Oakridge Gardens Nur Ctr, Inc
Menasha, Wisconsin · CCN 525463
19 surveys since 2011, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 81
- Surveys
- 19
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 106
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Winnebago
- Medicare-certified since
- 1990
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 39 for-profit facilities of 100–127 beds in Wisconsin.
Last survey on record
May 14, 2025
544 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.46 | 3.64 |
| Registered-nurse hours per resident day | 0.90 | — |
| Annual nurse turnover | 50.9% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1466.7% | E314.3% | F29.5% |
| No harm, potential for minimal | A— | B14.8% | C14.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6102×
Respond appropriately to all alleged violations.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6231×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
In the surveyor’s words
From the most serious findings on record at Oakridge Gardens Nur Ctr, Inc, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF801May 14, 2025
Based on staff interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who was a certified dietary manager, a certified food service manager, had a national certification for food service management and safety from a national certifying body, or who had an associates or higher level degree in food service management or hospitality. This practice had the potential to affect all 66 residents residing in the facility. Dietary Manager (DM)-F was not enrolled in an approved Dietary Manager training course. Findings include: On 5/12/25 at 8:34 AM, Surveyor interviewed [NAME] (CK)-E who indicated Dietary Manager (DM)-F oversaw the kitchen but was on vacation. […]
- No harm, potential for more than minimal, widespreadF812Apr 3, 2024
Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect 73 of 73 residents residing in the facility. Staff did not date items with open dates and received dates. Staff did not ensure food was stored in a sanitary manner. Staff did not wash hands when moving from dirty to clean activities. Staff did not wait two minutes to take microwave reheated food temperatures to ensure food was heated evenly. […]
- No harm, potential for more than minimal, widespreadF812Jan 12, 2022
Based on observation, staff interview, and record review the facility did not ensure food was prepared and served under sanitary conditions. The practices had the potential to affect all 26 residents at the facility. Dietary Manager (DM)-D did not test quaternary sanitizer per manufacturer instructions. DM-D cross-contaminated sweet potato fries and parmesan cheese. DM-D did not wash hands when changing gloves between tasks. Findings include: On 1/10/22 at 9:06 AM, DM-D indicated the facility utilized the Food and Drug Administration (FDA) Food Code as the kitchen's standard of practice. SANITIZER TESTING Quaternary sanitizer solution test strip manufacturer package insert documented solution must be between 65 degrees Fahrenheit (F) and 75 degrees F for testing of Parts Per Million (PPM). […]
- No harm, potential for more than minimal, patternF761May 14, 2025
Based on observation, staff interview, and record review, the facility did not ensure medications for 3 residents (R) (R270, R62, and R57) in 3 of 6 medication carts were labeled and/or dated appropriately and that expired medical supplies were removed from storage. In addition, the facility did not ensure expired supplies were removed from storage in 2 of 4 medication storage areas. This practice had the potential to affect more than 4 of the 66 residents residing in the facility. Medication carts contained open, unlabeled and undated inhalers, eye drops, and nasal sprays and expired medical supplies. […]
- No harm, potential for more than minimal, patternF812May 14, 2025
Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect more than 4 of the 66 residents residing in the facility. The facility did not ensure food was dated/stored in a manner to ensure food safety. Findings include: Food Labeling/Storage: The facility's Food Receiving and Storage policy, dated 4/4/25, indicates: Food shall be received and stored in a manner that complies with safe food handling practices .Dry Storage: .4. Dry foods that are stored in bins and removed from the original packaging, labeled, and dated (use-by date) .Refrigerated/Frozen Storage: 1. […]
Read 23 findings in full →The most serious and the most recent: 23 of 81 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 12, 2026Standard2 findings
- May 14, 2025Standard8 findings
- Feb 7, 2025Complaint1 finding
- Apr 3, 2024Standard6 findings
- Aug 29, 2023Complaint1 finding
- Apr 18, 2023Complaint2 findings
- Feb 8, 2023Standard5 findings
- Jan 12, 2022Standard2 findings
Show the 11 earlier surveys
- Mar 11, 2020Standard2 findings
- Apr 25, 2019Standard8 findings
- Mar 1, 2018Standard2 findings
- Jan 23, 2017Standard3 findings
- Dec 15, 2015Standard9 findings · 1 harm
- Sep 29, 2014Standard7 findings · 2 harm
- Aug 22, 2013—1 finding
- Jul 11, 2012—12 findings
- Feb 27, 2012—3 findings
- Oct 25, 2011—1 finding
- Jul 20, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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