · $286,576 |
Inspection citations (63 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D April 8, 2026 · found via complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected May 5, 2026 · Nutrition and Dietary
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Potential for harm · D February 19, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · F February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · D February 19, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected March 16, 2026 · Administration
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Potential for harm · D December 15, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D December 15, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D December 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 26, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 20, 2025 · Resident Rights
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Potential for harm · D August 26, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 20, 2025 · Resident Rights
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Potential for harm · D August 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2025 · Quality of Life and Care
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Potential for harm · D August 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 20, 2025 · Pharmacy Service
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Potential for harm · D August 26, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 20, 2025 · Nutrition and Dietary
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Potential for harm · F August 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2025 · Nutrition and Dietary
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Potential for harm · E August 26, 2025
Provide and implement an infection prevention and control program.
Corrected September 20, 2025 · Infection Control
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Immediate jeopardy · J March 25, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2025 · Quality of Life and Care
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Immediate jeopardy · K March 25, 2025 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 18, 2025 · Quality of Life and Care
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Actual harm · G March 25, 2025
Provide and implement an infection prevention and control program.
Corrected April 18, 2025 · Infection Control
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Actual harm · G March 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D March 25, 2025
Provide activities to meet all resident's needs.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 25, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 18, 2025 · Nursing and Physician Services
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Potential for harm · D March 25, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected April 18, 2025 · Nursing and Physician Services
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Potential for harm · D March 25, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 18, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 25, 2025 | Fine | $175,240 |
| August 27, 2024 | Fine | $16,055 |
| June 19, 2024 | Fine | $80,580 |
| June 19, 2024 | Payment Denial | 15 days |
| December 21, 2023 | Fine | $14,701 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525074 · certified since November 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.