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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E9 | F17 |
| 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 | |
|---|---|---|---|---|---|---|
| Oct 22, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jul 29, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 29, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Mar 15, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 15, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 22, 2025 | Civil money penalty (fine) | $212,069 | — | 525692|Fine|136555 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E9 | F17 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 22, 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 Nov 10, 2025 | Complaint |
| Oct 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 10, 2025 | Complaint |
“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% | Mar 10, 2008 |
| 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% | Mar 10, 2008 |
| Martha Church | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2021 |
| Kevin Hayden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2023 |
| Tom Kunz | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2024 |
| Robert Nicholson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2023 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avina of Sun Prairie 41 Rickel Rd., Sun Prairie, WI 53590 CCN 525313 | 4.4 km | 50 | Aug 5, 2026 | 35 | — | |
| Sun Prairie Senior Living 228 W. Main St., Sun Prairie, WI 53590 CCN 525380 | 6.3 km | 52 | Aug 13, 2026 | 591 harm | — | |
| Madison Health and Rehabilitation Center 110 Belmont Rd., Madison, WI 53714 CCN 525074 | 7.3 km | 83 | Jul 22, 2026 | 894 IJ5 harm | $289k | |
| Oak Park Nursing and Rehab Center 718 Jupiter Drive, Madison, WI 53718 CCN 525266SFF Candidate | 7.8 km | 100 | Aug 13, 2026 | 783 IJ2 harm1 open | $44k | |
| Capitol Lakes Health Center 333 W Main St, Madison, WI 53703 CCN 525305 | 12.7 km | 49 | Mar 10, 2026 | 411 IJ | — | |
| Waunakee Valley Senior Living 801 Klein Dr, Waunakee, WI 53597 CCN 525098 | 14.8 km | 84 | Apr 9, 2026 | 562 IJ2 harm | $71k | |
| Middleton Village Nursing and Rehab 6201 Elmwood Ave, Middleton, WI 53562 CCN 525330 | 18.3 km | 97 | Mar 5, 2026 | 951 IJ3 harm | $68k | |
| Oak Park Place of Nakoma 4327 Nakoma Rd., Madison, WI 53711 CCN 525729 | 18.7 km | 33 | Jan 22, 2026 | 57 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525692 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525692 | 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
| Jul 29, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2025 |
| Jul 29, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2025 |
| Jul 29, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2025 |
| Jul 29, 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 12, 2025 |
| Jul 29, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Jul 29, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Jul 29, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2025 |
| Jul 29, 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 29, 2025 |
| Jul 29, 2025 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 18, 2025 |
| Jul 29, 2025 | 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 Aug 18, 2025 |
| Jul 29, 2025 | 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 | E · Potential harm Pattern | Corrected Aug 18, 2025 |
| Jul 29, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 18, 2025 |
| Jul 29, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 18, 2025 |
| Jul 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 18, 2025 |
| Jul 29, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 18, 2025 |
| Jul 29, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 18, 2025 |
| Jun 6, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| Jun 6, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| Jun 6, 2024 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| Jun 6, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 26, 2024 |
| Jun 6, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| Jun 6, 2024 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2024 |
| Jun 6, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2024 |
| Jun 6, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2024 |
| Jun 6, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 18, 2024 |
| Jun 6, 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 22, 2024 |
| Jun 6, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 6, 2024 |
| Jun 6, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 5, 2024 |
| Jun 6, 2024 | 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 2, 2024 |
| Jun 6, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 5, 2024 | Complaint |
| Jun 6, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 6, 2024 |
| Mar 15, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 16, 2023 |
| Mar 15, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 2, 2023 |
| Mar 15, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 2, 2023 |
| Mar 15, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 2, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.66 (case-mix index 1.41).
| Sally Wolff | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2024 |
| Oakwood Village University Woods Homes Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2008 |
| Mary Barros | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 30, 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 |
| Kristin Lefel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2023 |
| Goldie Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2021 |
| Christine O'donnell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 9, 2023 |
| Sarah Raemisch | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 18, 2021 |
| Susan Rafferty | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 13, 2013 |
| Laura Sachtjen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 29, 2024 |
| Ronnie Schaetzl | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 28, 2024 |
| Sarfraz Sidhu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2022 |
| Martha Church | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Kevin Hayden | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2023 |
| Tom Kunz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2024 |
| Robert Nicholson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2023 |
| Sally Wolff | 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 13, 2023 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2020 |
| Oakwood Village University Woods Homes Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2025 |
| Mary Barros | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2024 |
| Susan Husom | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2024 |
| Christine O'donnell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2023 |
| Ronnie Schaetzl | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 28, 2024 |
| Sarfraz Sidhu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2022 |