OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER
5833 AMERICAN PARKWAY
MADISON, WI, 53718
6082304000
CCN: 525692
2
Overall2
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| CHURCH, MARTHA | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOLFF, SALLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| NICHOLSON, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| KUNZ, TOM | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAYDEN, KEVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAFFERTY, SUSAN | CORPORATE OFFICER | NOT APPLICABLE |
| BARROS, MARY | CORPORATE OFFICER | NOT APPLICABLE |
| HAMILTON-CRAWFORD, JANICE | CORPORATE OFFICER | NOT APPLICABLE |
| HUSOM, SUSAN | CORPORATE OFFICER | NOT APPLICABLE |
| O'DONNELL, CHRISTINE | CORPORATE OFFICER | NOT APPLICABLE |
| SCHAETZL, RONNIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NELSON, GOLDIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEFEL, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUSOM, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAMILTON-CRAWFORD, JANICE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BARROS, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| O'DONNELL, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RAEMISCH, SARAH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RAFFERTY, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SACHTJEN, LAURA | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
5.56
RN Hrs/Resident/Day0.54
1.44
LPN Hrs/Resident/Day0.81
0.59
CNA Hrs/Resident/Day2.33
3.52
PT Hrs/Resident/Day0.12
0.38
Data as of 2026-03-01