Gundersen St Elizabeth's Care Center
Strong Medicare quality ratings. Still worth an in-person visit before deciding.
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What this means for your family
Choosing Gundersen St Elizabeth's Care Center means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring fire safety and building system issues across all three surveys, with problems in sprinkler systems, smoke barriers, and emergency power appearing repeatedly despite corrections. Two complaint-triggered deficiencies in 2025 involved medication management and quality of care, indicating families have filed reports about resident treatment. While all violations have correction dates, the persistent fire safety deficiencies suggest ongoing maintenance challenges that could impact resident safety.
May 21, 2025Routine9
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
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.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
May 21, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Apr 4, 2024Routine10
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Jan 12, 2023Routine5
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Ownership & Operations
Who Operates This Facility
Gundersen St Elizabeth's Care Center
nonprofit
Ownership & Management
Owners
Gundersen Lutheran Health System INC
Owner · Organization
Bellin Gundersen Health System INC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
Read reviews from families & visitors
Official Website
Visit gundersenhealth.org
Medicare data downloads
Original nursing home datasets
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