Oak Ridge Care Center
1400 8th Ave · Union Grove, WI · 53182 · 2628782788
74 certified beds For profit - Individual
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $27,600 in fines in the last 24 months.
- 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
1 immediate-jeopardy citation 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 4.04 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $56,466 |
Inspection citations (17 in the current record)
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Immediate jeopardy · J October 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 24, 2025 · Quality of Life and Care
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Potential for harm · D October 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 24, 2025 · Infection Control
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Potential for harm · F October 28, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 24, 2025 · Nursing and Physician Services
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Actual harm · G May 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Provide and implement an infection prevention and control program.
Corrected June 1, 2025 · Infection Control
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Potential for harm · D May 7, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 4, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 28, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected July 16, 2024 · Quality of Life and Care
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Immediate jeopardy · J June 28, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 18, 2024 · Pharmacy Service
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Potential for harm · D June 28, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 28, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 16, 2024 · Pharmacy Service
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Potential for harm · D April 1, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 29, 2024 · Quality of Life and Care
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Potential for harm · D January 31, 2024
Provide and implement an infection prevention and control program.
Corrected February 19, 2024 · Infection Control
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Potential for harm · D January 31, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 19, 2024 · Quality of Life and Care
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No harm found · C January 31, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 19, 2024 · Resident Rights
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No harm found · C January 31, 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 February 19, 2024 · Resident Rights
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Potential for harm · D November 3, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected November 30, 2022 · Quality of Life and Care
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Potential for harm · D November 3, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 30, 2022 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 7, 2025 | Fine | $27,600 |
| June 28, 2024 | Fine | $14,433 |
| June 28, 2024 | Fine | $14,433 |
| June 28, 2024 | Payment Denial | 3 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 525542 · certified since September 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.