Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 165171

Silver Oak Nursing And Rehabilitation Center Llc

73 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $29,107.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
73
Total citations
61
Last 3 years
3
Actual harm+
4
Federal penalties
$29,107
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights14 Care Planning9 Nursing & Physician Services7 Nutrition & Dietary5

Most common F-tags at this facility

F6848 F6586 F5505 F6895 F6773

Citation history

73 on record
SurveyF-TagViolationSeveritySource
Oct 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 15, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Sep 15, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 9, 2025F880Provide and implement an infection prevention and control program.FComplaint
Apr 9, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Apr 9, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 9, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 9, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 9, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Apr 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Apr 9, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Apr 9, 2025F887Educate 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
Apr 9, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 9, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 9, 2025F803Ensure 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.DStandard
Apr 9, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Apr 9, 2025F728Ensure 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.DStandard
Apr 9, 2025F625Notify 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.BStandard
Apr 9, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Apr 9, 2025F578Honor 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
Feb 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 5, 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.DComplaint
Feb 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 25, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EComplaint
Nov 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 21, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 22, 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.DComplaint
Feb 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Feb 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 22, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Feb 22, 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.DStandard
Feb 22, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Feb 22, 2024F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FStandard
Feb 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 22, 2024F760Ensure that residents are free from significant medication errors.DStandard
Feb 22, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Feb 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Oct 5, 2023F761Ensure 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.EComplaint
Oct 5, 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
Oct 5, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Oct 5, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 5, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 5, 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.EComplaint
Jun 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jun 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 8, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jun 8, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jun 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 15, 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 15, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 15, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 15, 2022F693Ensure 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
Dec 15, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 15, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 15, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 15, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard
Dec 15, 2022F578Honor 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.EStandard
Dec 15, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 15, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $29,107 and 2 payment-denial actions spanning 26 days.

DateTypeFinePayment denial
Feb 22, 2024Fine$16,068—
Feb 22, 2024Payment Denial—Mar 22, 2024 · 24 days
Oct 5, 2023Fine$13,039—
Oct 5, 2023Payment Denial—Nov 3, 2023 · 2 days
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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