Oakwood Village East Health And Rehab Center
Madison, Dane County, Wisconsin · CCN 525692 · Non-profit (Corporation) · not part of a chain
CMS rates Oakwood Village East Health And Rehab Center 3 of 5 overall as of August 2026. 40 certified beds, 33 residents a day on average. 16 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $212,069.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 1 of 5 |
Staffing
| Total nurse staffing | 5.50989 hours per resident per day |
|---|---|
| Registered nurses | 1.45256 hours per resident per day |
| Weekend total | 5.05556 hours per resident per day |
| Nursing staff turnover | 44.1% (registered nurses 40%) |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2025-10-22 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 2025-11-10 |
| 2025-10-22 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-10 |
| 2025-07-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | Honor 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | 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 2025-08-18 |
| 2025-07-29 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-29 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-18 |
| 2024-06-06 | 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 2024-07-02 |
| 2024-06-06 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-06 | Implement 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. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-06 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-22 | Fine | $212,069 |
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% | 2008-03-10 |
| Cliftonlarsonallen LLP Organization | adp of the snf | — | 2020-12-31 |
| Oakwood Village University Woods Homes Inc. Organization | adp of the snf | — | 2025-03-04 |
| Oakwood Village University Woods Homes Inc. Organization | operational/managerial control | — | 2008-03-10 |
| Barros, Mary Individual | adp of the snf | — | 2024-07-30 |
| Husom, Susan Individual | adp of the snf | — | 2024-12-01 |
| O'Donnell, Christine Individual | adp of the snf | — | 2023-04-09 |
| Schaetzl, Ronnie Individual | adp of the snf | — | 2024-05-28 |
| Sidhu, Sarfraz Individual | adp of the snf | — | 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 |
| Church, Martha Individual | managing control - governing body | — | 2021-01-01 |
| Hayden, Kevin Individual | managing control - governing body | — | 2023-06-01 |
| Kunz, Tom Individual | managing control - governing body | — | 2024-06-01 |
| Nicholson, Robert Individual | managing control - governing body | — | 2023-06-01 |
| Wolff, Sally Individual | managing control - governing body | — | 2024-06-01 |
| 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 |
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 Oakwood Village East Health And Rehab Center.
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.