Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055656

Oakwood Healthcare Center

120 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $76,946.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
120
Total citations
115
Last 3 years
5
Actual harm+
4
Federal penalties
$76,946
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning17 Nutrition & Dietary16 Resident Rights14 Medication & Pharmacy11

Most common F-tags at this facility

F6899 F6005 F6565 F9085 F8125

Citation history

120 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.EComplaint
Jan 14, 2026F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EComplaint
Dec 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 16, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Dec 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 6, 2025F908Keep all essential equipment working safely.DComplaint
Nov 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2025F880Provide and implement an infection prevention and control program.EStandard
Aug 22, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Aug 22, 2025F761Ensure 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
Aug 22, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Aug 22, 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.DStandard
Aug 22, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Aug 22, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Aug 22, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 14, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 1, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DComplaint
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 20, 2025F908Keep all essential equipment working safely.DStandard
Feb 20, 2025F880Provide and implement an infection prevention and control program.EStandard
Feb 20, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Feb 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Feb 20, 2025F761Ensure 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
Feb 20, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 20, 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
Feb 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 10, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 15, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 8, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 22, 2024F908Keep all essential equipment working safely.EComplaint
Jul 22, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Jul 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
May 28, 2024F908Keep all essential equipment working safely.EStandard
May 28, 2024F880Provide and implement an infection prevention and control program.FStandard
May 28, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
May 28, 2024F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard
May 28, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
May 28, 2024F814Dispose of garbage and refuse properly.DStandard
May 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 28, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 28, 2024F801Employ 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
May 28, 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.DStandard
May 28, 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
May 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 28, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
May 28, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
May 28, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 28, 2024F693Ensure 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.DStandard
May 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LStandard
May 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 28, 2024F679Provide activities to meet all resident's needs.EStandard
May 28, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 28, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
May 28, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 28, 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.DStandard
May 28, 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 28, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
May 28, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
May 20, 2024F610Respond appropriately to all alleged violations.DComplaint
May 7, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 7, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Apr 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 3, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Nov 30, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Oct 19, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Oct 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Sep 28, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 28, 2023F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
Sep 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 28, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Sep 20, 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.DComplaint
Aug 31, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Aug 31, 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.DComplaint
Aug 31, 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.DComplaint
Aug 10, 2023F908Keep all essential equipment working safely.DComplaint
Aug 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Aug 10, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Aug 10, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Aug 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 8, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Jul 10, 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
Jun 27, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Jun 26, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 26, 2023F758Implement 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.DComplaint
Jun 26, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Jun 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 26, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $76,946 and 1 payment-denial actions spanning 125 days.

DateTypeFinePayment denial
Nov 6, 2025Fine$17,529—
Mar 19, 2024Fine$44,207—
Mar 19, 2024Payment Denial—Apr 13, 2024 · 125 days
Sep 20, 2023Fine$15,210—
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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