nursing home in Muskego, WI

Tudor Oaks Health Center

S77 W12929 McShane Dr, Muskego, WI 53150 · (414) 529-0100

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★3
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Tudor Oaks Health Center at a glance

Tudor Oaks Health Center is a 50-bed non-profit nursing home in Muskego, Wisconsin (Waukesha County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.

Residents receive about 4.3 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 4.2 hours.

Its most recent standard health inspection (June 16, 2025) found 15 health citations. The Wisconsin average is 9.5.

Federal regulators fined it 1 time in the past three years, totaling $180,810.

Nursing staff turnover is 56.4% per year (state average 46.9%).

Facility details

Type
Nursing home
Ownership
Non Profit - Church Related
Beds
50
Certified for
Medicare and Medicaid
Chain / affiliated entity
American Baptist Homes of the Midwest
Medicare-certified since
January 1, 1977
Continuing care retirement community
Yes
Resident/family council
Resident
County
Waukesha County
CMS Certification Number
525279

Ratings

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.6 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 53 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 53.1 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)5 / 53.1 / 53.3 / 5Better

Staffing

This facility4.34 hrsWisconsin average4.21 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.34 hrs4.21 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.66 hrs0.99 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.85 hrs2.58 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.93 hrs3.77 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)56.4%46.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)76.9%39.7%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility15Wisconsin average9U.S. average9
Health citations in the most recent inspection: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1599Worse
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)125.5100.380.6Worse

Penalties

This facility1Wisconsin average1U.S. average1
Fines in the past 3 years: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$180,810$48,150$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Certified beds5077107
Average residents per day455586
Occupancy89.6%74%80.9%

Long-stay residents

This facility7%Wisconsin average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)7%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)5.5%5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)23.9%15.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.8%2.7%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)2.3%2.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)29%16.1%13.9%Worse
Long-stay residents who lose too much weight (lower is better)2.9%5.1%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0%5.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13.6%16.9%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)41%24.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.4%95%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)97.9%95.7%93.6%Average

Short-stay residents

This facility0%Wisconsin average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)86.6%82.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)91.4%86.5%82%Better

Inspection citations

State inspectors cited this home for 37 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.

DateCitationSeverityStatus
December 5, 2025
Complaint
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
Potential harm, isolated
Corrected December 11, 2025
August 6, 2025
Complaint
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
Potential harm, isolated
Corrected August 21, 2025
August 6, 2025
Complaint
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
Potential harm, isolated
Corrected August 21, 2025
August 6, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected August 21, 2025
June 16, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected August 13, 2025
June 16, 2025
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
F
Potential harm, widespread
Corrected July 10, 2025
June 16, 2025
Fire safety
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies · Tag E0009
F
Potential harm, widespread
Corrected July 16, 2025
June 16, 2025
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected July 14, 2025
June 16, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 17, 2025
June 16, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
E
Potential harm, pattern
Corrected August 20, 2025
June 16, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected August 13, 2025
June 16, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected July 10, 2025
June 16, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected August 21, 2025
June 16, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected July 10, 2025
June 16, 2025
Standard
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
Potential harm, widespread
Corrected July 16, 2025
June 16, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
E
Potential harm, pattern
Corrected July 3, 2025
June 16, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 16, 2025
June 16, 2025
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected July 10, 2025
June 16, 2025
Complaint
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
Potential harm, isolated
Corrected June 19, 2025
June 16, 2025
Complaint
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
Potential harm, isolated
Corrected June 19, 2025
June 16, 2025
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected July 16, 2025
June 16, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected July 16, 2025
June 16, 2025
Standard
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Tag F0687
D
Potential harm, isolated
Corrected July 16, 2025
June 16, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 16, 2025
June 16, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 19, 2025
June 16, 2025
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected July 10, 2025
April 23, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected April 25, 2025
June 5, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 10, 2024
March 6, 2024
Fire safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0132
F
Potential harm, widespread
Corrected April 16, 2024
March 6, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 16, 2024
March 6, 2024
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
F
Potential harm, widespread
Corrected April 5, 2024
March 6, 2024
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
E
Potential harm, pattern
Corrected April 5, 2024
March 6, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected April 5, 2024
March 6, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected April 16, 2024
March 6, 2024
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected April 5, 2024
March 6, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected April 5, 2024
March 6, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected April 5, 2024
March 6, 2024
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected April 5, 2024
March 6, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected April 5, 2024
January 10, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 9, 2024
September 26, 2023
Complaint
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
Potential harm, isolated
Corrected September 29, 2023
September 26, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 29, 2023
September 26, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected September 29, 2023
January 5, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected January 31, 2023
January 5, 2023
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected January 27, 2023
January 5, 2023
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
F
Potential harm, widespread
Corrected January 27, 2023
January 5, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected January 27, 2023
January 5, 2023
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
F
Potential harm, widespread
Corrected January 27, 2023
January 5, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected January 26, 2023
January 5, 2023
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
F
Potential harm, widespread
Corrected January 25, 2023
January 5, 2023
Fire safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0131
E
Potential harm, pattern
Corrected January 31, 2023
January 5, 2023
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected January 27, 2023
January 5, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected March 3, 2023
January 5, 2023
Standard
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
Potential harm, widespread
Corrected February 21, 2023
January 5, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 21, 2023
January 5, 2023
Standard
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
Potential harm, pattern
Corrected February 21, 2023
January 5, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected February 21, 2023
January 5, 2023
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0585
E
Potential harm, pattern
Corrected February 21, 2023
January 5, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
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
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected February 21, 2023
January 5, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 21, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $180,810 in fines.

