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Public Record

Oakwood Village East Health and Rehab Center

Nursing HomeMadison, WICMS 525692
41 citations on record

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
40

*CMS

Avg. residents per day
33.1

*CMS

Inspection record

On record from CMS

Citations on record
41

*CMS

Inspections on file
7

*CMS

Last inspection
2025-10-22

*CMS

Citations

41 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0686Seriousimmediate jeopardy

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0600Generalpotential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0883Generalpotential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0578Generalpotential for harm

    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.

  • 0006Generalpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0013Generalpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0223Generalpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0346Generalpotential for harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0912Generalpotential for harm

    Have power receptacles that are properly grounded.

  • 0541Generalpotential for harm

    Install properly constructed and protected linen or trash chutes.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0554Generalpotential for harm

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0758Generalpotential for harm

    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.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0006Generalpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0132Generalpotential for harm

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

  • 0331Generalpotential for harm

    Construct fire resistant interior walls.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0531Generalpotential for harm

    Have elevators that firefighters can control in the event of a fire.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0341Generalno actual harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Oakwood Village East Health and Rehab Center?
Oakwood Village East Health and Rehab Center is a Medicare- and Medicaid-certified nursing home in Madison, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525692.
What is the CMS rating for Oakwood Village East Health and Rehab Center?
Oakwood Village East Health and Rehab Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Oakwood Village East Health and Rehab Center have?
Oakwood Village East Health and Rehab Center is certified for 40 beds. It serves an average of 33.1 residents per day.
How many citations does Oakwood Village East Health and Rehab Center have?
Oakwood Village East Health and Rehab Center has 41 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Oakwood Village East Health and Rehab Center last inspected?
Oakwood Village East Health and Rehab Center was last inspected on October 22, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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