About Hebron Oaks
Hebron Oaks, located in MADISON, WI, is a non-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.
Why Families Choose Hebron Oaks
- High Quality Care: With a 4-star CMS rating, this facility demonstrates high standards.
- Top Ranked: Ranked #6 out of 25 facilities within 25 miles.
- More Nursing Time: Staff spends 5.72 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 4 Stars
- Nursing Hours 5.72 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Hebron Oaks provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 4 |
|
| Health Inspection | 3 |
|
| Quality Measures | 4 |
|
| Staffing | 5 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 32 | Jul 17, 2025 |
| Weighted Average | 47 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 11.3% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 5.4% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 2.7% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 6.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 97.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 93.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.2% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | N/A |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 3.8% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 86.4% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 85.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 39.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 0.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2025: 2 complaints
- 2026: 3 complaints
- Total: 5 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 02, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Feb 02, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Feb 02, 2026 | Respond appropriately to all alleged violations. |
| Apr 01, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 11, 2025 | Observe each nurse aide's job performance and give regular training. |
Nearby Hospitals
MERCY HEALTH SYSTEM CORP
JANESVILLE, WI
STOUGHTON HOSPITAL
STOUGHTON, WI
SSM HEALTH ST MARY'S HOSPITAL - MADISON
MADISON, WI
COLUMBUS COMMUNITY HOSPITAL
COLUMBUS, WI
MADISON VA MEDICAL CENTER
MADISON, WI
UNITYPOINT HEALTH - MERITER
MADISON, WI
SAUK PRAIRIE HOSPITAL
PRAIRIE DU SAC, WI
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
MADISON, WI
EDGERTON HOSPITAL AND HEALTH SERVICES
EDGERTON, WI
MENDOTA MENTAL HEALTH INSTITUTE
MADISON, WI
MIRAMONT BEHAVIORAL HEALTH
MIDDLETON, WI
Owner & Operator Information
Business Entity
OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC
Ownership Structure
- OAKWOOD LUTHERAN SENIOR MINISTRIES INC. Direct: 100%
Management & Direction
- MARY BARROS CORPORATE OFFICER
- MARY BARROS OPERATIONAL/MANAGERIAL CONTROL
- CLIFTONLARSONALLEN LLP ADP OF THE SNF
- AMBER DONOVAN ADP OF THE SNF
- AMBER DONOVAN OPERATIONAL/MANAGERIAL CONTROL
- JANICE HAMILTON-CRAWFORD CORPORATE OFFICER
- JANICE HAMILTON-CRAWFORD OPERATIONAL/MANAGERIAL CONTROL
- KEVIN HAYDEN MANAGING CONTROL - GOVERNING BODY
- KEVIN HAYDEN CORPORATE DIRECTOR
- KEVIN HAYDEN ADP OF THE SNF
- SUSAN HUSOM ADP OF THE SNF
- SUSAN HUSOM CORPORATE OFFICER
- SUSAN HUSOM OPERATIONAL/MANAGERIAL CONTROL
- ERIC JACOBSON OPERATIONAL/MANAGERIAL CONTROL
- ERIC JACOBSON ADP OF THE SNF
- KRISTIN LEFEL OPERATIONAL/MANAGERIAL CONTROL
- MARY METZ ADP OF THE SNF
- MARY METZ CORPORATE DIRECTOR
- CHRISTINE O'DONNELL CORPORATE OFFICER
- CHRISTINE O'DONNELL ADP OF THE SNF
- CHRISTINE O'DONNELL OPERATIONAL/MANAGERIAL CONTROL
- SUSAN RAFFERTY OPERATIONAL/MANAGERIAL CONTROL
- SUSAN RAFFERTY CORPORATE OFFICER
- RICHARD ROSSMILLER CORPORATE DIRECTOR
- RICHARD ROSSMILLER ADP OF THE SNF
- RICHARD ROSSMILLER MANAGING CONTROL - GOVERNING BODY
- LAURA SACHTJEN OPERATIONAL/MANAGERIAL CONTROL
- SARFRAZ SIDHU OPERATIONAL/MANAGERIAL CONTROL
- SARFRAZ SIDHU ADP OF THE SNF
- MARCIA TURNER OPERATIONAL/MANAGERIAL CONTROL
- THOMAS VERCAUTEREN ADP OF THE SNF
- THOMAS VERCAUTEREN MANAGING CONTROL - GOVERNING BODY
- THOMAS VERCAUTEREN CORPORATE DIRECTOR
- SARAH WILLIAMS-RACETTE OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Skaalen Nursing and Rehabilitation Center | N/A | 5 |
| Badger Prairie Hcc | N/A | 5 |
| Avina of Sun Prairie | N/A | 4 |
| Mercy Manor Transition Center | N/A | 5 |
| Maplewood of Sauk Prairie | N/A | 5 |
| Hebron Oaks | N/A | 4 |
| Waunakee Valley Senior Living | N/A | 4 |
| Dove Healthcare - Lodi | N/A | 3 |
| Columbus Health and Rehab | N/A | 2 |
| Four Winds Manor | N/A | 2 |
Related Analysis
Best Nursing Homes in MADISON, WI
Compare Hebron Oaks to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Hebron Oaks directly at 6082304000. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.