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Hebron Oaks

510 Genomic Drive, Madison, WI 53719
6082304000
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Overall CMS Rating

2.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

4.0/5

Quality Measures

vs State Average: 3.1/5

2 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jul 17, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F
Jul 17, 2025 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D
Feb 18, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing. J
Feb 18, 2025 Observe each nurse aide's job performance and give regular training. F
Mar 9, 2023 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F
Score
4.0
State Average
3.7
National Average
2.9
2.2 RN Hours / Resident / Day
6.0 Total Nurse Hours / Resident / Day
RN Turnover Rate
Score
4.0
State Average
3.1
National Average
3.6
4.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
41.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST OAKWOOD LUTHERAN SENIOR MINISTRIES, INC.
OPERATIONAL/MANAGERIAL CONTROL BARROS, MARY
OPERATIONAL/MANAGERIAL CONTROL DONOVAN, AMBER
OPERATIONAL/MANAGERIAL CONTROL HAMILTON-CRAWFORD, JANICE
OPERATIONAL/MANAGERIAL CONTROL HUSOM, SUSAN
OPERATIONAL/MANAGERIAL CONTROL JACOBSON, ERIC
OPERATIONAL/MANAGERIAL CONTROL LEFEL, KRISTIN
OPERATIONAL/MANAGERIAL CONTROL O'DONNELL, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL RAFFERTY, SUSAN
OPERATIONAL/MANAGERIAL CONTROL SACHTJEN, LAURA
Recent Penalties
Date Type Fine
Feb 18, 2025 Fine $22,925
Feb 18, 2025 Payment Denial $0

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