nursing home in Stoughton, WI

Complete Care at Nazareth LLC

814 Jackson St., Stoughton, WI 53589 · (608) 873-6448

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Complete Care at Nazareth LLC at a glance

Complete Care at Nazareth LLC is a 99-bed for-profit nursing home in Stoughton, Wisconsin (Dane County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.

Residents receive about 5.2 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 4.2 hours.

Its most recent standard health inspection (April 2, 2026) found 12 health citations. The Wisconsin average is 9.5.

Federal regulators fined it 1 time in the past three years, totaling $15,642.

Nursing staff turnover is 61.6% per year (state average 46.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
99
Certified for
Medicare and Medicaid
Chain / affiliated entity
Complete Care
Medicare-certified since
January 1, 2005
Resident/family council
Resident
County
Dane County
CMS Certification Number
525681

Ratings

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)3 / 53 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53.1 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)2 / 53.1 / 53.3 / 5Worse

Staffing

This facility5.20 hrsWisconsin average4.21 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)5.20 hrs4.21 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.93 hrs0.99 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.44 hrs2.58 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.83 hrs3.77 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)61.6%46.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)60%39.7%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility12Wisconsin average9U.S. average9
Health citations in the most recent inspection: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1299Worse
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)130.8100.380.6Worse

Penalties

This facility1Wisconsin average1U.S. average1
Fines in the past 3 years: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$15,642$48,150$30,972Better
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Certified beds9977107
Average residents per day615586
Occupancy61.7%74%80.9%

Long-stay residents

This facility3.1%Wisconsin average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.1%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.7%5%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)8.2%15.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2.2%2.7%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.5%2.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)10.1%16.1%13.9%Better
Long-stay residents whose walking worsened (lower is better)23.8%18.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.7%5.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)20.8%5.7%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)10.7%16.9%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)29.1%24.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%95%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)97.4%95.7%93.6%Average

Short-stay residents

This facility2.5%Wisconsin average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.5%1.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)84.3%82.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)90.2%86.5%82%Better

Inspection citations

State inspectors cited this home for 27 health deficiencies and 37 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
June 10, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected May 13, 2026
June 10, 2026
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
F
Potential harm, widespread
Corrected July 6, 2026
June 10, 2026
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 6, 2026
April 2, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Fire safety
Develop a communication plan.
Emergency Preparedness Deficiencies · Tag E0029
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected April 27, 2026
April 2, 2026
Standard
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · Tag F0809
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 27, 2026
April 2, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected May 1, 2026
April 2, 2026
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected April 27, 2026
April 2, 2026
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected April 27, 2026
April 2, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 27, 2026
April 2, 2026
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 27, 2026
April 2, 2025
Complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected April 21, 2025
January 9, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Construct fire resistant interior walls.
Smoke Deficiencies · Tag K0331
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected February 3, 2025
January 9, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected February 3, 2025
January 9, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected February 3, 2025
January 9, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
F
Potential harm, widespread
Corrected February 3, 2025
January 9, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected February 3, 2025
January 9, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 3, 2025
January 9, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 3, 2025
January 9, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected February 3, 2025
September 30, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected November 11, 2024
November 30, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected January 25, 2024
November 30, 2023
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Deficient, Provider has no plan of correction
November 30, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected January 25, 2024
November 30, 2023
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
F
Potential harm, widespread
Corrected January 12, 2024
November 30, 2023
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
F
Potential harm, widespread
Corrected January 25, 2024
November 30, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected December 27, 2023
November 30, 2023
Fire safety
Have elevators that firefighters can control in the event of a fire.
Services Deficiencies · Tag K0531
E
Potential harm, pattern
Corrected January 12, 2024
November 30, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected December 27, 2023
November 30, 2023
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected January 12, 2024
November 30, 2023
Fire safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0132
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 27, 2023
November 30, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected December 27, 2023
November 30, 2023
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected December 27, 2023
November 30, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected December 27, 2023
November 30, 2023
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected December 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $15,642 in fines.

DatePenaltyAmount / length
September 30, 2024Payment Denial20 days from October 22, 2024
September 30, 2024Fine$15,642

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
EEF CAPITAL LLC
Organization
5% or greater direct ownership interest40%06/01/2018
SNJ WISCONSIN LLC
Organization
5% or greater direct ownership interest60%06/01/2018
SCHLAFF, BENNY
Individual
5% or greater indirect ownership interest20%06/01/2018
SCHLAFF, NACHUM
Individual
5% or greater indirect ownership interest20%06/01/2018
SILVERBERG, NISANEL
Individual
5% or greater indirect ownership interest11%06/01/2018
CULP, KAREN
Individual
adp of the snfNOT APPLICABLE02/03/2020
EEF CAPITAL LLC
Organization
adp of the snfNOT APPLICABLE06/01/2018
HELLMAN, YOSEF
Individual
adp of the snfNOT APPLICABLE06/01/2018
NAZARETH PROPERTY LLC
Organization
adp of the snfNOT APPLICABLE03/31/2025
SCHLAFF, BENNY
Individual
adp of the snfNOT APPLICABLE06/01/2018
SCHLAFF, NACHUM
Individual
adp of the snfNOT APPLICABLE06/01/2018
SCHMIDT, LONNA
Individual
adp of the snfNOT APPLICABLE03/31/2025
SIDHU, SARFRAZ
Individual
adp of the snfNOT APPLICABLE07/01/2024
SILVERBERG, NISANEL
Individual
adp of the snfNOT APPLICABLE06/01/2018
SNJ WISCONSIN LLC
Organization
adp of the snfNOT APPLICABLE06/01/2018
STEIN, SHALOM
Individual
adp of the snfNOT APPLICABLE06/01/2018
WILLIAMS, JASON
Individual
adp of the snfNOT APPLICABLE08/21/2023
HELLMAN, YOSEF
Individual
managing control - governing bodyNOT APPLICABLE06/01/2018
STEIN, SHALOM
Individual
managing control - governing bodyNOT APPLICABLE06/01/2018
CULP, KAREN
Individual
operational/managerial controlNOT APPLICABLE02/03/2020
HELLMAN, YOSEF
Individual
operational/managerial controlNOT APPLICABLE06/01/2018
SIDHU, SARFRAZ
Individual
operational/managerial controlNOT APPLICABLE07/01/2024
WILLIAMS, JASON
Individual
operational/managerial controlNOT APPLICABLE08/21/2023

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Frequently asked questions

What is Complete Care at Nazareth LLC's rating?

Complete Care at Nazareth LLC has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.

How many inspection citations did Complete Care at Nazareth LLC receive?

Its most recent standard health inspection found 12 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.

Does Complete Care at Nazareth LLC accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Complete Care at Nazareth LLC?

It is for profit - corporation and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.

Where is Complete Care at Nazareth LLC and how do I contact it?

Complete Care at Nazareth LLC is at 814 Jackson St., Stoughton, WI 53589. Phone: (608) 873-6448.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.