All citations for Oakwood Care and Rehabilitation

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 Oakwood Care and Rehabilitation

Last standard health inspection on record

September 11, 2025

Showing 1 to 25 of 52 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  2. Harm to a resident

    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 G.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  3. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  4. Harm to a resident

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  5. Harm to a resident

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  6. Harm to a resident

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  7. 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 November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2022).

  8. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

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

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  10. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

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

    Establish an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2022).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2022).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2022).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2022).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2022).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    A waiver was granted (March 31, 2023).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    A waiver was granted (March 31, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    A waiver was granted (March 31, 2023).

  23. 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 17, 2022. Found during a standard inspection.

    A waiver was granted (March 31, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    A waiver was granted (March 31, 2023).

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

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

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.