All citations for Oak Grove Center

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 Oak Grove Center

Last standard health inspection on record

June 4, 2026

Showing 1 to 25 of 59 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

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

  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 June 4, 2026. Found during a standard inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  7. 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 March 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  10. 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 March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  12. 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 March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  16. 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 March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  17. 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 May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  19. 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 May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2024).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

    Health citation F-0941, Administration Deficiencies. Inspection of May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Provide training in compliance and ethics.

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

    Health citation F-0946, Administration Deficiencies. Inspection of May 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  23. 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 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

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.