Senior Home Review
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Nursing homeFAID #13056

Tudor Oaks Health Center

S77 W12929 MCSHANE DR, MUSKEGO, WI, 53150
(414) 529-0100
50 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
50
State license
0014205
CMS facility ID
525279
Care type
Nursing home
Facility name
Tudor Oaks Health Center
Street address
S77 W12929 MCSHANE DR
City / state / ZIP
Muskego, WI 53150
Phone
(414) 529-0100
State license #
0014205

Tudor Oaks Health Center is a Medicare/Medicaid-certified skilled nursing facility in Muskego, Wisconsin. It is licensed for 50 beds — below the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 12 senior care facilities in Muskego and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tudor Oaks Health Center 65 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $180,810 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
American Baptist Homes of the Midwest
Parent company
American Baptist Homes of the Midwest
Ownership type
Non profit - Church related
Administrator
Anilisa Mcdonald

Registered owners & officers

Allen, Ryan
Director — since 2014
Blatnik, Andrea
Managing employee · Officer — since 2014
Davidson, Roger
Director — since 2019
Ford, Ashley
Director — since 2019
Hanson, Phillip
Director — since 2014
Johnson, Dorothy
Director — since 2021
Johnson, James
Director — since 2019
Johnson, Lars
Officer — since 2023
Killian, George
Director — since 2019
Kim, Steven
Managing employee — since 2024
Kotz, Christina
Managing employee — since 2019
Mcdonald, Anilisa
Managing employee — since 2019
Neiman, Ruth
Director — since 2021
Peters, Marshall
Director — since 2014
Van Der Beek, Bruce
Director — since 2021
Vanostram, Steven
Director — since 2014
Vaughn-gray, Stephanie
Director — since 2019
Wagoner Ford, Anne
Director — since 2019
Whitaker, Bruce
Director — since 2014

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1977-01-01
CMS overall rating
2 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$180,810 total
Last standard inspection
2025-06-16
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$1,042 per day (≈ $31,680/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
33% Medicaid · 6% Medicare · 61% private/other
Occupancy
69% (fiscal year 2024)
Vs. state median
156% above the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
50
Licensed as
RCAC
Medicare
Accepted
Medicaid
Accepted
Reported monthly rate range
$3,791 – $9,673
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-05Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-11
2025-08-06Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-21
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-21
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-08-21
9 earlier / fire-safety inspections (61 citations)
2025-06-16Health inspectionComplaint-triggered14 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-10
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-19
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-19
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-06-19
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-16
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-16
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-07-16
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-21
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-07-10
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-16
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-16
F-0849
D · No harm found
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 2025-07-16
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
2025-04-23Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-25
2024-06-05Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-10
2024-01-10Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
2023-09-26Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-29
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-09-29
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-29
2023-01-05Health inspection13 citations
F-0585
E · No harm found
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 2023-02-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-21
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-02-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-21
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-21
F-0690
D · No harm found
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 2023-02-21
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-21
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-02-21
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-02-21
F-0758
E · No harm found
Implement 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.
Corrected 2023-02-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-02-21
2025-06-16Fire-safety inspection8 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-07-14
E-0009
F · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2025-07-16
E-0031
F · No harm found
Provide emergency officials' contact information.
Corrected 2025-07-10
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-13
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-08-13
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-17
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-07-10
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2025-08-20
2024-03-06Fire-safety inspection11 citations
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2024-04-05
K-0132
F · No harm found
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2024-04-16
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-05
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-16
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-05
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-05
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2024-04-05
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-04-05
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-16
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-04-05
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-05
2023-01-05Fire-safety inspection9 citations
K-0131
E · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-01-31
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-01-27
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-01-27
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-01-27
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-01-27
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-01-27
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-26
K-0919
F · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-01-25
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-31

Federal penalties

2025-06-16Fine$180,810
2025-06-16Medicare payment denial — 62 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525279.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered