Tudor Oaks Health CenterCMS ratings, inspections and fines
- Address
- S77 W12929 McShane Dr, Muskego, WI 53150
- CCN
- 525279
- Ownership type
- Non-profit, church related
- Certified beds
- 50
- Residents per day
- 45
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Tudor Oaks Health Center an overall rating of 2 of 5 stars. The last standard survey was on 16 Jun 2025. The latest survey cycle has 18 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 1 fine of $180,810 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Waukesha County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Jun 2025 | 18 | 7 |
| Cycle 2 | 6 Mar 2024 | 1 | 7 |
| Cycle 3 | No date | 18 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Dec 2025 |
| 6 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Aug 2025 |
| 6 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Aug 2025 |
| 6 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Aug 2025 |
| 16 Jun 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 10 Jul 2025 |
| 16 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Jun 2025 |
| 16 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jun 2025 |
| 16 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Jun 2025 |
| 16 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 3 Jul 2025 |
| 16 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 21 Aug 2025 |
| 16 Jun 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 10 Jul 2025 |
| 16 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 16 Jul 2025 |
| 16 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Jul 2025 |
Survey cycle 2: 1 citation
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Apr 2025 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jun 2024 |
| 10 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Feb 2024 |
| 26 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Sep 2023 |
| 26 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Sep 2023 |
| 26 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Sep 2023 |
| 5 Jan 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 3 Mar 2023 |
| 5 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0758 | 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 | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2023 |
| 5 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Jun 2025 | Fine | $180,810 | |
| 16 Jun 2025 | Payment denial | 62 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 4.34 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.66 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.83 | 0.64 | |
| Nurse aides | 2.85 | 2.58 | |
| All nurse staff, weekends | 3.93 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 56.4%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 76.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.9% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, church related
- Setting
- Continuing care retirement community
- Legal business name
- American Baptist Homes of the Midwest
- Chain
- American Baptist Homes of the Midwest (6 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Waukesha County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Muskego Health and Rehabilitation Center | Muskego | 2 of 5 | 25 | $0 | 27 Jan 2025 | |
| Lindengrove New Berlin | New Berlin | 1 of 5 | 11 | $100,006 | 21 Jan 2025 | |
| Complete Care at Kensington | Waukesha | 1 of 5 | 5 | $66,632 | 29 Apr 2026 | |
| Aria of Brookfield | Brookfield | 1 of 5 | 23 | $396,970 | 27 Aug 2025 | |
| Aria of Waukesha | Waukesha | 1 of 5 | 12 | $22,925 | 16 Feb 2026 | |
| Avina of Pewaukee | Waukesha | 1 of 5 | 19 | $95,791 | 9 Jun 2025 | |
| Lindengrove Waukesha | Waukesha | 1 of 5 | 14 | $204,321 | 25 Sep 2025 | |
| Complete Care at Care Age | Brookfield | 1 of 5 | 12 | $80,375 | 25 Jun 2025 | |
| Franciscan Woods | Brookfield | 1 of 5 | 17 | $120,905 | 9 Apr 2026 | |
| Congregational Home, Inc. | Brookfield | 4 of 5 | 5 | $0 | 31 Jul 2025 | |
| Lindengrove Mukwonago | Mukwonago | 2 of 5 | 9 | $0 | 10 Dec 2025 | |
| Lindengrove Menomonee Falls | Menomonee Falls | 1 of 5 | 37 | $193,798 | 3 Mar 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Tudor Oaks Health Center (CCN 525279). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/tudor-oaks-health-center-muskego-wi-525279/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Tudor Oaks Health Center last inspected?
- The latest inspection with a citation in the CMS record was on 5 Dec 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 6 Mar 2024.
- Who operates Tudor Oaks Health Center?
- The CMS record gives the ownership type as non-profit, church related. CMS lists the home in the chain American Baptist Homes of the Midwest. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Tudor Oaks Health Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.