With a score of 60 out of 100, Hebron Oaks earns a C grade — placing it near the middle of Wisconsin nursing facilities. Families should review the detailed metrics below when considering this Madison location.
Staffing levels at Hebron Oaks exceed national averages, with 6.02 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 2.19 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 10 deficiencies at Hebron Oaks, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 6.02 | 3.8 | Above Average |
| Registered Nurses (RN) | 2.19 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.04 | 2.4 | Above Average |
| Weekend Total Nursing | 5.55 | 3.8 | Above Average |
| Weekend RN Hours | 1.79 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 7, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 7, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jan 7, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Jul 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.0% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 14.3% | 14.5% | Average |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 24.0% | 14.0% | Worse |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 42.2% | 45.0% | Average |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $22,925
How This Grade Was Calculated
This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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