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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tudor Oaks is a 33-bed nursing home in Muskego, Wisconsin, operated by American Baptist Homes of the Midwest, a nonprofit organization operating since 1930. Situated on a 110-acre campus about three miles from the city center, the facility coordinates skilled nursing, memory care, and rehabilitation services. On-site features include a wellness center, a warm-water pool, a bistro, a theater, and a greenhouse, with daily operations supported by 24-hour nursing teams. The property accepts Medicare, Medicaid, and private pay, recording an average resident stay of 112 days and a 69% occupancy rate in an area with a Walk Score of 3.
Federal files from the Centers for Medicare & Medicaid Services (CMS) assign the facility a two-star overall rating, which includes two stars for health inspections and daily staffing, alongside a three-star rating for quality measures. Nursing care times average 4 hours and 21 minutes per resident daily, with weekend staffing levels tracking 10% above the Wisconsin baseline. Compliance logs since 2023 record eight separate health inspections resulting in 37 total citations and a single $5,000 federal fine, with zero critical citations on file.
Regulatory notes primarily involved quality of life (32%), abuse and neglect protocols (24%), and pharmacy services (11%). Clinical data reveals mixed outcomes: residents recorded higher rates of functional decline, incontinence, and major injuries from falls compared to state averages, but the home achieved a zero percent resident depression rate and high vaccination numbers, including 100% for pneumococcal and 97.4% for influenza.
Interested individuals researching local skilled nursing options can use these multi-year government profiles to weigh the provider’s care patterns. While the public tracking data points to a small historical fine and below-average federal health ratings, it also highlights solid daily staffing hours and positive scores for resident depression and vaccination rates. Setting up an on-site visit is a logical next step to observe the physical layout of the campus, see the nursing staff at work, and talk with the administration about how they address specific quality clinical measures.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 76th out of 172 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 7m per day | ▲ 10% State avg: 3h 44m per day · National avg: 3h 25m per day |
Similar to the Wisconsin average: 70%Tudor Oaks is administrated by American Baptist Homes Of The Midwest.
Wisconsin average 6
Last Health inspection on Aug 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 37 citations resulted from standard inspections; 10 of 37 resulted from complaint investigations; and 3 of 37 came from combined inspections (standard and complaint).
100% better than Wisconsin averageWisconsin average: 0.9
150% worse than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
104% more staff per resident than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
24 total: 5 full-time employees and 19 contractors.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
47 total: 8 full-time employees and 39 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
111 total: 51 full-time employees and 60 contractors.
111
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,185 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 60 | 111 | 13,766 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 8 | 39 | 47 | 4,184 | 92 | 100% | 7.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,758 | 92 | 100% | 7.4 |
| Registered Nurse | 5 | 19 | 24 | 1,610 | 91 | 99% | 6.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,006 | 85 | 92% | 6.5 |
| Dietitian | 2 | 0 | 2 | 928 | 65 | 71% | 7.8 |
| Clinical Nurse Specialist | 2 | 3 | 5 | 795 | 61 | 66% | 8.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 0 | 1 | 1 | 464 | 58 | 63% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 456 | 63 | 68% | 5.2 |
| Dental Services Staff | 1 | 0 | 1 | 424 | 54 | 59% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 416 | 63 | 68% | 6.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 303 | 52 | 57% | 5.6 |
| Qualified Social Worker | 0 | 1 | 1 | 183 | 44 | 48% | 4.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 102 | 62 | 67% | 1.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 87 | 26 | 28% | 3 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 7 | 8% | 2.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
95% lower than Wisconsin averageWisconsin average: $95K
52% fewer fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin averageWisconsin average: 0.7
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
6% worse than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
25% worse than Wisconsin averageWisconsin average: 22.1
Percent of long-stay residents whose need for help with daily activities has increased
29.6%
68% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
13.3%
42% better than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
40.4%
55% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
41% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.1%
12% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
3.0%
5% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
2.0%
59% better than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
12.3%
23% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Wisconsin averageWisconsin average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
In line with Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
12% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.6%
5% better than Wisconsin averageWisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Tudor Oaks based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #21 / 177Payroll — State benchmarkedThis home is ranked 21st out of 177 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
3.1 miles from city center
Estimated distance in miles from Muskego's city center to Tudor Oaks's address, calculated via Google Maps.
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Tudor Oaks is located in S77 W12929 MCSHANE DR, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Tudor Oaks |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | S77 W12929 Mcshane Dr | - | 33
Facility
33
WI AVG
61
Rank
#390 / 496 | A+ |
3
Facility
3
WI AVG
42
Rank
#540 / 580 | - |
| Muskego Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Muskego (Lake Forest) | - | 49
Facility
49
WI AVG
61
Rank
#292 / 496 | - |
53
Facility
53
WI AVG
42
Rank
#201 / 580 | - |
Tudor Oaks has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Tudor Oaks's occupancy is 69%.
American Baptist Homes Of The Midwest is the administrator of Tudor Oaks.
Tudor Oaks has 33 beds.
Tudor Oaks is located at S77 W12929 MCSHANE DR.
(414) 529-0100 will put you in contact with the team at Tudor Oaks.
Tudor Oaks is in Waukesha County.
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