Show Inspection Reports
Total health inspections
13
Wisconsin average 6
Last Health inspection on Jul 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Madison
CMS overall rating
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.
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.
SSM Health St. Mary‘s Care Center
Nursing Home in Madison
CMS overall rating
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.
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.
SSM Health St. Mary‘s Care Center
SSM Health St. Mary’s Care Center is a rehabilitation and memory care community; they offer professional and dedicated care staff who strive to make a difference in the residents’ lives. The nursing home is a resident-centered community, where residents can thrive and reach their fullest potential to be a new version of themselves. SSM Health strives in ensuring an excellent level of hospital-like service in a comfortable homey environment.
Services at the 184-bed skilled nursing home are interdisciplinary, focusing on the specific healing process for each resident: outpatient therapy, long-term care, and short-term care; activities and programs focus on functional communication, cognitive skills, and physical movement.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
184
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
116.3%
Residents per day
214
Occupancy rate
116.3%
Residents per day
214
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
87% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
10% of new residents, often for short stays.
Typical stay
2 years
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
15 - 16 years
Finances and operations
Voluntary non-profit community
Home revenue
$19.4M
Operating deficit
-$2.8M
Voluntary non-profit community
Home revenue
$19.4M
Operating deficit
-$2.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.2M
19 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 37 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Staffing
Key information about the people who lead and staff this community.
ContactMiss Sarah Kaatz, Resident and Family Services Director
Types of Care at SSM Health St. Mary‘s Care Center
Skilled Nursing
Memory Care
Inspection History
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.
13 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
July 29, 2025
Complaint Investigation89 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Wisconsin average: 12 deficiencies
Inspection Report Summary for SSM Health St. Mary‘s Care Center
The most recent inspection on July 29, 2025, identified a deficiency related to accident hazard prevention when a staff member burned sage inside the facility without proper safety measures. Earlier inspections showed a pattern of deficiencies involving resident safety, supervision, medication management, care planning, and failure to timely report and investigate abuse allegations. Complaints often involved substantiated issues with falls, inadequate supervision, medication errors, and incomplete investigations, including one case with immediate jeopardy that was later corrected. Enforcement actions such as immediate jeopardy removal were noted, but fines or license suspensions were not listed in the available reports. While deficiencies have persisted over time, some corrective actions were implemented, though the overall trend shows ongoing challenges in maintaining consistent compliance.
Health Inspection History
Inspections
Total health citations
70
Wisconsin average 27.3
Citations per inspection
5.38
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 70 citations resulted from standard inspections; 32 of 70 resulted from complaint investigations; and 20 of 70 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
122% worse than Wisconsin averageWisconsin average: 0.9
Serious Health citations
5
5
317% worse than Wisconsin averageWisconsin average: 1.2
2 critical citations
5 serious citations
62 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 29, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 29, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 05, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 05, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 05, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 05, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 05, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 05, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Madison The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
Filter by care type
| SSM Health St. Mary‘s Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Madison (Maple Grove Drive) | - | 184 | A+ | 37 | - |
| All Saints Assisted Living and Memory Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Madison | - | 40 | - | - | - |
| Badger Prairie Health Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Verona (East Verona Avenue) | - | 120 | - | 31 | - |
| Edgerton Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Edgerton (Stoughton Road) | - | 61 | F | 31 | - |
| Four Winds Manor |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Verona (Verona) | - | 44 | - | 49 | - |
Places of interest near SSM Health St. Mary‘s Care Center
8.5 miles from city center
Estimated distance in miles from Madison's city center to SSM Health St. Mary‘s Care Center's address, calculated via Google Maps.
— 0.86 miles to nearest hospital (Hy-Vee Pharmacy)
Calculate Travel Distance to SSM Health St. Mary‘s Care Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
196
Employees
144
Contractors
52
Staff to resident ratio
2.11:1
13% worse than Wisconsin averageWisconsin average ratio: 2.41:1
Avg staff/day
64
Average shift
8.3 hours
14% better than Wisconsin averageWisconsin average: 7.3 hours
Total staff hours (quarter)
48,356
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
107
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
12.7%
6,142 contractor hours this quarter
Certified Nursing Assistant: 17
Licensed Practical Nurse: 11
Registered Nurse: 10
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Physical Therapy Aide: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Staff by category
| Certified Nursing Assistant | 90 | 17 | 107 | 24,715 | 91 | 100% | 8.3 |
| Registered Nurse | 15 | 10 | 25 | 6,728 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 11 | 11 | 22 | 5,920 | 91 | 100% | 8.9 |
| Other Dietary Services Staff | 10 | 0 | 10 | 2,534 | 84 | 92% | 7.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,094 | 74 | 81% | 8.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,245 | 68 | 75% | 8.3 |
| Dental Services Staff | 2 | 0 | 2 | 992 | 64 | 70% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 820 | 64 | 70% | 7.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 510 | 63 | 69% | 7.2 |
| Dietitian | 1 | 0 | 1 | 505 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 432 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 414 | 62 | 68% | 6.7 |
| Qualified Social Worker | 0 | 2 | 2 | 396 | 65 | 71% | 6.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 348 | 55 | 60% | 5.8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 223 | 53 | 58% | 4 |
107 Certified Nursing Assistant
% of Days
100%
25 Registered Nurse
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
10 Other Dietary Services Staff
% of Days
92%
6 Clinical Nurse Specialist
% of Days
81%
4 Medication Aide/Technician
% of Days
75%
2 Dental Services Staff
% of Days
70%
2 Occupational Therapy Aide
% of Days
70%
2 Physical Therapy Aide
% of Days
69%
1 Dietitian
% of Days
69%
1 Administrator
% of Days
66%
2 Nurse Practitioner
% of Days
59%
1 Speech Language Pathologist
% of Days
68%
2 Qualified Social Worker
% of Days
71%
4 Respiratory Therapy Technician
% of Days
60%
5 Physical Therapy Assistant
% of Days
58%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93
Medicare
10
10.8% of residents
Medicaid
62
66.7% of residents
Private pay or other
21
22.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
17% worse than Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.1
22% worse than Wisconsin averageWisconsin average: 22.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
7% better than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.2%
Percent of long-stay residents whose ability to move independently worsened
29.2%
28% worse than Wisconsin averageWisconsin average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.7%
37% worse than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
36% worse than Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.7%
Percent of long-stay high risk residents with pressure ulcers
6.7%
23% worse than Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
30% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.5%
Percent of long-stay residents who lose too much weight
4.5%
8% better than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
Percent of long-stay residents who have depressive symptoms
1.9%
62% better than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.6%
Percent of long-stay residents who received an antipsychotic medication
17.6%
10% worse than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
In line with Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Wisconsin averageWisconsin average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.3%
6% worse than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
12% better than Wisconsin averageWisconsin average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
In line with Wisconsin averageWisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$114K
19% higher than Wisconsin averageWisconsin average: $95K
Number of fines
5
142% more fines than Wisconsin averageWisconsin average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
353% more payment denials than Wisconsin averageWisconsin average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$114K
Wisconsin average
$95K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2025
$53K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 21, 2024
$12K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 21, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 21, 2024
8 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 12, 2024
$16K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for SSM Health St. Mary‘s Care Center based on CMS SNF Cost Reports.
Occupancy Rate
58.7%
↓ 4.1pp vs 2022
Net Income
-$2.8M
↑ ~$3.2M vs 2022
Total Payroll
$13.5M
↑ ~$1.6M vs 2022
Profit Margin
-14.8%
↑ 16.9pp vs 2022
Loading trend charts...
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