Oakwood Healthcare Center Complaints, Violations and Inspection Records

July 2, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

April 21, 2026, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift, ensure food and drink is palatable, attractive, and at a safe and appetizing temperature, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)

April 2, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

March 26, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)

March 12, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)

February 20, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

• F0584Honor 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. (scope and severity E)

January 14, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training and establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

• F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. (scope and severity E)
• F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (scope and severity E)

December 16, 2025, complaint inspection

3 deficiencies cited. Surveyors cited the facility for honor the resident's right to be treated with respect and dignity and to retain and use personal possessions, protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, and ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

December 1, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

November 6, 2025, complaint inspection

3 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and keep all essential equipment working safely.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)

August 22, 2025, standard inspection

8 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, honor the resident's right to organize and participate in resident/family groups in the facility, and ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
• F0565Honor the resident's right to organize and participate in resident/family groups in the facility. (scope and severity E)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)

• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity D)

July 2, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

May 14, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

May 1, 2025, complaint inspection

5 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (scope and severity D)

February 20, 2025, standard inspection

10 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program, provide care and assistance to perform activities of daily living for any resident who is unable, and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0758Implement 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. (scope and severity D)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

• F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)

February 12, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

February 10, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

January 15, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

January 8, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

July 22, 2024, complaint inspection

5 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, administer the facility in a manner that enables it to use its resources effectively and efficiently, and keep all essential equipment working safely.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity E)
• F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently. (scope and severity E)
• F0908Keep all essential equipment working safely. (scope and severity E)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

May 28, 2024, standard inspection

26 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, provide appropriate pressure ulcer care and prevent new ulcers from developing, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity L)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently. (scope and severity F)
• F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (scope and severity F)
• F0865Have a plan that describes the process for conducting QAPI and QAA activities. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0565Honor the resident's right to organize and participate in resident/family groups in the facility. (scope and severity E)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity E)

• F0584Honor 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. (scope and severity E)
• F0679Provide activities to meet all resident's needs. (scope and severity E)
• F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
• F0908Keep all essential equipment working safely. (scope and severity E)
• F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (scope and severity D)
• F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
• F0624Prepare residents for a safe transfer or discharge from the nursing home. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0758Implement 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. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity D)
• F0814Dispose of garbage and refuse properly. (scope and severity D)

May 20, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.

• F0610Respond appropriately to all alleged violations. (scope and severity D)

May 7, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for honor the resident's right to be treated with respect and dignity and to retain and use personal possessions and ensure each resident receives an accurate assessment.

• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)

April 23, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

March 19, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)

February 5, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide safe and appropriate respiratory care for a resident when needed.

• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)

January 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide timely, quality laboratory services/tests to meet the needs of residents.

• F0770Provide timely, quality laboratory services/tests to meet the needs of residents. (scope and severity D)

November 30, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide safe, appropriate dialysis care/services for a resident who requires such services.

• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity E)

October 19, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)

September 28, 2023, complaint inspection

4 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, honor the resident's right to be treated with respect and dignity and to retain and use personal possessions, and provide care by qualified persons according to each resident's written plan of care.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity G)
• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
• F0659Provide care by qualified persons according to each resident's written plan of care. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

September 20, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

• F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. (scope and severity D)

August 31, 2023, complaint inspection

3 deficiencies cited. Surveyors cited the facility for ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being, ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
• F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)

August 10, 2023, complaint inspection

4 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, ensure food and drink is palatable, attractive, and at a safe and appetizing temperature, and ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity D)
• F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)

August 8, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for honor the resident's right to be treated with respect and dignity and to retain and use personal possessions and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity E)

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)