The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
OAK PARK PLACE OF JANESVILLE
JANESVILLE, WI · Medicare-certified · 35 beds
In good standing
For-profit
2 of 5 overall
OAK PARK PLACE OF JANESVILLE has a 2 out of 5 overall rating, with 2-star health inspection and quality ratings but 4-star staffing. Reported nurse staffing is 4.11 hours per resident per day, just above the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1131 hrs/resident/day
Quality measures
Last inspection: January 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1131.
Staffing detail
- Registered nurses
- 1.11
- Licensed practical nurses
- 0.48
- Nurse aides
- 2.53
- Weekend nursing
- 3.70
Hours per resident per day.
Total staff turnover: 80%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Residents with a fall causing major injury
6.1%Steady
Residents with pressure ulcers (bedsores)
2.7%Steady
Residents with a urinary tract infection
3.2%Steady
Residents who lost too much weight
4.8%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
4.3%Steady
Short-stay residents newly given an antipsychotic
1.1%Worsening
Residents with a long-term catheter
14.1%Steady
Residents with new or worsening incontinence
31.6%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the pneumonia vaccine
97%Steady
Short-stay residents given the seasonal flu vaccine
81%Steady
Short-stay residents given the pneumonia vaccine
87.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 25.3 residents on an average day (72% of 35 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 7 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.