DatePenaltyAmount / length
June 16, 2025Payment Denial62 days from July 17, 2025
June 16, 2025Fine$180,810

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
KIM, STEVEN
Individual
contracted managing employeeNOT APPLICABLE01/01/2024
ALLEN, RYAN
Individual
corporate directorNOT APPLICABLE01/01/2014
DAVIDSON, ROGER
Individual
corporate directorNOT APPLICABLE08/01/2019
FORD, ASHLEY
Individual
corporate directorNOT APPLICABLE08/01/2019
HANSON, PHILLIP
Individual
corporate directorNOT APPLICABLE01/01/2014
JOHNSON, DOROTHY
Individual
corporate directorNOT APPLICABLE01/01/2021
JOHNSON, JAMES
Individual
corporate directorNOT APPLICABLE08/01/2019
KILLIAN, GEORGE
Individual
corporate directorNOT APPLICABLE08/01/2019
NEIMAN, RUTH
Individual
corporate directorNOT APPLICABLE01/01/2021
PETERS, MARSHALL
Individual
corporate directorNOT APPLICABLE01/01/2014
VAN DER BEEK, BRUCE
Individual
corporate directorNOT APPLICABLE01/01/2021
VANOSTRAM, STEVEN
Individual
corporate directorNOT APPLICABLE01/01/2014
VAUGHN-GRAY, STEPHANIE
Individual
corporate directorNOT APPLICABLE08/01/2019
WAGONER FORD, ANNE
Individual
corporate directorNOT APPLICABLE08/01/2019
WHITAKER, BRUCE
Individual
corporate directorNOT APPLICABLE01/01/2014
BLATNIK, ANDREA
Individual
corporate officerNOT APPLICABLE01/01/2014
JOHNSON, LARS
Individual
corporate officerNOT APPLICABLE06/05/2023
BLATNIK, ANDREA
Individual
w-2 managing employeeNOT APPLICABLE01/01/2021
KOTZ, CHRISTINA
Individual
w-2 managing employeeNOT APPLICABLE08/01/2019
MCDONALD, ANILISA
Individual
w-2 managing employeeNOT APPLICABLE11/04/2019

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Frequently asked questions

What is Tudor Oaks Health Center's rating?

Tudor Oaks Health Center has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.

How many inspection citations did Tudor Oaks Health Center receive?

Its most recent standard health inspection found 15 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.

Does Tudor Oaks Health Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Tudor Oaks Health Center?

It is non profit - church related and part of American Baptist Homes of the Midwest. The ownership section on this page lists the owners and managers reported to CMS.

Where is Tudor Oaks Health Center and how do I contact it?

Tudor Oaks Health Center is at S77 W12929 McShane Dr, Muskego, WI 53150. Phone: (414) 529-0100.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.