25 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Beloit, WI
1-star overall rating with 1-star inspections with $78,202 in total fines with 25 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1905 W Hart Rd, Beloit, WI
(608) 365-2554
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Champion Care
Operator or chain grouping
Approved since
1976-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.62
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
9,568
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.52
Baseline 23.37% · Performance 21.46% · Measure score 2.52 · Achievement 0 · Improvement 2.52
Healthcare-associated infections
0
Baseline 7.12% · Performance 9.14% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.03
Baseline 100.00% · Performance 50.91% · Measure score 6.03 · Achievement 3.12 · Improvement 6.03
Adjusted total nurse staffing
0.76
Baseline 2.44 hours · Performance 2.86 hours · Measure score 0.76 · Achievement 0 · Improvement 0.76
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.66% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 9.62% · Lower 95% interval 6.91% |
| Discharge to community | 57.99% |
50.57%
7.4 pts better
|
No Different than the National Rate · Eligible stays 94 · Observed rate 51.06% · Lower 95% interval 48.1% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.73% |
95.27%
3.5 pts better
|
Numerator 78 · Denominator 79 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 79 |
| Discharge self-care score | 75.93% |
53.69%
22.2 pts better
|
Numerator 41 · Denominator 54 |
| Discharge mobility score | 51.85% |
50.94%
0.9 pts better
|
Numerator 28 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 79 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.14% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 13.79% · Lower 95% interval 5.56% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 97 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 75.93% |
56.45%
19.5 pts better
|
Numerator 41 · Denominator 54 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 44.44% |
25.2%
19.2 pts better
|
Numerator 16 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.3% |
95.7%
20.4 pts worse
|
93.4%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 72.0% · Q3 77.6% · Q4 73.2% · 4Q avg 75.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.0%
1.7 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.2%
0.6 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 2.0% · Q4 4.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
5.0%
2.8 pts worse
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 9.3% · Q3 6.5% · Q4 8.6% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
4.9%
3.1 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 5.0% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
16.6%
0.1 pts worse
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 13.3% · Q3 16.3% · Q4 19.4% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
16.7%
2.2 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 16.2% · Q3 15.8% · Q4 13.8% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.2% |
21.1%
10.9 pts better
|
16.3%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.6% |
17.3%
0.7 pts better
|
14.9%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 25.6% · Q3 19.0% · Q4 11.4% · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
2.3%
0.4 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.8% · Q3 3.6% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
3.0%
1.9 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% |
25.5%
0.7 pts better
|
19.8%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 36.9% · Q3 17.8% · Q4 16.2% · 4Q avg 24.8% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
5.5%
4.6 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 13.2% · Q3 8.8% · Q4 9.1% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.7% |
86.8%
26.1 pts worse
|
81.7%
21 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.1% · Q2 66.2% · Q3 65.8% · Q4 56.4% · 4Q avg 60.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.7% |
15.0%
6.7 pts worse
|
12.0%
9.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 23.2% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.3%
0.7 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.1% · Q4 4.2% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.0% |
82.2%
57.2 pts worse
|
79.7%
54.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
22.7%
4.8 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 29.0% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-10
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-10
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.
Corrected 2024-10-10
Fire Safety
Have correct number of accessible exits for each story.
Not marked corrected
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-10
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-10-10
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-07-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-07-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-14
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.
Corrected 2023-07-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-14
Fire Safety
Have correct number of accessible exits for each story.
Not marked corrected
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-14
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-07-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-07
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-06-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-07
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.
Corrected 2022-06-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-07
Fire Safety
Have correct number of accessible exits for each story.
Not marked corrected
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-06-07
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-06-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-06-07
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-10
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-10
Health
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.
Corrected 2024-10-10
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-10-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-10
Health
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 2024-10-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-10
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-10
Health
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 2024-10-10
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-10
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-10
Health
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.
Corrected 2024-10-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-01
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-11-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-13
Health
Implement a program that monitors antibiotic use.
Corrected 2023-07-13
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-13
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-13
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-07-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-04
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-05-04
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-05-04
Penalties and ownership
Fine · fine $46,542
Fine
Fine · fine $31,660
Fine
Payment Denial · denial start 2023-07-14 · 18 days
18 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Beloit, WI
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
South Beloit, IL
4-star overall rating with 4-star inspections with $22,139 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Clinton, WI
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out