HEBRON OAKS
510 GENOMIC DRIVE, MADISON, WI 53719 · CCN 525375
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 41.7
- Phone
- 6082304000
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-17 | 5 | 9.8 | 9.5 | -4.8 better |
| 2 | 2024-05-23 | 2 | 9.2 | 9.8 | -7.2 better |
| 3 | 2023-03-09 | 3 | 8.3 | 9.3 | -5.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.02 | — |
| RN staffing (reported) | 2.19 | — |
| Total nurse staffing (adjusted) | 5.60 | — |
Fines & penalties
- Total fines
- $22,925
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Inspection citations (10)1 immediate jeopardy
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-08 · Health · corrected 2026-02-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-08 · Health · corrected 2026-02-02
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2026-01-08 · Health · corrected 2026-02-02
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-07-17 · Health · corrected 2025-08-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-17 · Health · corrected 2025-07-30
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-18 · Health · corrected 2025-04-01
Immediate jeopardy
- FF0730Observe each nurse aide's job performance and give regular training.2025-02-18 · Health · corrected 2025-03-11
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-09 · Health · corrected 2023-04-04
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-03-09 · Health · corrected 2023-04-04
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-09 · Health · corrected 2023-04-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1966-01-01 |
| BARROS, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 |
| DONOVAN, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-17 |
| HAMILTON-CRAWFORD, JANICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-31 |
| HUSOM, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 |
| JACOBSON, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-31 |
| LEFEL, KRISTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-12-31 |
| O'DONNELL, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-09 |
| RAFFERTY, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-06-12 |
| SACHTJEN, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-29 |
| SIDHU, SARFRAZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 |
| TURNER, MARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-04 |
| WILLIAMS-RACETTE, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-06-02 |
| HAYDEN, KEVIN | Individual | CORPORATE DIRECTOR | — | 2023-06-01 |
| METZ, MARY | Individual | CORPORATE DIRECTOR | — | 2023-06-01 |
| ROSSMILLER, RICHARD | Individual | CORPORATE DIRECTOR | — | 2019-06-01 |
| VERCAUTEREN, THOMAS | Individual | CORPORATE DIRECTOR | — | 2024-06-01 |
| BARROS, MARY | Individual | CORPORATE OFFICER | — | 2024-07-30 |
| HAMILTON-CRAWFORD, JANICE | Individual | CORPORATE OFFICER | — | 2023-10-31 |
| HUSOM, SUSAN | Individual | CORPORATE OFFICER | — | 2024-12-01 |
| O'DONNELL, CHRISTINE | Individual | CORPORATE OFFICER | — | 2023-04-09 |
| RAFFERTY, SUSAN | Individual | CORPORATE OFFICER | — | 2013-06-12 |
Other facilities in MADISON
| Name | Overall | Beds |
|---|---|---|
| CAPITOL LAKES HEALTH CENTER | ★★★☆☆ | 49 |
| OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER | ★★☆☆☆ | 40 |
| OAK PARK NURSING AND REHAB CENTER | ★☆☆☆☆ | 100 |
| MADISON HEALTH AND REHABILITATION CENTER | — | 83 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.