Nursing home report
Registered name: Oak Ridge Care Center
UNION GROVE, WI · Medicare-certified · 74 beds
Oak Ridge Care Center / Timber Oaks has a 3-star overall rating, with strong staffing (5 stars and 4.75 hours per resident per day, above the 4.1-hour federal benchmark) but weaker health inspection and quality ratings (both 2 stars). The facility also has $89,905 in fines over the last 24 months and a recent federal penalty, with cited issues including pressure ulcer care, medically related social services, and unnecessary drugs.
Health inspections
Staffing
4.7499 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7499.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 947 — 42 CFR §483.95 — S/S: F
A federal fine of $62,305 was recorded.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
A federal fine of $27,600 was recorded.
Health inspection found 3 health deficiencies.
A federal payment denial was recorded.
A federal fine of $14,433 was recorded.
Health inspection found 4 health deficiencies.
On record with Medicare: 4 fines · $118,771 in total fines · 1 payment denial.
Federal fine
Oct 28, 2025
Federal fine
May 7, 2025
Medicare/Medicaid payment denial
Jun 28, 2024
Federal fine
Jun 28, 2024
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.
