Facility profile · CCN 525684
Three Oaks Health Services
20 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $41,118.
Record summary
Federal record · Q1 202620
Total citations
17
Last 3 years
2
Actual harm+
2
Federal penalties
$41,118
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
20 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 17, 2025 | F693 | Ensure 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. | D | Complaint |
| Dec 17, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Mar 11, 2025 | F758 | Implement 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. | D | Complaint |
| Mar 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 11, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| Dec 12, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 12, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Dec 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 12, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Dec 12, 2024 | 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. | E | Standard |
| Dec 12, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Dec 12, 2024 | 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 |
| Mar 4, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Nov 1, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 14, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 14, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 14, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $41,118 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 11, 2025 | Fine | $26,685 | — |
| Mar 4, 2024 | Fine | $14,433 | — |
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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