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Nursing home report

Oak Ridge Care Center / Timber Oaks

Registered name: Oak Ridge Care Center

UNION GROVE, WI · Medicare-certified · 74 beds

Needs attention
For-profit
Data as of July 1, 2026
3 of 5 overall

Oak Ridge Care Center / Timber Oaks has a 3-star overall rating, with strong staffing (5 stars; 4.75 hours per resident per day vs. the 4.1 federal benchmark) but weaker health inspection and quality ratings (2 stars each). It has had $27,600 in fines in the last 24 months and a recent federal penalty, with inspection concerns including pressure ulcer care, medically-related social services, and unnecessary drugs.

Facility ratings

Health inspections

Staffing

4.7499 hrs/resident/day

Quality measures

Last inspection: October 28, 2025Penalties, last 24 months: $27,600recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7499.

Staffing detail

Registered nurses
0.90
Licensed practical nurses
1.35
Nurse aides
2.50
Weekend nursing
4.12

Hours per resident per day.

Total staff turnover: 47%
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).

Long-stay residents on antipsychotic medication

0%5.9%Worsening

Residents with a fall causing major injury

4.3%0%Improving

Residents with pressure ulcers (bedsores)

6%6.7%Worsening

Residents with a urinary tract infection

2.2%0%Improving

Residents who lost too much weight

2.6%4.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.3%15.8%Worsening

Residents whose ability to walk got worse

45%

Long-stay residents on antianxiety or sleep medication

12.8%19%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

24.5%22.1%Improving

Residents with depressive symptoms

2.2%2.2%No change

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

95.8%

Long-stay residents given the pneumonia vaccine

87%98%Improving

Short-stay residents given the seasonal flu vaccine

83.3%

Short-stay residents given the pneumonia vaccine

91.7%88.9%Worsening

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $27,600 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $14,433 was recorded.

  7. 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
68.2 residents on an average day (92% 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.