Facility profile · CCN 215232
Oakland Nursing & Rehabilitation Center
56 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $16,559.
Record summary
Federal record · Q1 202656
Total citations
32
Last 3 years
2
Actual harm+
2
Federal penalties
$16,559
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
56 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 12, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Aug 1, 2025 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Aug 1, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Aug 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 1, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 1, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 7, 2023 | F727 | Have 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. | F | Complaint |
| Jun 7, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Jun 7, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jun 7, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 7, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jun 7, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jun 7, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 7, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jun 7, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 7, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jun 7, 2023 | F761 | 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. | D | Standard |
| Jun 7, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jun 7, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jun 7, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jun 7, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Jun 7, 2023 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Jun 7, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 7, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 7, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 7, 2023 | F625 | 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. | D | Standard |
| Jun 7, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jun 7, 2023 | F584 | Honor 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. | D | Standard |
| Jun 7, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jun 7, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jun 7, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Mar 15, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Mar 15, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 15, 2019 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Mar 15, 2019 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Mar 15, 2019 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard |
| Mar 15, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 15, 2019 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | B | Standard |
| Mar 15, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Standard |
| Mar 15, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 15, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 15, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 15, 2019 | F625 | 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. | B | Standard |
| Mar 15, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Mar 15, 2019 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Mar 15, 2019 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Mar 15, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Oct 19, 2017 | F514 | Keep accurate, complete and organized clinical records on each resident that meet professional standards. | D | Standard |
| Oct 19, 2017 | F456 | Keep all essential equipment working safely. | E | Standard |
| Oct 19, 2017 | F431 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | D | Standard |
| Oct 19, 2017 | F386 | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | E | Standard |
| Oct 19, 2017 | F371 | Store, cook, and serve food in a safe and clean way. | E | Standard |
| Oct 19, 2017 | F254 | Provide clean bed and bath linens that are in good condition. | E | Standard |
| Oct 19, 2017 | F246 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 19, 2017 | F241 | Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $16,559 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 1, 2025 | Fine | $8,278 | — |
| Aug 1, 2025 | Fine | $8,281 | — |
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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