Oak Park Place of Nakoma
4327 Nakoma Rd. · Madison, WI · 53711 · 6086404100
33 certified beds For profit - Limited Liability company Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 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
74% 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: 4 of 5
| Total nurse hours / resident-day | 5.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.40 | 0.55–0.75 |
| Weekend hours / resident-day | 5.01 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · E January 22, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · F January 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · F January 22, 2026
Dispose of garbage and refuse properly.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · F January 22, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected February 16, 2026 · Administration
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Potential for harm · D January 22, 2026
Provide and implement an infection prevention and control program.
Corrected February 16, 2026 · Infection Control
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No harm found · C January 22, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 16, 2026 · Resident Rights
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Potential for harm · D January 8, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 21, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 15, 2025 · Pharmacy Service
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Potential for harm · D September 18, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 30, 2024 · Resident Rights
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Potential for harm · D September 18, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected October 30, 2024 · Resident Rights
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Potential for harm · D September 18, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 30, 2024 · Quality of Life and Care
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Potential for harm · D September 18, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 30, 2024 · Pharmacy Service
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Potential for harm · E September 18, 2024
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 30, 2024 · Pharmacy Service
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Potential for harm · F September 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 30, 2024 · Nutrition and Dietary
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Potential for harm · D September 18, 2024
Provide and implement an infection prevention and control program.
Corrected October 30, 2024 · Infection Control
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Potential for harm · D September 18, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 30, 2024 · Infection Control
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Potential for harm · D September 18, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected October 30, 2024 · Infection Control
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Potential for harm · D July 20, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 20, 2023 · Quality of Life and Care
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Potential for harm · F July 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 20, 2023 · Nutrition and Dietary
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 525729 · certified since June 5, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.