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Tudor Oaks Health Center

S77 W12929 Mcshane Dr, Muskego, WI 53150 · 4145290100 · 50 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5

Ownership group

Per CMS filings, this facility is affiliated with American Baptist Homes of the Midwest, a group operating 6 facilities in 5 states. Group record: average rating 2.3/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $273,201 in federal fines. This facility rates below its group average (2.3/5).

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Staffing (hours per resident per day)

Total nurse staffing: 4.34 (Wisconsin median: 4.06). RN hours: 0.66. Weekend total: 3.93. Nursing staff turnover: 56%.

Inspection deficiencies

All-time on record: 37 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-12-05Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-12-11
2025-08-06Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-08-21
2025-08-06Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-08-21
2025-08-06Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-08-21
2025-06-16Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. GHealthcorrected 2025-08-21
2025-06-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-07-16
2025-06-16Provide and implement an infection prevention and control program. FHealthcorrected 2025-07-10
2025-06-16Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. EHealthcorrected 2025-07-03
2025-06-16Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2025-07-10
2025-06-16Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-06-19
2025-06-16Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-06-19
2025-06-16Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-06-19
2025-06-16Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2025-07-16
2025-06-16Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2025-07-16
2025-06-16Provide appropriate foot care. DHealthcorrected 2025-07-16
2025-06-16Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2025-07-16
2025-06-16Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. DHealthcorrected 2025-07-16
2025-06-16Post nurse staffing information every day. CHealthcorrected 2025-07-10
2025-04-23Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2025-04-25
2024-06-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-06-10
2024-01-10Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-02-09
2023-09-26Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2023-09-29
2023-09-26Respond appropriately to all alleged violations. Dcomplaintcorrected 2023-09-29
2023-09-26Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2023-09-29
2023-01-05Provide appropriate pressure ulcer care and prevent new ulcers from developing. GHealthcorrected 2023-03-03
2023-01-05Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-02-21
2023-01-05Honor 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. EHealthcorrected 2023-02-21
2023-01-05Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2023-02-21
2023-01-05Implement 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. EHealthcorrected 2023-02-21
2023-01-05Provide and implement an infection prevention and control program. EHealthcorrected 2023-02-21
2023-01-05Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-02-21
2023-01-05Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2023-02-21
2023-01-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2023-02-21
2023-01-05Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2023-02-21
2023-01-05Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2023-02-21
2023-01-05Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2023-02-21
2023-01-05Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2023-02-21

Federal penalties

DateTypeAmount
2025-06-16Fine$180,810
2025-06-16Payment Denial62 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
ALLEN, RYANCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
DAVIDSON, ROGERCorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
FORD, ASHLEYCorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
HANSON, PHILLIPCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
JOHNSON, DOROTHYCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2021
JOHNSON, JAMESCorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
KILLIAN, GEORGECorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
NEIMAN, RUTHCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2021
PETERS, MARSHALLCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
VAN DER BEEK, BRUCECorporate DirectorIndividualNOT APPLICABLEsince 01/01/2021
VANOSTRAM, STEVENCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
VAUGHN-GRAY, STEPHANIECorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
WAGONER FORD, ANNECorporate DirectorIndividualNOT APPLICABLEsince 08/01/2019
WHITAKER, BRUCECorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
BLATNIK, ANDREACorporate OfficerIndividualNOT APPLICABLEsince 01/01/2014
JOHNSON, LARSCorporate OfficerIndividualNOT APPLICABLEsince 06/05/2023

Compare nearby (Waukesha County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525279. Corrections: data@carerecords.org.