C73

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER

Grade C 73/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

40

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

5833 AMERICAN PARKWAY, MADISON, WI 53718
6082304000

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.45h
LPN
0.59h
CNA
3.53h
Total
5.57h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

OAKWOOD LUTHERAN SENIOR MINISTRIES, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2008

100%

OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2008

BARROS, MARY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

HAMILTON-CRAWFORD, JANICE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2023

HUSOM, SUSAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

LEFEL, KRISTIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2023

NELSON, GOLDIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2021

O'DONNELL, CHRISTINE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

RAEMISCH, SARAH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

RAFFERTY, SUSAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2013

SACHTJEN, LAURA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

SCHAETZL, RONNIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2024

SIDHU, SARFRAZ

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2022

CHURCH, MARTHA

IndividualCORPORATE DIRECTORSince Jan 2021

HAYDEN, KEVIN

IndividualCORPORATE DIRECTORSince Jun 2023

KUNZ, TOM

IndividualCORPORATE DIRECTORSince Jun 2024

NICHOLSON, ROBERT

IndividualCORPORATE DIRECTORSince Jun 2023

WOLFF, SALLY

IndividualCORPORATE DIRECTORSince Jun 2024

BARROS, MARY

IndividualCORPORATE OFFICERSince Jul 2024

HAMILTON-CRAWFORD, JANICE

IndividualCORPORATE OFFICERSince Oct 2023

HUSOM, SUSAN

IndividualCORPORATE OFFICERSince Dec 2024

O'DONNELL, CHRISTINE

IndividualCORPORATE OFFICERSince Apr 2023

RAFFERTY, SUSAN

IndividualCORPORATE OFFICERSince Jun 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (18)

October 22, 2025Health2 deficiencies1 severe
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 10, 2025
0686JImmediate jeopardy, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Nov 10, 2025
July 29, 2025Health8 deficiencies
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 18, 2025
0578DMinimal harm, Isolated

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

Corrected Aug 18, 2025
0600DMinimal harm, Isolated

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

Corrected Aug 18, 2025
0609EMinimal harm, Pattern

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 18, 2025
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 18, 2025
0645EMinimal harm, Pattern

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Aug 18, 2025
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Aug 18, 2025
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Aug 18, 2025
June 6, 2024Health6 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jul 6, 2024
0656DMinimal harm, Isolated

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

Corrected Jul 5, 2024
0758EMinimal harm, Pattern

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

Corrected Jul 5, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 2, 2024
0881EMinimal harm, Pattern

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jul 6, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 5, 2024
July 27, 2023Health2 deficiencies
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 27, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Aug 27, 2023

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Frequently Asked Questions

What is the CareGrader rating for OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER?

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER in MADISON, Wisconsin has a CareGrader grade of C (Average), with a composite score of 72.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER?

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER have?

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER have?

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER has 40 certified beds with approximately 32 current residents (80% occupancy). The facility is located at 5833 AMERICAN PARKWAY, MADISON, Wisconsin 53718. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.