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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 172nd out of 172 homes in Wisconsin. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ▼ 34% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 29% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 44m per day | ▼ 33% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 7m per day | ▼ 43% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 30m per day | ▼ 23% State avg: 39m per day · National avg: 29m per day |
Lower than the Wisconsin average: 70%Autumn Lake Healthcare at Beloit is administrated by Susan Viken.
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 12 | This facility has 50% more total deficiencies than a typical Wisconsin nursing home (18 vs. WI avg 12).↑ 50% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.5 | 3 | This facility has 50% more deficiencies per year than a typical Wisconsin nursing home (4.5 vs. WI avg 3).↑ 50% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 25, 2025, identified deficiencies related to pressure ulcer care and accident hazard prevention, including inadequate supervision that led to multiple falls. Earlier inspections showed a mixed pattern, with some annual surveys finding no deficiencies and complaint investigations citing issues in resident choice, safe transfers, respiratory care, food safety, and infection control. Deficiencies primarily involved resident care practices, such as wound treatment and supervision, as well as safety and infection prevention concerns. Several complaint investigations were substantiated, particularly regarding inadequate bathing options and unsafe transfers due to staffing shortages. The inspection history indicates ongoing challenges with care and safety, with some improvement noted in annual surveys but persistent issues revealed through complaint investigations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Dec 2023
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; 2 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
100% better than Wisconsin averageWisconsin average: 0.9
100% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
55% worse than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,374 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 0 | 42 | 12,969 | 92 | 100% | 7.3 |
| Registered Nurse | 18 | 0 | 18 | 4,381 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,106 | 92 | 100% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,635 | 78 | 85% | 6.8 |
| RN Director of Nursing | 1 | 0 | 1 | 607 | 74 | 80% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 494 | 64 | 70% | 7.7 |
| Qualified Social Worker | 0 | 1 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 473 | 62 | 67% | 7.6 |
| Physical Therapy Aide | 0 | 4 | 4 | 472 | 61 | 66% | 6.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 463 | 64 | 70% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 452 | 56 | 61% | 8.1 |
| Dietitian | 1 | 0 | 1 | 425 | 60 | 65% | 7.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 369 | 49 | 53% | 7.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 271 | 60 | 65% | 4.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 243 | 26 | 28% | 9.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 51 | 21 | 23% | 2.4 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
21% better than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
In line with Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
In line with Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
12.4%
45% better than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.8%
34% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
55% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.7%
51% better than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
6.0%
90% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
7.4%
51% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
1.9%
63% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
21.6%
35% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.64
64% worse than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.90
13% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
15% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
135% worse than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
20% better than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
20% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.0%
47% worse than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.0%
8% better than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.7%
8% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Autumn Lake Healthcare at Beloit based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #77 / 177Payroll — State benchmarkedThis home is ranked 77th out of 177 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Beloit's city center to Autumn Lake Healthcare at Beloit's address, calculated via Google Maps.
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Autumn Lake Healthcare at Beloit is located in BELOIT, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The legal owner and operator of Autumn Lake Healthcare at Beloit is Aj Operations Llc.
Autumn Lake Healthcare at Beloit has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Autumn Lake Healthcare at Beloit's occupancy is 66%.
Autumn Lake Healthcare at Beloit is registered as a for-profit in WI.
Susan Viken is the administrator of Autumn Lake Healthcare at Beloit.
Autumn Lake Healthcare at Beloit has 120 beds.
Yes — there are 7 photos of Autumn Lake Healthcare at Beloit in the photo gallery on this page.
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