01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-16 | 18 | 2025-06-16 | 8 |
| Cycle 2 | 2024-03-06 | 1 | 2024-03-06 | 11 |
| Cycle 3 | 2023-01-05 | 18 | 2023-01-05 | 9 |
CMS CCN 5252792026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tudor Oaks Health Center
S77 W12929 Mcshane Dr · Muskego, WI 53150 · Waukesha County
Certified beds50CMS provider file
Recent citation rows65current 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
65 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-05 · 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 · 2025-12-11 · complaint2025-08-06 · 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 · 2025-08-21 · complaint2025-08-06 · 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 · 2025-08-21 · complaint2025-08-06 · 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 · 2025-08-21 · complaint2025-06-16 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-07-142025-06-16 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-06-16 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-16 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-16 · 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 · 2025-06-19 · complaint2025-06-16 · 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 · 2025-06-19 · complaint2025-06-16 · 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 · 2025-06-19 · complaint2025-06-16 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-07-032025-06-16 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-06-16 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
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 · 2025-07-162025-06-16 · HEALTHF0687Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-06-16 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-212025-06-16 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-16 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-06-16 · 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 · 2025-07-162025-06-16 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-06-16 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-16 · FIREK0321Severity F · widespread; 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 · 2025-08-132025-06-16 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-132025-06-16 · 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 · 2025-09-1703 / 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 |
|---|---|---|---|
| 2025-06-16 | Fine | $180,810 | 0 |
| 2025-06-16 | Payment Denial | $0 | 62 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KIM, STEVENIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2024
- BLATNIK, ANDREAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2021
- KOTZ, CHRISTINAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2019
- MCDONALD, ANILISAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/04/2019
- ALLEN, RYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- DAVIDSON, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- FORD, ASHLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- HANSON, PHILLIPIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- JOHNSON, DOROTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- JOHNSON, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- KILLIAN, GEORGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- NEIMAN, RUTHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- PETERS, MARSHALLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- VAN DER BEEK, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- VANOSTRAM, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- VAUGHN-GRAY, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- WAGONER FORD, ANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2019
- WHITAKER, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
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 hours4.34per resident day
RN hours0.66per resident day
Weekend nurse hours3.93per resident day
Staff turnover56.4%CMS reported field
06 / LOCAL RECORDS
Open the Muskego ledger →