OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER

5833 AMERICAN PARKWAY
MADISON, WI, 53718
6082304000
CCN: 525692
2
Overall
2
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
OAKWOOD LUTHERAN SENIOR MINISTRIES, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CHURCH, MARTHACORPORATE DIRECTORNOT APPLICABLE
WOLFF, SALLYCORPORATE DIRECTORNOT APPLICABLE
NICHOLSON, ROBERTCORPORATE DIRECTORNOT APPLICABLE
KUNZ, TOMCORPORATE DIRECTORNOT APPLICABLE
HAYDEN, KEVINCORPORATE DIRECTORNOT APPLICABLE
RAFFERTY, SUSANCORPORATE OFFICERNOT APPLICABLE
BARROS, MARYCORPORATE OFFICERNOT APPLICABLE
HAMILTON-CRAWFORD, JANICECORPORATE OFFICERNOT APPLICABLE
HUSOM, SUSANCORPORATE OFFICERNOT APPLICABLE
O'DONNELL, CHRISTINECORPORATE OFFICERNOT APPLICABLE
SCHAETZL, RONNIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SIDHU, SARFRAZOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NELSON, GOLDIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEFEL, KRISTINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUSOM, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAMILTON-CRAWFORD, JANICEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BARROS, MARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
O'DONNELL, CHRISTINEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RAEMISCH, SARAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RAFFERTY, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SACHTJEN, LAURAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (18)
2025-10-22 · Health
J
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-07-29 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
E
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2024-06-06 · Health
E
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F758 · Pharmacy Service Deficiencies
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
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-07-27 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.56
3.68
RN Hrs/Resident/Day
1.44
0.54
LPN Hrs/Resident/Day
0.59
0.81
CNA Hrs/Resident/Day
3.52
2.33
PT Hrs/Resident/Day
0.38
0.12
Data as of 2026-03-01