All citations for Oak Grove Manor

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 Manor

Last standard health inspection on record

July 1, 2025

Showing 1 to 25 of 40 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  4. 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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

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

    Have 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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

  7. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

  8. 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 November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

  9. 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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

  13. 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 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  22. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  23. 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 November 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 26, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

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.