Oak Park Place of Janesville
700 Myrtle Way · Janesville, WI · 53545 · 6085305700
35 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.11 | 0.55–0.75 |
| Weekend hours / resident-day | 3.70 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
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 February 5, 2026 · Resident Rights
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Potential for harm · E June 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · E June 3, 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 June 19, 2025 · Resident Rights
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Potential for harm · D June 3, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · D June 3, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D June 3, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D June 3, 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 June 19, 2025 · Pharmacy Service
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Potential for harm · F June 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 19, 2025 · Nutrition and Dietary
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Potential for harm · D June 3, 2025
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.
Corrected June 19, 2025 · Administration
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Potential for harm · D June 3, 2025
Provide and implement an infection prevention and control program.
Corrected June 19, 2025 · Infection Control
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Potential for harm · E April 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 4, 2025 · Quality of Life and Care
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Potential for harm · D January 11, 2025 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected February 4, 2025 · Resident Rights
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Potential for harm · D January 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 4, 2025 · Quality of Life and Care
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Potential for harm · D January 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 4, 2025 · Quality of Life and Care
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Potential for harm · F January 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 4, 2025 · Nursing and Physician Services
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Potential for harm · D January 11, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 4, 2025 · Pharmacy Service
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Potential for harm · D January 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 15, 2024 · Resident Rights
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Potential for harm · D May 21, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected June 15, 2024 · Resident Rights
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Potential for harm · E May 21, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 15, 2024 · Quality of Life and Care
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Potential for harm · E May 21, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected June 15, 2024 · Quality of Life and Care
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Potential for harm · D May 21, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 15, 2024 · Quality of Life and Care
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Potential for harm · D May 21, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 15, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525728 · certified since January 16, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.