Oak Park Nursing and Rehab Center
718 Jupiter Drive · Madison, WI · 53718 · 6086638600
100 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $67,410 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$67,410 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.23 | 0.55–0.75 |
| Weekend hours / resident-day | 4.06 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $67,410 |
Inspection citations (42 in the current record)
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Potential for harm · D February 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 27, 2026 · Pharmacy Service
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Immediate jeopardy · L January 10, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Immediate jeopardy · L January 10, 2026 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected February 9, 2026 · Infection Control
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Potential for harm · D January 10, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 6, 2025 · Quality of Life and Care
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Actual harm · G September 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D September 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · E September 9, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · D September 9, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · D September 9, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 9, 2025
Respond appropriately to all alleged violations.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 9, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · E September 9, 2025
Ensure each resident receives an accurate assessment.
Corrected October 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D September 9, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 6, 2025 · Pharmacy Service
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Potential for harm · D September 9, 2025
Ensure that residents are free from significant medication errors.
Corrected October 6, 2025 · Pharmacy Service
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Potential for harm · D September 9, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 6, 2025 · Pharmacy Service
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Potential for harm · E September 9, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 6, 2025 · Nutrition and Dietary
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Potential for harm · D September 9, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected October 6, 2025 · Nutrition and Dietary
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Potential for harm · F September 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 6, 2025 · Nutrition and Dietary
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Potential for harm · F September 9, 2025
Provide and implement an infection prevention and control program.
Corrected October 6, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 10, 2026 | Fine | $67,410 |
| January 10, 2026 | Payment Denial | 17 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525266 · certified since September 2, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.