OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER
5833 AMERICAN PARKWAY, MADISON, WI 53718 · CCN 525692
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 40
- Avg residents/day
- 32.9
- 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 | 2025-07-29 | 10 | 9.8 | 9.5 | +0.2 worse |
| 2 | 2024-06-06 | 6 | 9.2 | 9.8 | -3.2 better |
| 3 | 2023-03-15 | 2 | 8.3 | 9.3 | -6.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.56 | — |
| RN staffing (reported) | 1.44 | — |
| Total nurse staffing (adjusted) | 5.57 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (18)1 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-22 · Health · corrected 2025-11-10
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-22 · Health · corrected 2025-11-10
Immediate jeopardy
- DF0578Honor 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.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-07-29 · Health · corrected 2025-08-18
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-06 · Health · corrected 2024-07-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-06 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0758Implement 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.2024-06-06 · Health · corrected 2024-07-05
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.2024-06-06 · Health · corrected 2024-07-02
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2024-06-06 · Health · corrected 2024-07-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-27 · Health · corrected 2023-08-27
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-07-27 · Health · corrected 2023-08-27
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% | 2008-03-10 |
| OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-03-10 |
| BARROS, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 |
| HAMILTON-CRAWFORD, JANICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-31 |
| HUSOM, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 |
| LEFEL, KRISTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-31 |
| NELSON, GOLDIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-12 |
| O'DONNELL, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-09 |
| RAEMISCH, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-18 |
| RAFFERTY, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-06-13 |
| SACHTJEN, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-29 |
| SCHAETZL, RONNIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-28 |
| SIDHU, SARFRAZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| CHURCH, MARTHA | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| HAYDEN, KEVIN | Individual | CORPORATE DIRECTOR | — | 2023-06-01 |
| KUNZ, TOM | Individual | CORPORATE DIRECTOR | — | 2024-06-01 |
| NICHOLSON, ROBERT | Individual | CORPORATE DIRECTOR | — | 2023-06-01 |
| WOLFF, SALLY | 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 | — | 2023-06-13 |
Other facilities in MADISON
| Name | Overall | Beds |
|---|---|---|
| CAPITOL LAKES HEALTH CENTER | ★★★☆☆ | 49 |
| HEBRON OAKS | ★★★☆☆ | 70 |
| 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.