nursing home in Madison, WI
Oakwood Village East Health and Rehab Center
5833 American Parkway, Madison, WI 53718 · (608) 230-4000
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- 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
Oakwood Village East Health and Rehab Center at a glance
Oakwood Village East Health and Rehab Center is a 40-bed non-profit nursing home in Madison, Wisconsin (Dane County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Wisconsin average of 3.
Residents receive about 5.5 hours of nursing care per day (1.5 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (July 29, 2025) found 10 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $212,069.
Nursing staff turnover is 44.1% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 8, 2008
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Dane County
- CMS Certification Number
- 525692
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| 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) | 1 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.51 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.45 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.28 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.06 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 44.1% | 46.9% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 40% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 115.3 | 100.3 | 80.6 | Worse |
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) | $212,069 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 77 | 107 | |
| Average residents per day | 33 | 55 | 86 | |
| Occupancy | 83.5% | 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) | 20.4% | 5% | 4.6% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 9.1% | 16.1% | 13.9% | Better |
| Long-stay residents who lose too much weight (lower is better) | 18.2% | 5.1% | 5.2% | Worse |
| 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) | 18.2% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 23% | 24.6% | 19% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.6% | 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) | 1.2% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 91.4% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.3% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 22, 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 November 10, 2025 |
| October 22, 2025 Complaint | 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 November 10, 2025 |
| July 29, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 29, 2025 |
| July 29, 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 12, 2025 |
| July 29, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 29, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 12, 2025 |
| July 29, 2025 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected August 12, 2025 |
| July 29, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 29, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 29, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 29, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 18, 2025 |
| July 29, 2025 Standard | 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 Potential harm, pattern | Corrected August 18, 2025 |
| July 29, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected August 18, 2025 |
| July 29, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected August 18, 2025 |
| July 29, 2025 Standard | 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 18, 2025 |
| July 29, 2025 Standard | 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 Potential harm, isolated | Corrected August 18, 2025 |
| July 29, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 29, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected August 18, 2025 |
| June 6, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected June 10, 2024 |
| June 6, 2024 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected June 25, 2024 |
| June 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 | F Potential harm, widespread | Corrected July 10, 2024 |
| June 6, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected June 10, 2024 |
| June 6, 2024 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | F Potential harm, widespread | Corrected June 11, 2024 |
| June 6, 2024 Fire safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Tag K0132 | E Potential harm, pattern | Corrected June 10, 2024 |
| June 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 June 18, 2024 |
| June 6, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 6, 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 22, 2024 |
| June 6, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 6, 2024 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 6, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 5, 2024 |
| June 6, 2024 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 2, 2024 |
| June 6, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected July 6, 2024 |
| June 6, 2024 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 July 5, 2024 |
| June 6, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected July 6, 2024 |
| June 6, 2024 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 July 5, 2024 |
| March 15, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected April 2, 2023 |
| March 15, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 2, 2023 |
| March 15, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected March 16, 2023 |
| March 15, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | C No harm, widespread | Corrected April 2, 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 1 federal penalty in the past three years, including $212,069 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 22, 2025 | Fine | $212,069 |
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% | 03/10/2008 |
| BARROS, MARY Individual | adp of the snf | NOT APPLICABLE | 07/30/2024 |
| CLIFTONLARSONALLEN LLP Organization | adp of the snf | NOT APPLICABLE | 12/31/2020 |
| HUSOM, SUSAN Individual | adp of the snf | NOT APPLICABLE | 12/01/2024 |
| OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC Organization | adp of the snf | NOT APPLICABLE | 03/04/2025 |
| O'DONNELL, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 04/09/2023 |
| SCHAETZL, RONNIE Individual | adp of the snf | NOT APPLICABLE | 05/28/2024 |
| SIDHU, SARFRAZ Individual | adp of the snf | NOT APPLICABLE | 11/01/2022 |
| CHURCH, MARTHA Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| HAYDEN, KEVIN Individual | corporate director | NOT APPLICABLE | 06/01/2023 |
| KUNZ, TOM Individual | corporate director | NOT APPLICABLE | 06/01/2024 |
| NICHOLSON, ROBERT Individual | corporate director | NOT APPLICABLE | 06/01/2023 |
| WOLFF, SALLY 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 | 06/13/2023 |
| CHURCH, MARTHA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2021 |
| HAYDEN, KEVIN Individual | managing control - governing body | NOT APPLICABLE | 06/01/2023 |
| KUNZ, TOM Individual | managing control - governing body | NOT APPLICABLE | 06/01/2024 |
| NICHOLSON, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 06/01/2023 |
| WOLFF, SALLY Individual | managing control - governing body | NOT APPLICABLE | 06/01/2024 |
| BARROS, MARY Individual | operational/managerial control | NOT APPLICABLE | 07/30/2024 |
| HAMILTON-CRAWFORD, JANICE Individual | operational/managerial control | NOT APPLICABLE | 10/31/2023 |
| HUSOM, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| LEFEL, KRISTIN Individual | operational/managerial control | NOT APPLICABLE | 12/31/2023 |
| NELSON, GOLDIE Individual | operational/managerial control | NOT APPLICABLE | 09/12/2021 |
| OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC Organization | operational/managerial control | NOT APPLICABLE | 03/10/2008 |
| O'DONNELL, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 04/09/2023 |
| RAEMISCH, SARAH Individual | operational/managerial control | NOT APPLICABLE | 07/18/2021 |
| RAFFERTY, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 06/13/2013 |
| SACHTJEN, LAURA Individual | operational/managerial control | NOT APPLICABLE | 10/29/2024 |
| SCHAETZL, RONNIE Individual | operational/managerial control | NOT APPLICABLE | 05/28/2024 |
| SIDHU, SARFRAZ Individual | operational/managerial control | NOT APPLICABLE | 11/01/2022 |
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Frequently asked questions
What is Oakwood Village East Health and Rehab Center's rating?
Oakwood Village East Health and Rehab Center has 3 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Oakwood Village East Health and Rehab Center receive?
Its most recent standard health inspection found 10 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Oakwood Village East Health and Rehab 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 Oakwood Village East Health and Rehab Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Oakwood Village East Health and Rehab Center and how do I contact it?
Oakwood Village East Health and Rehab Center is at 5833 American Parkway, Madison, WI 53718. 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.