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 26 to 50 of 91 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

  13. 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 July 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

  14. 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 May 16, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 16, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of May 16, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2025).

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.