Federal inspection record · CMS data as of October 1, 2026
Oak Park Nursing and Rehab Center
718 Jupiter Drive, Madison, WI · (608) 663-8600
- Special Focus Facility
- Certified beds
- 100
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 2, 1975
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Oak Park Nursing and Rehab Center carries 414.25 inspection points. That is fewer than 2% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
L
Provide and implement an infection prevention and control program.
-
L
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation10D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care8E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
Pharmacy Service7D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
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.
- D
Ensure that residents are free from significant medication errors.
Resident Rights6E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Inspection history
2025-09-09
30 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)
2024-07-16
7 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-04-17
8 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 25 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.
This home
4 h 25 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$43,817 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-10 | Fine | $43,817 |
| 2026-01-10 | Payment Denial · 17 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.4 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 96.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine19.6 pts worse | 76.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts better | 2.4% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 3.8% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 16.7% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts better | 13.6% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12 pts worse | 29.0% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts worse | 22.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.7% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse | 27.5% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 7.0% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1 pts better | 87.9% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 15.9% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.5 pts worse | 78.7% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 21.2% | 22.5% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sadler, Robert | 5% Or Greater Direct Ownership Interest · Individual | 15% | 2 facilities |
| Chase, Theodore | 5% Or Greater Direct Ownership Interest · Individual | 14% | 2 facilities |
| Chase, Byron | 5% Or Greater Direct Ownership Interest · Individual | 9% | 2 facilities |
| Halford, Steven | 5% Or Greater Direct Ownership Interest · Individual | 9% | 1 facilities |
| Ahmad, Farid | Adp Of The SNF · Individual | 0% | 2 facilities |
| Balousek, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bernstein, Gregory | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Chase, Byron | Adp Of The SNF · Individual | 0% | 2 facilities |
| Chase, Theodore | Adp Of The SNF · Individual | 0% | 2 facilities |
| Frank, Scott | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Frank, Scott | Adp Of The SNF · Individual | 0% | 3 facilities |
| Halford, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sadler, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems9F
- E
Meet requirements for the use of electrical equipment.
- D
Have power receptacles that are properly grounded.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Ensure proper usage of power strips and extension cords.
Egress6E
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services4E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Install properly constructed and protected linen or trash chutes.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness3F
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1D
- D
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
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Other homes nearby
-
Madison Health and Rehabilitation Center
Madison, WI · Champion Care
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 43 min
- Fines
- $289,198
-
Oakwood Village East Health And Rehab Center
Madison, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 43 min
- Fines
- $212,069
-
Capitol Lakes Health Center
Madison, WI · Pacific Retirement Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 6 h 13 min
- Fines
- $0