Oak Ridge Care Center in Union Grove, WI has a 2-star overall rating, with 2-star health inspection and quality ratings but a 4-star staffing rating; reported nursing hours are above the federal benchmark (4.64 vs. 4.1), and the facility had $56,466 in fines in the last 24 months, including a recent federal penalty.
Last inspection: October 28, 2025Penalties, last 24 months: $56,466recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6426.
Staffing detail
Registered nurses
0.89
Licensed practical nurses
1.39
Nurse aides
2.36
Weekend nursing
4.04
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 35%
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
3.1%11.1%Worsening
Residents with a fall causing major injury
7.1%0%Improving
Residents with pressure ulcers (bedsores)
1.8%7.9%Worsening
Residents with a urinary tract infection
4.9%2.1%Improving
Residents who lost too much weight
0%2.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.8%25%Worsening
Residents whose ability to walk got worse
—32.8%—
Long-stay residents on antianxiety or sleep medication
11.4%12.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.4%Worsening
Residents with new or worsening incontinence
18.3%22.5%Worsening
Residents with depressive symptoms
0%0%No change
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
—95.8%—
Long-stay residents given the pneumonia vaccine
85.7%93.6%Improving
Short-stay residents given the seasonal flu vaccine
—83.3%—
Short-stay residents given the pneumonia vaccine
90.2%90.3%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 October 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 provide needed social services to help each resident reach the best possible quality of life. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 745 — 42 CFR §483.40 — S/S: J
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $27,600 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $14,433 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $56,466 in total fines · 1 payment denial.
Federal fine
May 7, 2025
$27,600
Medicare/Medicaid payment denial
Jun 28, 2024
3 days
Federal fine
Jun 28, 2024
$14,433
Operator & ownership
Ownership
For profit - Individual
Occupancy
67.6 residents on an average day (91% of 74 beds)
Resident voice
Resident council
Medicare history
Certified for 31 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.