Tudor Oaks Health Center
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-06-16 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-23 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-01-05 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.86
state median 3.58
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.38
registered nurses only
Contract (agency) staff
14%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $180,810 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-16 | Fine | $180,810 |
| 2025-06-16 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Church related. Part of the AMERICAN BAPTIST HOMES OF THE MIDWEST chain.
Other facilities under the same ownership, with their CMS overall ratings:
- MOUNTAIN VISTA HEALTH CENTER (WHEAT RIDGE, CO) —
- HEALTH CENTER AT FRANKLIN PARK (DENVER, CO) —
- Elm Crest Retirement Community (Harlan, IA) —
- Thorne Crest Retirement Center (ALBERT LEA, MN) —
- Maple Crest Health Center (Omaha, NE) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-05 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-16 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-16 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-16 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-16 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-16 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2025-06-16 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-16 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-16 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-16 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-06-16 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-06-16 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-16 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-06-16 | F0849 | Administration Deficiencies | D | not recorded |
| 2025-06-16 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-04-23 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-26 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-26 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-05 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2023-01-05 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-01-05 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-01-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-05 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-01-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-05 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-05 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-05 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-01-05 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-01-05 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-01-05 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-01-05 | F0880 | Infection Control Deficiencies | E | not recorded |