| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E9 | F16 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 17, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 18, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| May 23, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| May 23, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Mar 9, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 9, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 18, 2025 | Denial of payment for new admissions | — | Mar 15, 2025 · 17 days | 525375|Payment Denial|2025-03-15 |
| Feb 18, 2025 | Civil money penalty (fine) | $14,901 | — | 525375|Fine|134029 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E9 | F16 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2026 | Complaint |
| Jan 8, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakwood Lutheran Senior Ministries, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakwood Lutheran Senior Ministries, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Kevin Hayden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2023 |
| Richard Rossmiller | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2019 |
| Thomas Vercauteren | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2024 |
| Mary Barros | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Complete Care at Maple Grove LLC 3401 Maple Grove Dr., Madison, WI 53719 CCN 525276 | 2.4 km | 184 | Jul 2, 2026 | 1032 IJ4 harm1 open | $154k | |
| Oak Park Place of Nakoma 4327 Nakoma Rd., Madison, WI 53711 CCN 525729 | 4.1 km | 33 | Jan 22, 2026 | 57 | — | |
| Badger Prairie Hcc 1100 E Verona Ave, Verona, WI 53593 CCN 525516 | 4.9 km | 120 | Sep 10, 2025 | 16 | — | |
| Four Winds Manor 303 S. Jefferson St., Verona, WI 53593 CCN 525656 | 5.7 km | 44 | Jul 23, 2026 | 541 harm | — | |
| Middleton Village Nursing and Rehab 6201 Elmwood Ave, Middleton, WI 53562 CCN 525330 | 6.4 km | 97 | Mar 5, 2026 | 951 IJ3 harm | $68k | |
| Capitol Lakes Health Center 333 W Main St, Madison, WI 53703 CCN 525305 | 10 km | 49 | Mar 10, 2026 | 411 IJ | — | |
| Madison Health and Rehabilitation Center 110 Belmont Rd., Madison, WI 53714 CCN 525074 | 16.5 km | 83 | Jul 22, 2026 | 894 IJ5 harm | $289k | |
| Waunakee Valley Senior Living 801 Klein Dr, Waunakee, WI 53597 CCN 525098 | 17.2 km | 84 | Apr 9, 2026 | 562 IJ2 harm | $71k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525375 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525375 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 8, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2026 | Complaint |
| Jul 17, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 28, 2025 |
| Jul 17, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2025 |
| Jul 17, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2025 |
| Jul 17, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 8, 2025 |
| Jul 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2025 | IDR |
| Jul 17, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2025 | IDR |
| Jul 17, 2025 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2025 |
| Jul 17, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 17, 2025 |
| Jul 17, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 29, 2025 |
| Jul 17, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 17, 2025 |
| Jul 17, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2025 |
| Jul 17, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 6, 2025 |
| Jul 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 30, 2025 |
| Feb 18, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 1, 2025 | Complaint |
| Feb 18, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 11, 2025 | Complaint |
| May 23, 2024 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| May 23, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 18, 2024 |
| May 23, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 21, 2024 |
| May 23, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 13, 2024 |
| May 23, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| May 23, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| May 23, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 21, 2024 |
| May 23, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 21, 2024 |
| May 23, 2024 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 14, 2024 |
| May 23, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 21, 2024 |
| May 23, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 18, 2024 |
| May 23, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 17, 2024 |
| Mar 9, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2023 |
| Mar 9, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2023 |
| Mar 9, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2023 |
| Mar 9, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 4, 2023 |
| Mar 9, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2023 |
| Mar 9, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 4, 2023 |
| Mar 9, 2023 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.30 (case-mix index 1.47).
| Jul 30, 2024 |
| Amber Donovan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 17, 2024 |
| Janice Hamilton-Crawford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 31, 2023 |
| Susan Husom | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2024 |
| Eric Jacobson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 31, 2025 |
| Kristin Lefel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2013 |
| Christine O'donnell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 9, 2023 |
| Susan Rafferty | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 12, 2013 |
| Laura Sachtjen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 29, 2024 |
| Sarfraz Sidhu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Marcia Turner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 4, 2021 |
| Sarah Williams-Racette | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 2, 2014 |
| Kevin Hayden | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2023 |
| Mary Metz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2023 |
| Richard Rossmiller | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2019 |
| Thomas Vercauteren | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2024 |
| Mary Barros | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 30, 2024 |
| Janice Hamilton-Crawford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 31, 2023 |
| Susan Husom | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2024 |
| Christine O'donnell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 9, 2023 |
| Susan Rafferty | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 12, 2013 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2020 |
| Amber Donovan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Kevin Hayden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Susan Husom | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2024 |
| Eric Jacobson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2025 |
| Mary Metz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Christine O'donnell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2023 |
| Richard Rossmiller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2019 |
| Sarfraz Sidhu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Thomas Vercauteren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |