Hebron Oaks

Nursing home · 510 Genomic Drive, Madison, WI 53719 · Dane County

4★Medicare overall

37cited deficiencies

1harm or jeopardy level

2penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type: Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity: 70
State license: 81
Medicare CCN: 525375
Licensed entity: OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC
Ownership: Non profit - Corporation
Phone: (608) 230-4000
Nurse staffing: 5.91 hours per resident per day; 46.2% nursing staff turnover
Medicare ratings: Inspections 3★ · Staffing 5★ · Quality 4★
Official record: Wisconsin DQA Provider Search
Official record: Medicare Care Compare

Other public records for this operator

Penalties

Feb 18, 2025 — Payment Denial · payment denial 17 days
Feb 18, 2025 — Fine ($14,901)

Inspection findings

Jan 8, 2026 Health · 3 findings
- Not serious Scope/severity D Complaint
  F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  
  Corrected Feb 2, 2026 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  
  Corrected Feb 2, 2026 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Respond appropriately to all alleged violations.
  
  Corrected Feb 2, 2026 · CMS health inspection
Jul 17, 2025 Health · 13 findings
- Not serious Scope/severity D
  F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  
  Corrected Aug 6, 2025 · CMS health inspection
- Not serious Scope/severity F
  F0812 Nutrition and Dietary Deficiencies
  
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  
  Corrected Jul 30, 2025 · CMS health inspection
- Not serious Scope/severity F
  K0293 Egress Deficiencies
  
  Have properly located and lighted "Exit" signs.
  
  Corrected Jul 28, 2025 · CMS fire safety
- Not serious Scope/severity F
  K0324 Smoke Deficiencies
  
  Provide properly protected cooking facilities.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity F
  K0345 Smoke Deficiencies
  
  Have approved installation, maintenance and testing program for fire alarm systems.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity F
  K0346 Smoke Deficiencies
  
  Follow proper procedures when the fire alarm was out of service for more than 4 hours.
  
  Corrected Aug 8, 2025 · CMS fire safety
- Not serious Scope/severity F Under dispute
  K0353 Smoke Deficiencies
  
  Inspect, test, and maintain automatic sprinkler systems.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity F Under dispute
  K0355 Smoke Deficiencies
  
  Properly select, install, inspect, or maintain portable fire extinguishes.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity E
  K0531 Services Deficiencies
  
  Have elevators that firefighters can control in the event of a fire.
  
  Corrected Aug 7, 2025 · CMS fire safety
- Not serious Scope/severity D
  K0541 Services Deficiencies
  
  Install properly constructed and protected linen or trash chutes.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity F
  K0712 Miscellaneous Deficiencies
  
  Have simulated fire drills held at unexpected times.
  
  Corrected Jul 29, 2025 · CMS fire safety
- Not serious Scope/severity E
  K0912 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Have power receptacles that are properly grounded.
  
  Corrected Aug 17, 2025 · CMS fire safety
- Not serious Scope/severity F
  K0918 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Have generator or other power source capable of supplying service within 10 seconds.
  
  Corrected Aug 17, 2025 · CMS fire safety
Feb 18, 2025 Health · 2 findings
- Serious Scope/severity J Complaint
  F0686 Quality of Life and Care Deficiencies
  
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  
  Corrected Apr 1, 2025 · CMS health inspection
- Not serious Scope/severity F Complaint
  F0730 Nursing and Physician Services Deficiencies
  
  Observe each nurse aide's job performance and give regular training.
  
  Corrected Mar 11, 2025 · CMS health inspection
May 23, 2024 Fire Safety · 12 findings
- Not serious Scope/severity F
  E0029 Emergency Preparedness Deficiencies
  
  Develop a communication plan.
  
  Corrected Jun 20, 2024 · CMS fire safety
- Not serious Scope/severity F
  K0293 Egress Deficiencies
  
  Have properly located and lighted "Exit" signs.
  
  Corrected Jun 18, 2024 · CMS fire safety
- Not serious Scope/severity E
  K0321 Smoke Deficiencies
  
  Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  
  Corrected Jul 21, 2024 · CMS fire safety
- Not serious Scope/severity F
  K0345 Smoke Deficiencies
  
  Have approved installation, maintenance and testing program for fire alarm systems.
  
  Corrected Jun 13, 2024 · CMS fire safety
- Not serious Scope/severity E
  K0353 Smoke Deficiencies
  
  Inspect, test, and maintain automatic sprinkler systems.
  
  Corrected Aug 9, 2024 · CMS fire safety
- Not serious Scope/severity D
  K0355 Smoke Deficiencies
  
  Properly select, install, inspect, or maintain portable fire extinguishes.
  
  Corrected Aug 9, 2024 · CMS fire safety
- Not serious Scope/severity F
  K0372 Smoke Deficiencies
  
  Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  
  Corrected Jul 21, 2024 · CMS fire safety
- Not serious Scope/severity D
  K0374 Smoke Deficiencies
  
  Install smoke barrier doors that can resist smoke for at least 20 minutes.
  
  Corrected Jul 21, 2024 · CMS fire safety
- Not serious Scope/severity E
  K0531 Services Deficiencies
  
  Have elevators that firefighters can control in the event of a fire.
  
