Graham Oaks Care Center

Certification

Medicare-certified.

Ratings

Inspection history (21)

Records from October 2022 to March 2026.

• March 25, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 26, 2026.

• November 8, 2025

  Tag F0844

  Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected November 9, 2025.

• October 10, 2025

  Tag F0689

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

  Severity J: isolated, immediate jeopardy. Corrected September 3, 2025.

• October 10, 2025

  Tag F0600

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

  Severity J: isolated, immediate jeopardy. Corrected September 3, 2025.

• May 23, 2025

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 9, 2025.

• January 22, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 23, 2025.

• January 22, 2025

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2025.

• October 18, 2024

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 25, 2024.

• December 7, 2023

  Tag F0697

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

  Severity G: isolated, actual harm. Corrected December 8, 2023.

• December 7, 2023

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.

• December 7, 2023

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.

• December 7, 2023

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.

• December 7, 2023

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.

• August 9, 2023

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 29, 2023.

• October 25, 2022

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

• October 25, 2022

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

• October 25, 2022

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

• October 25, 2022

  Tag F0758

  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 l….

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

• October 25, 2022

  Tag F0756

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

• October 25, 2022

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2022.

Penalties (2)

Total fines: $34,690

• October 10, 2025 · Fine

  CMS recorded a civil money penalty of $17,345 against this nursing home on October 10, 2025.

• October 10, 2025 · Fine

  CMS recorded a civil money penalty of $17,345 against this nursing home on October 10, 2025.

Staffing

3.35 nurse hours per resident per day in Q2 2026, up from 2.14 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit