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AUTUMN LAKE HEALTHCARE AT BELOIT

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AUTUMN LAKE HEALTHCARE AT BELOIT is a for profit - limited liability company facility in BELOIT, WI with 120 certified beds and a 3-star overall CMS rating. The facility has 17 deficiency records on file.

2121 PIONEER DR, BELOIT, WI 53511

Phone: 6083659526

Overall Rating

3/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
525663
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
80
In Hospital
No
County
Rock
Last Inspection
Sep 25, 2024

Staffing Data

RN Hours
0.63 (nat'l avg: 0.68)
LPN Hours
0.45
CNA Hours
1.73
Total Nursing Hours
2.81 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
37.0%
RN Turnover
14.3%

What the CMS Record Reveals About AUTUMN LAKE HEALTHCARE AT BELOIT

AUTUMN LAKE HEALTHCARE AT BELOIT operates 120 certified beds in BELOIT, WI with approximately 80 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 17 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 2.81 total nursing hours per resident day (national average 3.89), with RN coverage at 0.63 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, AUTUMN LAKE HEALTHCARE AT BELOIT falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (17 most recent)

G — Isolated - Actual harm Nov 25, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2025

G — Isolated - Actual harm Nov 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2025

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 18, 2024

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jan 18, 2024

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2023

F — Widespread - Minimal harm Jun 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 24, 2023

F — Widespread - Minimal harm Jun 29, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 24, 2023

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2023

F — Widespread - Minimal harm Apr 13, 2022 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 11, 2022

E — Pattern - Minimal harm Apr 13, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 11, 2022

E — Pattern - Minimal harm Apr 13, 2022 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: May 11, 2022

F — Widespread - Minimal harm Apr 13, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2022

F — Widespread - Minimal harm Apr 13, 2022 Tag: 0809

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.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2022

E — Pattern - Minimal harm Apr 13, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2022

F — Widespread - Minimal harm Apr 13, 2022 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: May 11, 2022

D — Isolated - Minimal harm Apr 13, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2022

D — Isolated - Minimal harm Apr 13, 2022 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for AUTUMN LAKE HEALTHCARE AT BELOIT?
AUTUMN LAKE HEALTHCARE AT BELOIT has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at AUTUMN LAKE HEALTHCARE AT BELOIT?
AUTUMN LAKE HEALTHCARE AT BELOIT reports 2.81 total nursing hours per resident day (national average: 3.89). RN hours are 0.63 per resident day (national average: 0.68). Nursing staff turnover is 37.0%.
How many beds does AUTUMN LAKE HEALTHCARE AT BELOIT have?
AUTUMN LAKE HEALTHCARE AT BELOIT has 120 certified beds with approximately 80 residents. The facility is located at 2121 PIONEER DR, BELOIT, WI 53511.
Does AUTUMN LAKE HEALTHCARE AT BELOIT have any deficiencies on record?
Yes, AUTUMN LAKE HEALTHCARE AT BELOIT has 17 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has AUTUMN LAKE HEALTHCARE AT BELOIT received any fines or penalties?
No, AUTUMN LAKE HEALTHCARE AT BELOIT has no fines or penalties on record.
Who owns AUTUMN LAKE HEALTHCARE AT BELOIT?
AUTUMN LAKE HEALTHCARE AT BELOIT is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was AUTUMN LAKE HEALTHCARE AT BELOIT last inspected?
The most recent health inspection for AUTUMN LAKE HEALTHCARE AT BELOIT was on Sep 25, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for AUTUMN LAKE HEALTHCARE AT BELOIT?
AUTUMN LAKE HEALTHCARE AT BELOIT is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial