Hebron Oaks
Madison, Dane County, Wisconsin · CCN 525375 · Non-profit (Corporation) · not part of a chain
CMS rates Hebron Oaks 4 of 5 overall as of August 2026. 70 certified beds, 41 residents a day on average. 10 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,901 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 5.90735 hours per resident per day |
|---|---|
| Registered nurses | 2.29507 hours per resident per day |
| Weekend total | 5.44275 hours per resident per day |
| Nursing staff turnover | 46.2% (registered nurses 44.4%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-08 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-08 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-08 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2025-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-07-30 |
| 2025-07-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-02-18 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-04-01 |
| 2025-02-18 complaint survey |
Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-11 |
| 2023-03-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-04-04 |
| 2023-03-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-04 |
| 2023-03-09 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-04 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-18 | Payment denial for 17 days from 2025-03-15 | — |
| 2025-02-18 | Fine | $14,901 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Oakwood Lutheran Senior Ministries, Inc. Organization | 5% or greater direct ownership interest | 100% | 1966-01-01 |
| Cliftonlarsonallen LLP Organization | adp of the snf | — | 2020-12-31 |
| Donovan, Amber Individual | adp of the snf | — | 2024-12-17 |
| Hayden, Kevin Individual | adp of the snf | — | 2023-06-01 |
| Husom, Susan Individual | adp of the snf | — | 2024-12-01 |
| Jacobson, Eric Individual | adp of the snf | — | 2025-03-31 |
| Metz, Mary Individual | adp of the snf | — | 2023-06-01 |
| O'Donnell, Christine Individual | adp of the snf | — | 2023-04-09 |
| Rossmiller, Richard Individual | adp of the snf | — | 2019-06-01 |
| Sidhu, Sarfraz Individual | adp of the snf | — | 2021-03-01 |
| Vercauteren, Thomas Individual | adp of the snf | — | 2024-06-01 |
| 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 |
| Hayden, Kevin Individual | managing control - governing body | — | 2023-06-01 |
| Rossmiller, Richard Individual | managing control - governing body | — | 2019-06-01 |
| Vercauteren, Thomas Individual | managing control - governing body | — | 2024-06-01 |
| 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 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Hebron Oaks.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Dane County.