nursing home in Madison, WI
Hebron Oaks
510 Genomic Drive, Madison, WI 53719 · (608) 230-4000
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hebron Oaks at a glance
Hebron Oaks is a 70-bed non-profit nursing home in Madison, Wisconsin (Dane County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 5.9 hours of nursing care per day (2.3 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (July 17, 2025) found 5 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $14,901.
Nursing staff turnover is 46.2% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 70
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 1, 1984
- Continuing care retirement community
- Yes
- Resident/family council
- None
- County
- Dane County
- CMS Certification Number
- 525375
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.91 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 2.30 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.07 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.44 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 46.2% | 46.9% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 39.7% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 46.8 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,901 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 70 | 77 | 107 | |
| Average residents per day | 41 | 55 | 86 | |
| Occupancy | 58.9% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.7% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.8% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 7.4% | 16.1% | 13.9% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 7% | 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) | 11.1% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 42% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 86.4% | 95% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 85.2% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.5% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 8, 2026 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 February 2, 2026 |
| January 8, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 8, 2026 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 February 2, 2026 |
| July 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 17, 2025 |
| July 17, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected July 28, 2025 |
| July 17, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 17, 2025 |
| July 17, 2025 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 August 8, 2025 |
| July 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 17, 2025 |
| July 17, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 17, 2025 |
| July 17, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 29, 2025 |
| July 17, 2025 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 August 17, 2025 |
| July 17, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected August 17, 2025 |
| July 17, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected August 7, 2025 |
| July 17, 2025 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | D Potential harm, isolated | Corrected August 17, 2025 |
| July 17, 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 30, 2025 |
| July 17, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 6, 2025 |
| February 18, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected April 1, 2025 |
| February 18, 2025 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected March 11, 2025 |
| May 23, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected July 21, 2024 |
| May 23, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected June 18, 2024 |
| May 23, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected June 20, 2024 |
| May 23, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 13, 2024 |
| May 23, 2024 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 | E Potential harm, pattern | Corrected July 21, 2024 |
| May 23, 2024 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 23, 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 June 18, 2024 |
| May 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 9, 2024 |
| May 23, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 21, 2024 |
| May 23, 2024 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | D Potential harm, isolated | Corrected July 21, 2024 |
| May 23, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected August 9, 2024 |
| March 9, 2023 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected March 27, 2023 |
| March 9, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected March 27, 2023 |
| March 9, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 27, 2023 |
| March 9, 2023 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | C No harm, widespread | Corrected March 8, 2023 |
| March 9, 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 April 4, 2023 |
| March 9, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected April 4, 2023 |
| March 9, 2023 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected April 4, 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 $14,901 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 18, 2025 | Payment Denial | 17 days from March 15, 2025 |
| February 18, 2025 | Fine | $14,901 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. Organization | 5% or greater direct ownership interest | 100% | 01/01/1966 |
| CLIFTONLARSONALLEN LLP Organization | adp of the snf | NOT APPLICABLE | 12/31/2020 |
| DONOVAN, AMBER Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| HAYDEN, KEVIN Individual | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| HUSOM, SUSAN Individual | adp of the snf | NOT APPLICABLE | 12/01/2024 |
| JACOBSON, ERIC Individual | adp of the snf | NOT APPLICABLE | 03/31/2025 |
| METZ, MARY Individual | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| O'DONNELL, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 04/09/2023 |
| ROSSMILLER, RICHARD Individual | adp of the snf | NOT APPLICABLE | 06/01/2019 |
| SIDHU, SARFRAZ Individual | adp of the snf | NOT APPLICABLE | 03/01/2021 |
| VERCAUTEREN, THOMAS Individual | adp of the snf | NOT APPLICABLE | 06/01/2024 |
| HAYDEN, KEVIN Individual | corporate director | NOT APPLICABLE | 06/01/2023 |
| METZ, MARY Individual | corporate director | NOT APPLICABLE | 06/01/2023 |
| ROSSMILLER, RICHARD Individual | corporate director | NOT APPLICABLE | 06/01/2019 |
| VERCAUTEREN, THOMAS Individual | corporate director | NOT APPLICABLE | 06/01/2024 |
| BARROS, MARY Individual | corporate officer | NOT APPLICABLE | 07/30/2024 |
| HAMILTON-CRAWFORD, JANICE Individual | corporate officer | NOT APPLICABLE | 10/31/2023 |
| HUSOM, SUSAN Individual | corporate officer | NOT APPLICABLE | 12/01/2024 |
| O'DONNELL, CHRISTINE Individual | corporate officer | NOT APPLICABLE | 04/09/2023 |
| RAFFERTY, SUSAN Individual | corporate officer | NOT APPLICABLE | 06/12/2013 |
| HAYDEN, KEVIN Individual | managing control - governing body | NOT APPLICABLE | 06/01/2023 |
| ROSSMILLER, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 06/01/2019 |
| VERCAUTEREN, THOMAS Individual | managing control - governing body | NOT APPLICABLE | 06/01/2024 |
| BARROS, MARY Individual | operational/managerial control | NOT APPLICABLE | 07/30/2024 |
| DONOVAN, AMBER Individual | operational/managerial control | NOT APPLICABLE | 12/17/2024 |
| HAMILTON-CRAWFORD, JANICE Individual | operational/managerial control | NOT APPLICABLE | 10/31/2023 |
| HUSOM, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| JACOBSON, ERIC Individual | operational/managerial control | NOT APPLICABLE | 03/31/2025 |
| LEFEL, KRISTIN Individual | operational/managerial control | NOT APPLICABLE | 12/31/2013 |
| O'DONNELL, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 04/09/2023 |
| RAFFERTY, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 06/12/2013 |
| SACHTJEN, LAURA Individual | operational/managerial control | NOT APPLICABLE | 10/29/2024 |
| SIDHU, SARFRAZ Individual | operational/managerial control | NOT APPLICABLE | 03/01/2021 |
| TURNER, MARCIA Individual | operational/managerial control | NOT APPLICABLE | 07/04/2021 |
| WILLIAMS-RACETTE, SARAH Individual | operational/managerial control | NOT APPLICABLE | 06/02/2014 |
Other nursing homes near Hebron Oaks
Complete Care at Maple Grove LLC
3401 Maple Grove Dr., Madison, WI 53719 · 1.5 mi
For-profit · 184 beds · Part of Complete Care
★★★★★1Much below average- ★★★★★3Average
- ★★★★★5Much above average
- ★★★★★3Average
Middleton Village Nursing and Rehab
6201 Elmwood Ave, Middleton, WI 53562 · 3.9 mi
For-profit · 97 beds · Part of Shlomo Hoffman
★★★★★1Much below averageCapitol Lakes Health Center
333 W Main St, Madison, WI 53703 · 6.2 mi
Non-profit · 49 beds · Part of Pacific Retirement Services
★★★★★4Above average
Frequently asked questions
What is Hebron Oaks's rating?
Hebron Oaks has 4 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Hebron Oaks receive?
Its most recent standard health inspection found 5 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Hebron Oaks 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 Hebron Oaks?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hebron Oaks and how do I contact it?
Hebron Oaks is at 510 Genomic Drive, Madison, WI 53719. Phone: (608) 230-4000.
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.