  Corrected Jun 14, 2024 · CMS fire safety
- Not serious Scope/severity D
  K0541 Services Deficiencies
  
  Install properly constructed and protected linen or trash chutes.
  
  Corrected Jul 21, 2024 · CMS fire safety
- Not serious Scope/severity E
  K0918 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Have generator or other power source capable of supplying service within 10 seconds.
  
  Corrected Jun 18, 2024 · CMS fire safety
- Not serious Scope/severity D
  K0923 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Have proper medical gas storage and administration areas.
  
  Corrected Jun 17, 2024 · CMS fire safety
Mar 9, 2023 Fire Safety · 7 findings
- Not serious Scope/severity C
  E0033 Emergency Preparedness Deficiencies
  
  Establish methods for sharing information.
  
  Corrected Mar 8, 2023 · CMS fire safety
- Not serious Scope/severity E
  F0686 Quality of Life and Care Deficiencies
  
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  
  Corrected Apr 4, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0694 Quality of Life and Care Deficiencies
  
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  
  Corrected Apr 4, 2023 · CMS health inspection
- Not serious Scope/severity F
  F0812 Nutrition and Dietary Deficiencies
  
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  
  Corrected Apr 4, 2023 · CMS health inspection
- Not serious Scope/severity E
  K0281 Egress Deficiencies
  
  Install proper backup exit lighting.
  
  Corrected Mar 27, 2023 · CMS fire safety
- Not serious Scope/severity E
  K0353 Smoke Deficiencies
  
  Inspect, test, and maintain automatic sprinkler systems.
  
  Corrected Mar 27, 2023 · CMS fire safety
- Not serious Scope/severity F
  K0919 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Meet requirements for the use of electrical equipment.
  
  Corrected Mar 27, 2023 · CMS fire safety

Owners and managers (as published by CMS)

BARROS, MARY — corporate officer, NOT APPLICABLE, since 07/30/2024
BARROS, MARY — operational/managerial control, NOT APPLICABLE, since 07/30/2024
DONOVAN, AMBER — operational/managerial control, NOT APPLICABLE, since 12/17/2024
DONOVAN, AMBER — adp of the snf, NOT APPLICABLE, since 12/17/2024
HAMILTON-CRAWFORD, JANICE — operational/managerial control, NOT APPLICABLE, since 10/31/2023
HAMILTON-CRAWFORD, JANICE — corporate officer, NOT APPLICABLE, since 10/31/2023
HAYDEN, KEVIN — adp of the snf, NOT APPLICABLE, since 06/01/2023
HAYDEN, KEVIN — corporate director, NOT APPLICABLE, since 06/01/2023
HAYDEN, KEVIN — managing control - governing body, NOT APPLICABLE, since 06/01/2023
HUSOM, SUSAN — corporate officer, NOT APPLICABLE, since 12/01/2024
HUSOM, SUSAN — adp of the snf, NOT APPLICABLE, since 12/01/2024
HUSOM, SUSAN — operational/managerial control, NOT APPLICABLE, since 12/01/2024
JACOBSON, ERIC — operational/managerial control, NOT APPLICABLE, since 03/31/2025
JACOBSON, ERIC — adp of the snf, NOT APPLICABLE, since 03/31/2025
LEFEL, KRISTIN — operational/managerial control, NOT APPLICABLE, since 12/31/2013
METZ, MARY — corporate director, NOT APPLICABLE, since 06/01/2023
METZ, MARY — adp of the snf, NOT APPLICABLE, since 06/01/2023
O'DONNELL, CHRISTINE — adp of the snf, NOT APPLICABLE, since 04/09/2023
O'DONNELL, CHRISTINE — operational/managerial control, NOT APPLICABLE, since 04/09/2023
O'DONNELL, CHRISTINE — corporate officer, NOT APPLICABLE, since 04/09/2023
RAFFERTY, SUSAN — corporate officer, NOT APPLICABLE, since 06/12/2013
RAFFERTY, SUSAN — operational/managerial control, NOT APPLICABLE, since 06/12/2013
ROSSMILLER, RICHARD — managing control - governing body, NOT APPLICABLE, since 06/01/2019
ROSSMILLER, RICHARD — adp of the snf, NOT APPLICABLE, since 06/01/2019
ROSSMILLER, RICHARD — corporate director, NOT APPLICABLE, since 06/01/2019
SACHTJEN, LAURA — operational/managerial control, NOT APPLICABLE, since 10/29/2024
SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 03/01/2021
SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 03/01/2021
TURNER, MARCIA — operational/managerial control, NOT APPLICABLE, since 07/04/2021
VERCAUTEREN, THOMAS — managing control - governing body, NOT APPLICABLE, since 06/01/2024
VERCAUTEREN, THOMAS — adp of the snf, NOT APPLICABLE, since 06/01/2024
VERCAUTEREN, THOMAS — corporate director, NOT APPLICABLE, since 06/01/2024
WILLIAMS-RACETTE, SARAH — operational/managerial control, NOT APPLICABLE, since 06/02/2014
CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 12/31/2020
OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. — 5% or greater direct ownership interest, 100%, since 01/01/1966

Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.