Oak Park Place Nakoma

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 16, 2026

• Dispose of garbage and refuse properly.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 16, 2026

• Create arrangements with other facilities to receive patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 16, 2026

• Conduct risk assessment and an All-Hazards approach.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Have power receptacles that are properly grounded.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2026

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 16, 2026

• Have simulated fire drills held at unexpected times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2026

• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 20, 2026

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity C of L: potential for minimal harm, widespreadCorrected Feb 16, 2026

• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2026

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2026

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2026

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 15, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 15, 2025

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 15, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 30, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 30, 2024

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2024

• Have power receptacles that are properly grounded.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2024

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Install properly constructed and protected linen or trash chutes.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 20, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2023

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2023

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2023

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2023

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2023

• Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2023

• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2023

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2023

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity C of L: potential for minimal harm, widespreadCorrected Aug 20, 2023

Oak Park Place Nakoma offers Assisted Living, Independent Living, Memory Care, Respite / Short-Term Care and Skilled Nursing / Long Term Care.

Yes. Oak Park Place Nakoma lists respite and short-term care among its options. A respite stay gives a family caregiver a planned break while your loved one receives full care, and it also works as a low-commitment trial before a permanent move.

Oak Park Place Nakoma is located at 4327 Nakoma Rd in Madison, Wisconsin.

Reviewers describe a mix of experiences at Oak Park Place Nakoma: many families praise the rehab therapy team, food quality, and individual staff members who go above and beyond, while several others report serious lapses in basic care, especially for skilled nursing and memory care residents. Complaints center on high staff turnover, understaffing, and slow response to call lights or hygiene needs, with a few reviewers describing this as neglect. Overall satisfaction appears to vary significantly depending on the unit and time of stay.

Oak Park Place Nakoma had 7 government inspection visits in the last three years, with 57 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Oak Park Place Nakoma and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.