Starfile

Starfile / Wisconsin

TUDOR OAKS HEALTH CENTER

S77 W12929 MCSHANE DR, MUSKEGO, WI 53150 · CCN 525279

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Church related
Certified beds
50
Avg residents/day
42.7
Phone
4145290100

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
12025-06-16199.89.5+9.2 worse
22024-03-0619.29.8-8.2 better
32023-01-05188.39.3+9.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation7
Quality of life and care4
Resident assessment and care planning1
Nursing and physician services1
Resident rights2
Nutrition and dietary1
Pharmacy service1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.0361.2%
RN staffing (reported)0.7666.7%
Total nurse staffing (adjusted)4.78

Fines & penalties

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

Chain

Chain
AMERICAN BAPTIST HOMES OF THE MIDWEST
Facilities in chain
6
Chain avg overall
2.30 / 5

Inspection citations (38)3 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-05 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  4. DF0610Respond appropriately to all alleged violations.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  5. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-16 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  6. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-16 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-16 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  8. DF0610Respond appropriately to all alleged violations.2025-06-16 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  9. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  10. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  12. DF0687Provide appropriate foot care.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  13. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-16 · Health · corrected 2025-08-21

    Actual harm

  14. CF0732Post nurse staffing information every day.2025-06-16 · Health · corrected 2025-07-10

    Potential for minimal harm

  15. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  17. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-06-16 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  18. FF0880Provide and implement an infection prevention and control program.2025-06-16 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  19. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-23 · Health · corrected 2025-04-25

    Actual harm

  20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-05 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-10 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  22. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-26 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  23. DF0610Respond appropriately to all alleged violations.2023-09-26 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-26 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  25. DF0610Respond appropriately to all alleged violations.2023-04-28 · Health · corrected 2023-05-17

    Potential for more than minimal harm

  26. EF0585Honor 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.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  28. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  30. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-05 · Health · corrected 2023-03-03

    Actual harm

  31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  33. DF0692Provide enough food/fluids to maintain a resident's health.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  34. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  35. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  36. 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.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  38. EF0880Provide and implement an infection prevention and control program.2023-01-05 · Health · corrected 2023-02-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ALLEN, RYANIndividualCORPORATE DIRECTOR2014-01-01
DAVIDSON, ROGERIndividualCORPORATE DIRECTOR2019-08-01
FORD, ASHLEYIndividualCORPORATE DIRECTOR2019-08-01
HANSON, PHILLIPIndividualCORPORATE DIRECTOR2014-01-01
JOHNSON, DOROTHYIndividualCORPORATE DIRECTOR2021-01-01
JOHNSON, JAMESIndividualCORPORATE DIRECTOR2019-08-01
KILLIAN, GEORGEIndividualCORPORATE DIRECTOR2019-08-01
NEIMAN, RUTHIndividualCORPORATE DIRECTOR2021-01-01
PETERS, MARSHALLIndividualCORPORATE DIRECTOR2014-01-01
VAN DER BEEK, BRUCEIndividualCORPORATE DIRECTOR2021-01-01
VANOSTRAM, STEVENIndividualCORPORATE DIRECTOR2014-01-01
VAUGHN-GRAY, STEPHANIEIndividualCORPORATE DIRECTOR2019-08-01
WAGONER FORD, ANNEIndividualCORPORATE DIRECTOR2019-08-01
WHITAKER, BRUCEIndividualCORPORATE DIRECTOR2014-01-01
BLATNIK, ANDREAIndividualCORPORATE OFFICER2014-01-01
JOHNSON, LARSIndividualCORPORATE OFFICER2023-06-05
KIM, STEVENIndividualCONTRACTED MANAGING EMPLOYEE2024-01-01
BLATNIK, ANDREAIndividualW-2 MANAGING EMPLOYEE2021-01-01
KOTZ, CHRISTINAIndividualW-2 MANAGING EMPLOYEE2019-08-01
MCDONALD, ANILISAIndividualW-2 MANAGING EMPLOYEE2019-11-04

Other facilities in MUSKEGO

NameOverallBeds
MUSKEGO HEALTH AND REHABILITATION CENTER★★☆☆☆49

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