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Nursing home report

HEBRON OAKS

MADISON, WI · Medicare-certified · 70 beds

Needs attention
Non-profit
4 of 5 overall

Hebron Oaks in Madison has an overall 4 out of 5 stars, with strong staffing (5 stars) and quality measures (4 stars), while health inspections are lower at 3 stars. It also has a recent federal penalty and $22,925 in fines over the last 24 months, despite reported nurse staffing above the federal benchmark (5.72 vs. 4.1 hours per resident per day).

Facility ratings

Health inspections

Staffing

5.7192 hrs/resident/day

Quality measures

Last inspection: January 8, 2026Penalties, last 24 months: $22,925recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.7192.

Staffing detail

Registered nurses
2.24
Licensed practical nurses
0.68
Nurse aides
2.80
Weekend nursing
5.35

Hours per resident per day.

Total staff turnover: 45%
Registered nurse turnover: 47%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

0%

Residents with a fall causing major injury

0%

Residents with pressure ulcers (bedsores)

4.6%

Residents with a urinary tract infection

2.7%

Residents who lost too much weight

4%

Residents who were physically restrained

0%

Residents needing more help with daily activities

19.2%

Long-stay residents on antianxiety or sleep medication

3.8%

Short-stay residents newly given an antipsychotic

0%0.6%Worsening

Residents with a long-term catheter

5.4%

Residents with new or worsening incontinence

39.7%

Residents with depressive symptoms

6.9%

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

86.4%

Long-stay residents given the pneumonia vaccine

97.3%

Short-stay residents given the seasonal flu vaccine

85.2%

Short-stay residents given the pneumonia vaccine

93.9%93.6%No change

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly watch nurse aides' work and provide regular training. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F

The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: D

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $22,925 was recorded.

  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $22,925 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Feb 18, 2025

    17 days
  • Federal fine

    Feb 18, 2025

    $22,925

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
41.2 residents on an average day (59% of 70 beds)
Medicare history
Certified for 41 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.