Nursing homes across Dane County, Wisconsin, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Badger Prairie Hcc is county-owned, and that shows up in the numbers. Nurse staffing runs about 6.13 hours per resident day, roughly 59% above the national average, and weekend coverage only dips about 9% below weekdays, which matters because that's when a lot of homes quietly thin out. Annual turnover sits near 9.7% against a national average of 45.8%, so the people caring for residents tend to stick around. The health inspection rating is 5/5 with the most recent visit in September 2025, though the record does carry 9 deficiencies, including 1 at the harm level and 4 tied to abuse. Quality measures rate a 3/5, the softer spot in an otherwise strong profile.
Skaalen runs on more nursing hours than most homes in the country, 4.33 per resident day against a national average of 3.86. Weekend staffing dips about 12% below its own weekday level, which is common but still worth asking about if your family visits on Saturdays. Staff turnover sits at 36.5%, better than the 45.8% national figure, and the home's last inspection was in January 2026, so the record is recent. Eight deficiencies are on file, none at the harm or jeopardy level, though one is abuse-related. The inspection and staffing ratings both come in at 5 out of 5; quality measures land at 3.
Hebron Oaks runs a nonprofit shop with 70 beds in Madison, and its strongest suit is clearly people: 5.91 nurse staffing hours per resident day, about 53% above the national average, though weekends dip roughly 8% below its own weekday levels. Turnover sits at 46.2%, essentially the national norm, so you're not looking at a staffing crisis.
The trouble is on the record. Ten deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $22,925 fine and a mid-2025 inspection that's now some months back. A 3-out-of-5 inspection rating against 5s for staffing and 4s for quality measures is the whole story here: enough hands on deck, but a paper trail worth asking hard questions about before you sign anything.
Oak Park Place Of Nakoma runs a lean 33-bed operation on Madison's west side, and the nurse staffing here is genuinely heavy, 5.49 hours per resident day, roughly 42 percent above the national figure, with weekends dipping only slightly below weekdays. That's the kind of coverage families notice when they visit at odd hours. The tension sits elsewhere: 30 deficiencies on the current record, including one tied to abuse, even though none rose to the level of actual harm. Staff turnover of 58.5 percent is well above the national 45.8 percent, meaning the people providing that generous staffing are often new. The most recent inspection came in January 2026.
Capitol Lakes Health Center runs on unusually heavy staffing, 6.69 nurse hours per resident day, roughly 73% above the national average, and that shows up in a five-star staffing rating. The catch is consistency: weekend coverage drops about 17% below the home's own weekday level, and annual turnover sits at 57.3%, well above the 45.8% national figure. Inspections tell a mixed story too. Thirteen deficiencies are on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was in March 2026. For a 49-bed nonprofit in Madison, the bedside hours are there; keeping them steady is the harder question.
Oakwood Village East runs lean on problems and heavy on staff, 5.51 nurse hours per resident day, well above the national average, with turnover slightly better than typical. But the inspection record tells a different story: 18 deficiencies logged, including three tied to abuse and one at the harm level, and a single fine of $326,260. That's a serious penalty, not a paperwork slip. Weekend staffing dips about 8% below weekdays, so coverage isn't perfectly even. The most recent inspection was in July 2025, so the record is current. If you're considering this home, ask directly about those abuse-related findings and what changed since.
Nurse staffing at Oak Park runs 4.35 hours per resident day, well ahead of the national average, and that's the strongest part of the picture. But weekends drop about 9% below the home's own weekday coverage, and 53.1% turnover means more than half the nursing staff leaves each year, so the extra hours don't buy as much continuity as they might appear to. The inspection record is the real problem: 43 deficiencies, five of them at harm or jeopardy level, eight tied to abuse, plus a $67,410 fine. One star for health inspections against four for staffing says the care plan is often better staffed than it is followed.
Avina Of Sun Prairie runs 3.57 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 13% below its own weekday staffing. The 45% annual turnover sits right at the national figure, so the aide who knows your mother's routine may or may not still be there next year. Inspectors gave the care quality measures top marks and health inspections 4 out of 5, with 16 deficiencies on record and none at the harm level, though two are abuse-related, which is worth asking about directly. The last inspection was January 8, 2026. Limited liability, for-profit ownership, 50 beds.
