Nursing homeActive
Tudor Oaks Health Center
S77 W12929 Mcshane Dr, Muskego, WI 53150414529010050 certified beds · 45 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
37
● 1● 33● 3
Penalties · 3 yrs
$180,810
1 fine · 1 action
Last survey
2025-12-05
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-06 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-06-16 | Standard | 1121 | CMS-2567 (Care Compare) | — |
| 2025-04-23 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-06-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-06 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-01-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-01-05 | Standard | 0121 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 525279-20251205-F600
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-21Record 525279-20250806-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-21Record 525279-20250806-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-21Record 525279-20250806-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-21Record 525279-20250616-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525279-20250616-F554
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 525279-20250616-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 525279-20250616-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 525279-20250616-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-03Record 525279-20250616-F628
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F686
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F687
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 525279-20250616-F849
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525279-20250616-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-07-10Record 525279-20250616-F732
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-25Record 525279-20250423-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-10Record 525279-20240605-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 525279-20240110-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 525279-20230926-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 525279-20230926-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 525279-20230926-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-03-03Record 525279-20230105-F686
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F585
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F692
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F757
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-21Record 525279-20230105-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-06-16 | Civil money penalty | $180,810 | CMS · Penalties |
| 2025-06-16 | Denial of payment for new admissions Payment denial for 62 days, from 2025-07-17 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.66
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.34
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.93
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover56%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover77%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.9% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 29.0% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.9% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.6% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Allen, Ryan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Blatnik, Andrea Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Blatnik, Andrea Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Davidson, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ford, Ashley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hanson, Phillip Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Dorothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Lars Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Killian, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kim, Steven Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kotz, Christina Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Mcdonald, Anilisa Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Neiman, Ruth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Peters, Marshall Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Van Der Beek, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vanostram, Steven Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vaughn-Gray, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wagoner Ford, Anne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Whitaker, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
American Baptist Homes Of The Midwest — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Waukesha.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Muskego Health and Rehabilitation Center Muskego | 0.0 mi | 2026-01-28 | 4500 |
| Lindengrove New Berlin New Berlin | 7.1 mi | 2025-09-08 | 0203 |
| Complete Care at Hales Corners Hales Corners | 6.1 mi | 2026-02-19 | 0121 |
| Clement Manor Health Care Center Greenfield | 7.4 mi | 2026-05-21 | 1142 |
| Maplewood Center West Allis | 8.6 mi | 2026-05-21 | 1598 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |