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Nursing home report

OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER

MADISON, WI · Medicare-certified · 40 beds

Needs attention
Non-profit
3 of 5 overall

Oakwood Village East Health and Rehab Center in Madison, WI has an overall 3-star rating, with strong staffing at 5 stars and 5.52 nurse hours per resident per day above the 4.1 federal benchmark, but a weaker 2-star health inspection rating. It also had $326,260 in fines over the last 24 months and a recent federal penalty, with recent inspection concerns including pressure ulcer care, infection prevention and control, and food safety.

Facility ratings

Health inspections

Staffing

5.5213 hrs/resident/day

Quality measures

Last inspection: October 22, 2025Penalties, last 24 months: $326,260recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.5213.

Staffing detail

Registered nurses
1.60
Licensed practical nurses
0.74
Nurse aides
3.19
Weekend nursing
5.02

Hours per resident per day.

Total staff turnover: 43%
Registered nurse turnover: 50%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Residents with a fall causing major injury

2.9%Steady

Residents with pressure ulcers (bedsores)

24.5%Steady

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

14.3%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

13.6%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

18.2%Steady

Short-stay residents newly given an antipsychotic

2.2%Improving

Residents with a long-term catheter

4.3%Steady

Residents with new or worsening incontinence

39.7%Steady

Residents with depressive symptoms

0%Steady

Long-stay residents given the pneumonia vaccine

91.4%Steady

Short-stay residents given the seasonal flu vaccine

91.4%Steady

Short-stay residents given the pneumonia vaccine

96.1%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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — 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 promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: E

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $326,260 was recorded.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $326,260 in total fines.

  • Federal fine

    Oct 22, 2025

    $326,260

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
33.1 residents on an average day (83% of 40 beds)
Resident voice
Resident council
Medicare history
Certified for 18 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.