Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395564

Oak Ridge Rehabilitation & Healthcare Center

70 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $113,058.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
70
Total citations
70
Last 3 years
4
Actual harm+
4
Federal penalties
$113,058
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care16 Nutrition & Dietary11 Abuse & Neglect10 Resident Rights9 Care Planning7

Most common F-tags at this facility

F7444 F6004 F8124 F6073 F6893

Citation history

70 on record
SurveyF-TagViolationSeveritySource
Sep 24, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 12, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Apr 25, 2025F760Ensure that residents are free from significant medication errors.DStandard
Apr 25, 2025F758Implement 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
Apr 25, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 25, 2025F637Assess the resident when there is a significant change in conditionDStandard
Apr 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 10, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EComplaint
May 10, 2024F926Have policies on smoking.DStandard
May 10, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
May 10, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
May 10, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
May 10, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 10, 2024F838Conduct 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.EStandard
May 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 10, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
May 10, 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
May 10, 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.EStandard
May 10, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EStandard
May 10, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 10, 2024F610Respond appropriately to all alleged violations.DStandard
May 10, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
May 10, 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
May 10, 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.EStandard
May 10, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 27, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Feb 27, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EComplaint
Feb 27, 2024F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Feb 27, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 27, 2024F574The resident has the right to receive notices in a format and a language he or she understands.EComplaint
Jan 25, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Jan 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Jan 25, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jan 25, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GComplaint
Jan 25, 2024F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint
Jan 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 15, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Dec 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 15, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Dec 15, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 15, 2023F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Dec 15, 2023F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EStandard
Dec 15, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Dec 15, 2023F791Provide or obtain dental services for each resident.DStandard
Dec 15, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Dec 15, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 15, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 15, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 15, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 15, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Dec 15, 2023F585Honor 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.DStandard
Sep 20, 2023F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Sep 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 7, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.KComplaint
Aug 7, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Aug 7, 2023F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.FComplaint
Jul 19, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 19, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 11, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
May 11, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
May 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
May 11, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $113,058 and 1 payment-denial actions spanning 27 days.

DateTypeFinePayment denial
Dec 15, 2023Fine$96,203—
Dec 15, 2023Payment Denial—Mar 15, 2024 · 27 days
Sep 20, 2023Fine$7,940—
May 11, 2023Fine$8,915—
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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