All citations for Blue Oak Post-Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Blue Oak Post-Acute

Last standard health inspection on record

November 25, 2025

Showing 26 to 50 of 102 citations

  1. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  2. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  3. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  4. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  6. No harm, with potential for more than minimal harm

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0850, Administration Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  7. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  8. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  10. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  11. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  12. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  13. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  14. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0865, Administration Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  16. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  17. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  18. No harm, with potential for more than minimal harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  19. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  20. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  21. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  22. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

  23. No harm, with potential for more than minimal harm

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of July 29, 2026. Found during a complaint inspection.

    No plan of correction on record.

  24. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of July 29, 2026. Found during a complaint inspection.

    No plan of correction on record.

  25. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 13, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.