F

ST DOMINIC VILLA

2375 SINSINAWA RD, HAZEL GREEN, WI 53811
Score: 15 / 100

With a score of 15/100, St Dominic Villa ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at St Dominic Villa is near the national average, with 3.90 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 34 deficiencies at St Dominic Villa, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: 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 .

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.90 3.8 Average
Registered Nurses (RN) 0.87 0.7 Above Average
Licensed Practical Nurses (LPN) 0.28 0.7 Below Average
Certified Nursing Assistants (CNA) 2.75 2.4 Above Average
Weekend Total Nursing 3.55 3.8 Average
Weekend RN Hours 0.58 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Dec 21, 2025
Most Recent Inspection
🟠 30 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0700 Severity J
    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
    Dec 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 21, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0740 Severity D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    Dec 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Dec 21, 2025 · Infection Control Deficiencies
  • Tag 0686 Severity J
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Aug 14, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.3% 4.5% Worse
Falls with major injury 1.3% 3.0% Better
On antipsychotic medication 27.9% 14.5% Worse
Urinary tract infections 3.8% 2.5% Worse
ADL decline (daily activities) 16.2% 14.0% Worse
Excessive weight loss 2.3% 7.5% Better
New/worsened incontinence 23.2% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $129,467

How This Grade Was Calculated

This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
62
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 21, 2025
Deficiencies (Cycle 1)
4