Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055201

Oak Grove Post Acute

122 federal citations on record , and 5 federal enforcement actions totaling $83,719.

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Record summary

Federal record · Q1 2026
122
Total citations
91
Last 3 years
2
Actual harm+
5
Federal penalties
$83,719
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care39 Resident Rights18 Medication & Pharmacy13 Abuse & Neglect12 Care Planning11

Most common F-tags at this facility

F68912 F6007 F8807 F6566 F5505

Citation history

122 on record
SurveyF-TagViolationSeveritySource
Jan 16, 2026F814Dispose of garbage and refuse properly.FComplaint
Jan 16, 2026F761Ensure 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.DComplaint
Dec 12, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Dec 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 2, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Nov 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 26, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Nov 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 21, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint
Aug 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 15, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Aug 15, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Aug 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 16, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jun 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
May 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Apr 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Feb 13, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Jan 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 6, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Dec 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Dec 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 12, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Dec 12, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Dec 12, 2024F887Educate 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.EStandard
Dec 12, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 12, 2024F880Provide and implement an infection prevention and control program.EStandard
Dec 12, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Dec 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 12, 2024F761Ensure 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.EStandard
Dec 12, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 12, 2024F758Implement 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.DStandard
Dec 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 12, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Dec 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 12, 2024F692Provide enough food/fluids to maintain a resident's health.EStandard
Dec 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 12, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 12, 2024F585Honor 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.EStandard
Dec 12, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Dec 12, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Dec 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 2, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 23, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 14, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint
Jul 21, 2024F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Jul 21, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 2, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint
Jun 10, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Jan 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 28, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 19, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Dec 19, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DComplaint
Dec 19, 2023F880Provide and implement an infection prevention and control program.DComplaint
Nov 18, 2023F908Keep all essential equipment working safely.DComplaint
Nov 16, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Nov 15, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 15, 2023F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Sep 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 25, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Sep 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 22, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.EComplaint
Aug 22, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Aug 9, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 2, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Aug 2, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DComplaint
Aug 1, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Jul 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 17, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Jul 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 11, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jul 11, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jul 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jun 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 11, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Mar 6, 2023F880Provide and implement an infection prevention and control program.DComplaint
Dec 9, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Dec 9, 2022F881Implement a program that monitors antibiotic use.FStandard
Dec 9, 2022F880Provide and implement an infection prevention and control program.FStandard
Dec 9, 2022F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.CStandard
Dec 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 9, 2022F761Ensure 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.DStandard
Dec 9, 2022F758Implement 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.EStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $83,719 .

DateTypeFinePayment denial
Feb 20, 2024Fine$4,938—
Feb 12, 2024Fine$7,527—
Jan 22, 2024Fine$19,107—
Dec 26, 2023Fine$8,711—
Jun 28, 2023Fine$43,436—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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