All citations for The Oaks at Byron 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 The Oaks at Byron Center

Last standard health inspection on record

December 3, 2025

Showing 1 to 18 of 18 citations

  1. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  2. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  8. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  9. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  10. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

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

    Have restrictions on the use of portable space heaters.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  15. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  17. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  18. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 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.