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).
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $22,925 was recorded.
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.