01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-17 | 5 | 2025-07-17 | 11 |
| Cycle 2 | 2024-05-23 | 2 | 2024-05-23 | 12 |
| Cycle 3 | 2023-03-09 | 3 | 2023-03-09 | 4 |
CMS CCN 5253752026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Hebron Oaks
510 Genomic Drive · Madison, WI 53719 · Dane County
Certified beds70CMS provider file
Recent citation rows37current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-08 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-02-02 · complaint2026-01-08 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-02-02 · complaint2026-01-08 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-02-02 · complaint2025-07-17 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-08-062025-07-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-302025-07-17 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-07-282025-07-17 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-172025-07-17 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-08-172025-07-17 · FIREK0346Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2025-08-082025-07-17 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-17 · under IDR/IIDR2025-07-17 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-08-17 · under IDR/IIDR2025-07-17 · FIREK0531Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has date of correction · 2025-08-072025-07-17 · FIREK0541Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2025-08-172025-07-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-07-292025-07-17 · FIREK0912Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-08-172025-07-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-08-172025-02-18 · HEALTHF0686Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-04-01 · complaint2025-02-18 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint2024-05-23 · FIREE0029Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop a communication plan.
Correction field: Deficient, Provider has date of correction · 2024-06-202024-05-23 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-06-182024-05-23 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-07-212024-05-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-06-132024-05-23 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-05-23 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-08-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-18 | Fine | $14,901 | 0 |
| 2025-02-18 | Payment Denial | $0 | 17 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- OAKWOOD LUTHERAN SENIOR MINISTRIES, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/1966
- HAYDEN, KEVINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2023
- ROSSMILLER, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2019
- VERCAUTEREN, THOMASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2024
- HAYDEN, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- METZ, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- ROSSMILLER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2019
- VERCAUTEREN, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2024
- BARROS, MARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/30/2024
- HAMILTON-CRAWFORD, JANICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/31/2023
- HUSOM, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2024
- O'DONNELL, CHRISTINEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/09/2023
- RAFFERTY, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/12/2013
- BARROS, MARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/30/2024
- DONOVAN, AMBERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/17/2024
- HAMILTON-CRAWFORD, JANICEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/31/2023
- HUSOM, SUSANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2024
- JACOBSON, ERICIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/31/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.91per resident day
RN hours2.30per resident day
Weekend nurse hours5.44per resident day
Staff turnover46.2%CMS reported field
06 / LOCAL RECORDS
Open the Madison ledger →Other published facilities nearby
Capitol Lakes Health Center49 beds · CMS overall 4/541 citation rowsComplete Care At Maple Grove Llc184 beds · CMS overall 1/5118 citation rowsMadison Health And Rehabilitation Center83 beds · CMS overall 1/584 citation rowsOak Park Nursing And Rehab Center100 beds · CMS overall 1/576 citation rowsOakwood Village East Health And Rehab Center40 beds · CMS overall 3/539 citation rowsOak Park Place Of Nakoma33 beds · CMS overall 3/557 citation rows