Starfile

Starfile / Wisconsin

Oak Park Place of Nakoma

4327 Nakoma Rd., Madison, WI 53711 · CCN 525729

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
33
Avg residents/day
20.1
Phone
6086404100

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12024-09-18149.89.5+4.2 worse
22023-07-20109.29.8+0.8 worse
32022-05-1118.39.3-7.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning2
Resident rights4
Nutrition and dietary1
Pharmacy service2
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.6373.0%
RN staffing (reported)1.8281.3%
Total nurse staffing (adjusted)6.29

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (25)

  1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2026-01-08 · Health · corrected 2026-01-21

    Potential for more than minimal harm

  2. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-12-23 · Health · corrected 2026-01-09

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-23 · Health · corrected 2026-01-09

    Potential for more than minimal harm

  4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-03 · Health · corrected 2025-12-19

    Potential for more than minimal harm

  5. DF0692Provide enough food/fluids to maintain a resident's health.2025-12-03 · Health · corrected 2025-12-19

    Potential for more than minimal harm

  6. DF0610Respond appropriately to all alleged violations.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  8. DF0760Ensure that residents are free from significant medication errors.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  9. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  10. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  12. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  13. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  14. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  15. DF0880Provide and implement an infection prevention and control program.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  16. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  17. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-09-18 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  18. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  19. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  20. DF0759Ensure medication error rates are not 5 percent or greater.2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  22. CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-07-20 · Health · corrected 2023-08-20

    Potential for minimal harm

  23. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  24. FF0880Provide and implement an infection prevention and control program.2023-07-20 · Health · corrected 2023-08-20

    Potential for more than minimal harm

  25. DF0758Implement 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.2022-05-11 · Health · corrected 2022-06-02

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FRANK, SCOTTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST63%2015-08-04
HELLE REVOCABLE TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST6%2018-08-09
LAKLELAND NAKOMA LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST6%2018-08-09
CHASE, BYRONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST6%2018-08-16
FRANK, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL2015-08-04

Other facilities in Madison

NameOverallBeds
Complete Care at Maple Grove LLC★☆☆☆☆184

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.