Four Winds Manor runs a genuinely strong staffing line for its size: 4.84 nurse hours per resident day, roughly a quarter above the national average, and that shows up in the government's staffing rating. The catch is who's providing it. Turnover sits at 70.1 percent against a national 45.8, meaning most of the people in the building this year likely won't be there next year, and weekends already run about 12 percent thinner than weekdays.
The inspection record is where this home gets harder to defend. Twenty-eight deficiencies, including two at the level where a resident was harmed or put in immediate jeopardy, and five tied to abuse. The last full inspection was September 2025, so it's current. A corporation runs it for profit. Good coverage, unstable workforce, serious compliance problems.
Complete Care At Nazareth runs on a for-profit corporate model with 99 certified beds, and its staffing numbers are the strongest thing going for it: 5.20 nurse hours per resident day, roughly 35% above the national average of 3.86. That's real coverage, though weekend hours dip about 7% below weekday levels, and the staff keeping those hours churn at 61.6% a year against a national average of 45.8%, meaning a lot of the people providing that above-average care are new to the building. The tradeoff shows up in its record: 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $32,443 in fines. Inspectors were last in on April 2, 2026, and the health inspection rating sits at 2 out of 5.
Complete Care At Maple Grove runs a corporate-owned, 184-bed operation in Madison where the day-to-day staffing looks solid on paper, 4.97 nurse hours per resident, roughly 29% above the national average, but the workforce behind those hours turns over at 64% a year, well past the 45.8% national rate, and weekends run about 10% leaner than weekdays. The inspection record is where the real trouble sits: 70 deficiencies, including 7 at harm or jeopardy level and 10 tied to abuse, drawing six fines totaling $153,657, with the most recent inspection in May 2025. Strong quality scores can't offset that pattern.
Sun Prairie Senior Living runs 52 certified beds under corporate for-profit ownership, and its staffing is the number that stands out, 3.70 nurse hours per resident day sits about 4% under the national average, and weekends dip roughly 5% below the home's own weekday level. That thin margin shows up in the 2-out-of-5 staffing rating, and it's happening alongside a 57.8% annual turnover rate, well above the 45.8% national figure, meaning the people providing care change often. The current record carries 31 deficiencies, including one at the harm level and two tied to abuse, with a 3-out-of-5 inspection rating. Quality measures score better at 4 out of 5, and the most recent inspection was April 2026.
Waunakee Valley Senior Living runs 84 certified beds under corporate for-profit ownership, and the numbers split in an unusual way. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, with weekends roughly 9% thinner than weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the bigger concern: 62.5% annually against a national average of 45.8%, meaning most of the people caring for your relative may be new to the building within the year. The inspection record shows 24 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $32,856 in fines across two penalties. The quality measure score looks strong, but that's largely self-reported data, while the inspection and staffing stars tell a different story. Worth asking about directly.
Middleton Village runs a 97-bed for-profit operation, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. That's the one bright spot. Weekend coverage drops about 17% below its own weekday level, so the hours aren't distributed evenly across the week. Meanwhile, annual turnover hits 51.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious: 63 deficiencies, four at harm or jeopardy level, and 13 tied to abuse. Two fines total $67,772, and the most recent inspection was March 5, 2026. A 1-out-of-5 health inspection rating tells you what the state found.
Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.
Ingleside Manor runs 74 deficiencies on its current record, six of them serious enough to cause harm or jeopardy and six tied to abuse. That record, plus four fines totaling nearly $200,000, is why CMS placed this Mount Horeb nonprofit in its Special Focus Facility program, a designation reserved for the country's worst-performing homes. The staffing numbers look better than they are: 4.15 nurse hours per resident day sits about 7% above the national average, but weekend coverage drops roughly 13% below the home's own weekday level, and annual turnover of 80.6% is nearly double the national rate. Inspectors were last on site October 13, 2025.