Nursing homeActive
Oakwood Village East Health And Rehab Center
5833 American Parkway, Madison, WI 53718608230400040 certified beds · 33 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
16
● 0● 15● 1
Penalties · 3 yrs
$212,069
1 fine
Last survey
2025-10-22
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-10-22 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-07-29 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2024-06-06 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-03-15 | Standard | 000 | 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.
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 2025-11-10Record 525692-20251022-F686
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 2025-11-10Record 525692-20251022-F684
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F578
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 2025-08-18Record 525692-20250729-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F610
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F645
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 2025-08-18Record 525692-20250729-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-18Record 525692-20250729-F883
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 2024-07-06Record 525692-20240606-F554
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 2024-07-05Record 525692-20240606-F656
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 2024-07-05Record 525692-20240606-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 2024-07-02Record 525692-20240606-F812
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 2024-07-05Record 525692-20240606-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 525692-20240606-F881
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-10-22 | Civil money penalty | $212,069 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.45
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day5.51
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours5.06
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover44%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover40%
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 | 20.4% | 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 with a urinary tract infection lower is better | 0.0% | 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 | 9.1% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 18.2% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.2% | 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 |
|---|---|---|---|---|
| Oakwood Lutheran Senior Ministries, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Barros, Mary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hamilton-Crawford, Janice Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Husom, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lefel, Kristin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Goldie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| O'donnell, Christine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oakwood Village University Woods Homes Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Raemisch, Sarah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rafferty, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sachtjen, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schaetzl, Ronnie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sidhu, Sarfraz Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barros, Mary Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Barros, Mary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Church, Martha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Church, Martha Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cliftonlarsonallen LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hamilton-Crawford, Janice Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hayden, Kevin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hayden, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Husom, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Husom, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kunz, Tom Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kunz, Tom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nicholson, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nicholson, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| O'donnell, Christine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| O'donnell, Christine Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oakwood Village University Woods Homes Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rafferty, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schaetzl, Ronnie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sidhu, Sarfraz Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wolff, Sally Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wolff, Sally Individual | CORPORATE DIRECTOR | NOT 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
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avina of Sun Prairie Sun Prairie | 2.7 mi | 2026-01-08 | 0130 |
| Madison Health and Rehabilitation Center Madison | 4.5 mi | 2026-04-08 | 0469 |
| Oak Park Nursing And Rehab Center Madison | 4.9 mi | 2026-05-14 | 0334 |
| Sun Prairie Senior Living Sun Prairie | 3.9 mi | 2026-04-01 | 0301 |
| Capitol Lakes Health Center Madison | 7.9 mi | 2026-03-10 | 0121 |
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 |