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.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-16 | 19 | 9.8 | 9.5 | +9.2 worse |
| 2 | 2024-03-06 | 1 | 9.2 | 9.8 | -8.2 better |
| 3 | 2023-01-05 | 18 | 8.3 | 9.3 | +9.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 7 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.03 | 61.2% |
| RN staffing (reported) | 0.76 | 66.7% |
| 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-08-06 · Health · corrected 2025-08-21
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-16 · Health · corrected 2025-07-10
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.2025-06-16 · Health · corrected 2025-06-19
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2025-06-16 · Health · corrected 2025-06-19
Potential for more than minimal harm
- 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
- 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
- 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
- DF0687Provide appropriate foot care.2025-06-16 · Health · corrected 2025-07-16
Potential for more than minimal harm
- 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
- CF0732Post nurse staffing information every day.2025-06-16 · Health · corrected 2025-07-10
Potential for minimal harm
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2025-06-16 · Health · corrected 2025-07-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-09-26 · Health · corrected 2023-09-29
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2023-04-28 · Health · corrected 2023-05-17
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-05 · Health · corrected 2023-03-03
Actual harm
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-01-05 · Health · corrected 2023-02-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-01-05 · Health · corrected 2023-02-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ALLEN, RYAN | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| DAVIDSON, ROGER | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| FORD, ASHLEY | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| HANSON, PHILLIP | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| JOHNSON, DOROTHY | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| JOHNSON, JAMES | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| KILLIAN, GEORGE | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| NEIMAN, RUTH | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| PETERS, MARSHALL | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| VAN DER BEEK, BRUCE | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| VANOSTRAM, STEVEN | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| VAUGHN-GRAY, STEPHANIE | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| WAGONER FORD, ANNE | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| WHITAKER, BRUCE | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| BLATNIK, ANDREA | Individual | CORPORATE OFFICER | — | 2014-01-01 |
| JOHNSON, LARS | Individual | CORPORATE OFFICER | — | 2023-06-05 |
| KIM, STEVEN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-01-01 |
| BLATNIK, ANDREA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-01-01 |
| KOTZ, CHRISTINA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-08-01 |
| MCDONALD, ANILISA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-11-04 |
Other facilities in MUSKEGO
| Name | Overall | Beds |
|---|---|---|
| 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.