Federal inspection record · CMS data as of October 1, 2026
Tudor Oaks Health Center
S77 W12929 Mcshane Dr, Muskego, WI · (414) 529-0100
- Cited for abuse (CMS abuse icon)
- Certified beds
- 50
- Residents per day
- 42
- Ownership
- Non-Profit
- Chain
- American Baptist Homes Of The Midwest
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1977
1
How this home got 2 stars
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.
-
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.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Wisconsin homes
Tudor Oaks Health Center carries 122.5 inspection points. That is fewer than 21% 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
34 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 (3)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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
Quality of Life and Care8D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service4E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights3E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
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.
Resident Assessment and Care Planning3E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1D
- D
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.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-06-16
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-03-06
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2023-01-05
15 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 16 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 16 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 86% 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
$117,527 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-16 | Fine | $117,527 |
| 2025-06-16 | Payment Denial · 62 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts better | 96.4% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts worse | 7.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.0% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better | 12.9% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts worse | 24.4% | 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 worsened7.1 pts worse | 24.1% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased18 pts worse | 33.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 2.4% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.9% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.8 pts worse | 34.4% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 5.2% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 89.6% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 14.7% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts worse | 74.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts better | 15.4% | 22.5% | 23.4% |
·
Who owns and runs it
20 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 |
|---|---|---|---|
| Allen, Ryan | Corporate Director · Individual | 0% | 6 facilities |
| Blatnik, Andrea | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Blatnik, Andrea | Corporate Officer · Individual | 0% | 6 facilities |
| Davidson, Roger | Corporate Director · Individual | 0% | 6 facilities |
| Ford, Ashley | Corporate Director · Individual | 0% | 7 facilities |
| Hanson, Phillip | Corporate Director · Individual | 0% | 8 facilities |
| Johnson, Dorothy | Corporate Director · Individual | 0% | 6 facilities |
| Johnson, James | Corporate Director · Individual | 0% | 8 facilities |
| Johnson, Lars | Corporate Officer · Individual | 0% | 5 facilities |
| Killian, George | Corporate Director · Individual | 0% | 6 facilities |
| Kim, Steven | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Kotz, Christina | W-2 Managing Employee · Individual | 0% | 4 facilities |
| Mcdonald, Anilisa | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Neiman, Ruth | Corporate Director · Individual | 0% | 6 facilities |
| Peters, Marshall | Corporate Director · Individual | 0% | 6 facilities |
| Van Der Beek, Bruce | Corporate Director · Individual | 0% | 6 facilities |
| Vanostram, Steven | Corporate Director · Individual | 0% | 6 facilities |
| Vaughn-Gray, Stephanie | Corporate Director · Individual | 0% | 6 facilities |
| Wagoner Ford, Anne | Corporate Director · Individual | 0% | 6 facilities |
| Whitaker, Bruce | Corporate Director · Individual | 0% | 6 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- E
Meet requirements for the use of electrical equipment.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use of electrical equipment.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- F
Ensure proper usage of power strips and extension cords.
Smoke8F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness4F
- F
Provide emergency officials' contact information.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
- F
Develop Emergency Preparedness policies and procedures.
Miscellaneous3F
- C
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Construction2F
- F
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
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Muskego Health and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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-
Complete Care at Hales Corners
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- Nursing / resident / day
- 4 h 39 min
- Fines
- $17,934
-
Lindengrove New Berlin
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