St Dominic Villa
2375 Sinsinawa Rd · Hazel Green, WI · 53811 · 6087489814
62 certified beds Non profit - Corporation Chain: Illuminus
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $49,823 in fines in the last 24 months.
- 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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.50 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $129,467 |
Inspection citations (34 in the current record)
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Immediate jeopardy · J December 22, 2025
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 January 23, 2026 · Quality of Life and Care
-
Potential for harm · D December 22, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 23, 2026 · Quality of Life and Care
-
Potential for harm · F December 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 23, 2026 · Nutrition and Dietary
-
Potential for harm · D December 22, 2025
Provide and implement an infection prevention and control program.
Corrected January 23, 2026 · Infection Control
-
Immediate jeopardy · J August 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 16, 2024 · Quality of Life and Care
-
Actual harm · G August 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D August 15, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · E August 15, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected September 16, 2024 · Nursing and Physician Services
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Potential for harm · D August 15, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · D August 15, 2024
Ensure that residents are free from significant medication errors.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · F August 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · F August 15, 2024
Provide and implement an infection prevention and control program.
Corrected September 16, 2024 · Infection Control
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Potential for harm · F August 15, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected September 16, 2024 · Infection Control
-
Immediate jeopardy · J February 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 1, 2024 · Quality of Life and Care
-
Potential for harm · D February 12, 2024 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected March 1, 2024 · Nursing and Physician Services
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Potential for harm · D February 12, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 1, 2024 · Quality of Life and Care
-
Actual harm · G November 30, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 9, 2024 · Quality of Life and Care
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Immediate jeopardy · J October 6, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 6, 2023 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 30, 2023 · Resident Rights
-
Potential for harm · D October 6, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 6, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 6, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 30, 2023 · Quality of Life and Care
-
Potential for harm · D October 6, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 30, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 15, 2024 | Fine | $49,823 |
| August 15, 2024 | Payment Denial | 49 days |
| October 6, 2023 | Fine | $79,644 |
| October 6, 2023 | Payment Denial | 119 days |
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 525660 · certified since December 8, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.