SNF
HEBRON OAKS
CCN: 525375 · MADISON, WI 53719 · Dane County
CCRC
Overview
- Address
- 510 GENOMIC DRIVE, MADISON, WI 53719
- Phone
- 6082304000
- Certified beds
- 70
- Avg daily residents
- 42 (60% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1984-11-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 6.02 | 4.15 | 5.60 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 2.19 | 0.73 | 2.04 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.78 | 0.92 | 0.73 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.04 | 2.50 | 2.83 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.98 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.28 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
5.55
hrs / resident / day
RN (weekend)
1.79
hrs / resident / day
Total nurse (adjusted, weekend)
5.16
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
1.47
higher acuity than avg
Case-Mix Index Ratio
1.07
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-17 | 5 | 2 | 3 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2024-05-23 | 2 | 0 | 2 | 91 | 0 | 91 |
Total weighted health score
46.8
lower is better
Deficiencies (10)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
9 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-08 | 2026-02-02 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-08 | 2026-02-02 |
| 0610 | Respond appropriately to all alleged violations. | D | 2026-01-08 | 2026-02-02 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-07-17 | 2025-08-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-17 | 2025-07-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2025-02-18 | 2025-04-01 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-02-18 | 2025-03-11 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-03-09 | 2023-04-04 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-03-09 | 2023-04-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-09 | 2023-04-04 |
Penalties (2)
Fines issued
1
last 3 years
Total fines
$22,925
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2025-02-18 | Fine | $22,925 |
| 2025-02-18 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 40.0% Medicaid 14.8% Other 45.3%
Operating performance
Occupancy Rate
49.3%
Cost per Resident Day
$159
Revenue & costs
Net Patient Revenue
$6.9M
Total Costs
$2.0M
Net Income
$15.0M
Balance sheet
Total Assets
$52.8M
Total Liabilities
$36.6M
Fund Balance
$16.2M
Current Ratio
0.54
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
Owner / manager individuals (21)
| Name | Role | Association |
|---|---|---|
| BARROS, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 07/30/2024 |
| DONOVAN, AMBER | OPERATIONAL/MANAGERIAL CONTROL | since 12/17/2024 |
| HAMILTON-CRAWFORD, JANICE | OPERATIONAL/MANAGERIAL CONTROL | since 10/31/2023 |
| HUSOM, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| JACOBSON, ERIC | OPERATIONAL/MANAGERIAL CONTROL | since 03/31/2025 |
| LEFEL, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2013 |
| O'DONNELL, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | since 04/09/2023 |
| RAFFERTY, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 06/12/2013 |
| SACHTJEN, LAURA | OPERATIONAL/MANAGERIAL CONTROL | since 10/29/2024 |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2021 |
| TURNER, MARCIA | OPERATIONAL/MANAGERIAL CONTROL | since 07/04/2021 |
| WILLIAMS-RACETTE, SARAH | OPERATIONAL/MANAGERIAL CONTROL | since 06/02/2014 |
| HAYDEN, KEVIN | CORPORATE DIRECTOR | since 06/01/2023 |
| METZ, MARY | CORPORATE DIRECTOR | since 06/01/2023 |
| ROSSMILLER, RICHARD | CORPORATE DIRECTOR | since 06/01/2019 |
| VERCAUTEREN, THOMAS | CORPORATE DIRECTOR | since 06/01/2024 |
| BARROS, MARY | CORPORATE OFFICER | since 07/30/2024 |
| HAMILTON-CRAWFORD, JANICE | CORPORATE OFFICER | since 10/31/2023 |
| HUSOM, SUSAN | CORPORATE OFFICER | since 12/01/2024 |
| O'DONNELL, CHRISTINE | CORPORATE OFFICER | since 04/09/2023 |
| RAFFERTY, SUSAN | CORPORATE OFFICER | since 06/12/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $159 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.54 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 14.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 40.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $15,027,659 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,946,452 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 49.3% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $52,826,978 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,997,925 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $16,206,653 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $36,620,325 | metrics.total_liabilities |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.72872 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.83146 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 2.03885 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.59903 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.16047 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 41.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.92106 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.50325 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.72600 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.15031 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.65806 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | MADISON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 525375 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Dane | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1984-11-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.0328 | Latitude |
| Provider Information | Legal Business Name | OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC | Legal Business Name |
| Provider Information | Location | 510 GENOMIC DRIVE,MADISON,WI,53719 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -89.498 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 70 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.47027 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.06723 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 510 GENOMIC DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HEBRON OAKS | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 120 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 91 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 91 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.79419 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.97500 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.78333 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.04368 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.28019 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 2.19167 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 6.01868 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WI | State |
| Provider Information | Telephone Number | 6082304000 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 22925.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.54726 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 46.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 53719 | ZIP Code |