Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225682

Oak Knoll Rehabilitation And Healthcare Center

45 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $211,819.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
27
Last 3 years
2
Actual harm+
1
Federal penalties
$211,819
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care13 Care Planning11 Resident Rights7 Infection Control5 Medication & Pharmacy3

Most common F-tags at this facility

F6563 F6983 F8803 F6892 F6462

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Jun 12, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Oct 30, 2024F880Provide and implement an infection prevention and control program.DStandard
Oct 30, 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
Oct 30, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Oct 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 30, 2024F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Oct 30, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Oct 30, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Oct 30, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Oct 30, 2024F578Honor 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.DStandard
Aug 28, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Aug 28, 2023F880Provide and implement an infection prevention and control program.EStandard
Aug 28, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 28, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard
Aug 28, 2023F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.DStandard
Aug 28, 2023F760Ensure that residents are free from significant medication errors.DStandard
Aug 28, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 28, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 28, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 28, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 28, 2023F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Aug 28, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 28, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 31, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 3, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 3, 2022F880Provide and implement an infection prevention and control program.DStandard
Jan 3, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jan 3, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jan 3, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 3, 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.DStandard
Jan 3, 2022F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jan 3, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 3, 2022F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jan 3, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 3, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 3, 2022F679Provide activities to meet all resident's needs.DStandard
Jan 3, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 3, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 3, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 3, 2022F625Notify 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.DStandard
Jan 3, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 3, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $211,819 .

DateTypeFinePayment denial
Jun 12, 2025Fine$211,819—
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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