Nursing homeActive

Hebron Oaks

510 Genomic Drive, Madison, WI 53719608230400070 certified beds · 41 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
10
091
Penalties · 3 yrs
$14,901
1 fine · 1 action
Last survey
2026-01-08
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-08Complaint030CMS-2567 (Care Compare)
2025-07-17Standard020CMS-2567 (Care Compare)
2025-02-18Complaint011CMS-2567 (Care Compare)
2024-05-23Standard000CMS-2567 (Care Compare)
2023-03-09Standard030CMS-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.

2026-01-08Complaint survey · 3 deficienciesOfficial report
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 2026-02-02Record 525375-20260108-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 2026-02-02Record 525375-20260108-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-02Record 525375-20260108-F610
2025-07-17Standard survey · 2 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 525375-20250717-F607
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 2025-07-30Record 525375-20250717-F812
2025-02-18Complaint survey · 2 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-01Record 525375-20250218-F686
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-11Record 525375-20250218-F730
2023-03-09Standard survey · 3 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-04Record 525375-20230309-F686
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-04Record 525375-20230309-F694
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 2023-04-04Record 525375-20230309-F812

Penalties & enforcement

DateActionAmountSource
2025-02-18Civil money penalty$14,901CMS · Penalties
2025-02-18Denial of payment for new admissions
Payment denial for 17 days, from 2025-03-15
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day2.30
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day5.91
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours5.44
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover46%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover44%
Facility
Wisconsin
National
Wisconsin 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWisconsinNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.9%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
0.0%15.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.7%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
7.4%16.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.1%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)
EntityRoleInterestSinceRegistry
Oakwood Lutheran Senior Ministries, Inc.
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Barros, Mary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Donovan, Amber
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hamilton-Crawford, Janice
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Husom, Susan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jacobson, Eric
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lefel, Kristin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
O'donnell, Christine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rafferty, Susan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sachtjen, Laura
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sidhu, Sarfraz
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Turner, Marcia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Williams-Racette, Sarah
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Barros, Mary
Individual
CORPORATE OFFICERNOT APPLICABLE
Cliftonlarsonallen LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Donovan, Amber
Individual
ADP OF THE SNFNOT APPLICABLE
Hamilton-Crawford, Janice
Individual
CORPORATE OFFICERNOT APPLICABLE
Hayden, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Hayden, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hayden, Kevin
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Husom, Susan
Individual
CORPORATE OFFICERNOT APPLICABLE
Husom, Susan
Individual
ADP OF THE SNFNOT APPLICABLE
Jacobson, Eric
Individual
ADP OF THE SNFNOT APPLICABLE
Metz, Mary
Individual
ADP OF THE SNFNOT APPLICABLE
Metz, Mary
Individual
CORPORATE DIRECTORNOT APPLICABLE
O'donnell, Christine
Individual
ADP OF THE SNFNOT APPLICABLE
O'donnell, Christine
Individual
CORPORATE OFFICERNOT APPLICABLE
Rafferty, Susan
Individual
CORPORATE OFFICERNOT APPLICABLE
Rossmiller, Richard
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rossmiller, Richard
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rossmiller, Richard
Individual
ADP OF THE SNFNOT APPLICABLE
Sidhu, Sarfraz
Individual
ADP OF THE SNFNOT APPLICABLE
Vercauteren, Thomas
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Vercauteren, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Vercauteren, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE

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 Dane.

Nearby nursing homes

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Complete Care at Maple Grove LLC
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1.5 mi2026-07-021646
Badger Prairie Hcc
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3.0 mi2025-09-10010
Oak Park Place of Nakoma
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Four Winds Manor
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3.5 mi2025-12-110231
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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01