All citations for Gundersen St Elizabeth's Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Gundersen St Elizabeth's Care Center

Last standard health inspection on record

June 10, 2026

Showing 1 to 10 of 10 citations

  1. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  2. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  3. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

  5. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2024).

  6. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2024).

  7. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

  8. No harm, with potential for minimal harm

    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.

    Widespread (many residents). CMS level C.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

  9. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

  10. No harm, with potential for minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.