SNF
OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER
CCN: 525692 · MADISON, WI 53718 · Dane County
CCRC
Overview
- Address
- 5833 AMERICAN PARKWAY, MADISON, WI 53718
- Phone
- 6082304000
- Certified beds
- 40
- Avg daily residents
- 33 (82% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2008-05-08
- Setting
- Urban
2 /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 | 5.56 | 3.85 | 5.57 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.44 | 0.67 | 1.45 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.59 | 0.86 | 0.59 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.52 | 2.32 | 3.53 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.03 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.38 | — | — | — |
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)
5.16
hrs / resident / day
RN (weekend)
1.18
hrs / resident / day
Total nurse (adjusted, weekend)
5.17
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
1.37
higher acuity than avg
Case-Mix Index Ratio
0.99
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) | 2025-07-29 | 10 | 8 | 2 | 135 | 1 | 135 |
| Cycle 2/3 (prior) | 2024-06-06 | 8 | 6 | 3 | 64 | 1 | 64 |
Total weighted health score
117.3
lower is better
Deficiencies (18)
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).
17 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-22 | 2025-11-10 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2025-10-22 | 2025-11-10 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-07-29 | 2025-08-18 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-29 | 2025-08-18 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-07-29 | 2025-08-18 |
| 0610 | Respond appropriately to all alleged violations. | E | 2025-07-29 | 2025-08-18 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2025-07-29 | 2025-08-18 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-07-29 | 2025-08-18 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2025-07-29 | 2025-08-18 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-07-29 | 2025-08-18 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-06-06 | 2024-07-06 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-06-06 | 2024-07-05 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-06-06 | 2024-07-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-06 | 2024-07-02 |
| 0881 | Implement a program that monitors antibiotic use. | E | 2024-06-06 | 2024-07-06 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2024-06-06 | 2024-07-05 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-07-27 | 2023-08-27 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-07-27 | 2023-08-27 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 48.3% Medicaid 12.4% Other 39.3%
Operating performance
Operating Margin
-57.4%
Total Margin
-14.2%
Occupancy Rate
74.1%
Cost per Resident Day
$216
Revenue & costs
Net Patient Revenue
$6.3M
Total Costs
$2.3M
Net Income
-$1.2M
Balance sheet
Total Assets
$5.6M
Total Liabilities
$586K
Fund Balance
$5.0M
Current Ratio
16.10
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/10/2008 |
| OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC | OPERATIONAL/MANAGERIAL CONTROL | since 03/10/2008 |
Owner / manager individuals (21)
| Name | Role | Association |
|---|---|---|
| BARROS, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 07/30/2024 |
| HAMILTON-CRAWFORD, JANICE | OPERATIONAL/MANAGERIAL CONTROL | since 10/31/2023 |
| HUSOM, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| LEFEL, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2023 |
| NELSON, GOLDIE | OPERATIONAL/MANAGERIAL CONTROL | since 09/12/2021 |
| O'DONNELL, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | since 04/09/2023 |
| RAEMISCH, SARAH | OPERATIONAL/MANAGERIAL CONTROL | since 07/18/2021 |
| RAFFERTY, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 06/13/2013 |
| SACHTJEN, LAURA | OPERATIONAL/MANAGERIAL CONTROL | since 10/29/2024 |
| SCHAETZL, RONNIE | OPERATIONAL/MANAGERIAL CONTROL | since 05/28/2024 |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2022 |
| CHURCH, MARTHA | CORPORATE DIRECTOR | since 01/01/2021 |
| HAYDEN, KEVIN | CORPORATE DIRECTOR | since 06/01/2023 |
| KUNZ, TOM | CORPORATE DIRECTOR | since 06/01/2024 |
| NICHOLSON, ROBERT | CORPORATE DIRECTOR | since 06/01/2023 |
| WOLFF, SALLY | 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 06/13/2023 |
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
- Resident
- 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 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 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $216 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 16.10 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 12.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 48.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,225,787 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,250,854 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 74.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -57.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,603,719 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,334,702 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $5,018,057 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $585,662 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -14.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.59166 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.52902 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.44668 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.56737 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.16542 | 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 | 32.9 | 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 | 0.85536 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.32467 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67421 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.85424 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.39711 | 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) | 525692 | 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 | 2008-05-08 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.1574 | Latitude |
| Provider Information | Legal Business Name | OAKWOOD VILLAGE PRAIRIE RIDGE HOMES, INC. | Legal Business Name |
| Provider Information | Location | 5833 AMERICAN PARKWAY,MADISON,WI,53718 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -89.285 | 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 | 40 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.36538 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.99110 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | 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 | 5833 AMERICAN PARKWAY | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER | 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 | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 135 | 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 | 2 | 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 | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-29 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 135 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 10 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-06-06 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 64 | 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 | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 64 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.17676 | 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 | 2.03482 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.59064 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.52291 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.38378 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.44418 | 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 | 5.55772 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | 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 | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.15648 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | 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 | 117.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 53718 | ZIP Code |