Elder Care Record

Wisconsin › Dane County › Madison

Hebron Oaks

510 Genomic Drive, Madison, WI 53719

CCN 525375 · Non-profit, corporation · 70 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Hebron Oaks is a Non-profit, corporation nursing home in Madison, Wisconsin, certified for 70 beds and caring for about 41 residents a day.

CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.

Inspectors recorded 10 health deficiencies across the three most recent survey cycles (5, 2, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 14.3 per 100 beds, fewer than the state median of 31.8.

CMS lists 2 penalties in the period covered: fines totalling $15K and 1 payment denial.

Reported nurse staffing is 5.9 hours per resident per day (2.3 RN), above the Wisconsin median of 4.0; nursing staff turnover is 46.2%.

10health deficiencies, 3 survey cycles1 at actual harm or worse
$15Kfines listed by CMS2 penalties in period
5.9nurse hours per resident per daystate median 4.0
59%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityDane Co. medianWisconsin medianUS average
Overall star rating4333.0
Health citations, 3 cycles10282128.7
Citations per 100 beds14.343.031.826.8
Total nurse hours per resident day5.94.84.03.9
RN hours per resident day2.31.10.90.7
Nursing staff turnover46.2%57.8%46.2%45.8%
Fines listed$14,901$15,642$0—

County and state figures are medians across facilities (16 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 22
Cycle 33

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 23 May 2024.

Severity mix: J ×1 D ×5 E ×1 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Feb 2026
8 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Feb 2026
8 Jan 2026F0610Respond appropriately to all alleged violations.DComplaint investigation2 Feb 2026
17 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Jul 2025
17 Jul 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey6 Aug 2025
18 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation1 Apr 2025
18 Feb 2025F0730Observe each nurse aide's job performance and give regular training.FComplaint investigation11 Mar 2025
9 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey4 Apr 2023
9 Mar 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey4 Apr 2023
9 Mar 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey4 Apr 2023

Penalties

DateTypeAmountDetail
18 Feb 2025Payment denial—17 days
18 Feb 2025Fine$14,901

Staffing

Total nursing5.91 h
Nurse aides3.07 h
LPN0.55 h
RN2.3 h
Weekend total5.44 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 46.2%, RNs 44.4%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.7%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay2.9%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay0.0%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Oakwood Village University Woods Homes Inc.

OrganisationRole in the CMS recordInterestSince
Oakwood Lutheran Senior Ministries, Inc.5% or greater direct ownership interest100%01/01/1966
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE12/31/2020

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Dane County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avina of Sun PrairieSun Prairie505421632.0—8 Jan 2026
Badger Prairie HCCVerona12055597.5—10 Sep 2025
Skaalen Nursing and Rehabilitation CenterStoughton70555811.4—10 Sep 2024
Capitol Lakes Health CenterMadison494351326.5—10 Mar 2026
Oak Park Place of NakomaMadison333343090.9—22 Jan 2026
Oakwood Village East Health and Rehab CenterMadison403251640.0$212K22 Oct 2025
Sun Prairie Senior LivingSun Prairie523323159.6—1 Apr 2026
Waunakee Valley Senior LivingWaunakee843222428.6$33K9 Apr 2026

All 16 facilities in Dane County

Questions and answers

How many deficiencies has Hebron Oaks been cited for?

10 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Hebron Oaks been fined?

Yes. CMS lists fines totalling $15K in the period covered, plus 1 payment denial.

How does staffing at Hebron Oaks compare?

Reported total nurse staffing is 5.9 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Hebron Oaks?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Oakwood Lutheran Senior Ministries, Inc.. Individual owners and managers are not listed on this site.

When was Hebron Oaks last inspected?

The most recent survey or investigation in the CMS record is dated 8 Jan 2026; the most recent standard health survey was 17 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.