Oak Grove Manor

Inspection history (71)

Records from November 2022 to September 2025.

• December 27, 2023 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2023-12-27 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-27.GOV

• November 21, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-11-21 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-21.GOV

• November 21, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-11-21 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-21.GOV

• September 26, 2023 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2023-09-26 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-26.GOV

• August 1, 2023 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2023-08-01 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-01.GOV

• August 1, 2023 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2023-08-01 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-01.GOV

• November 15, 2022 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · E

  Citation F0623

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0623 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0773

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0773 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. The deficiency was recorded as corrected on 2023-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0660

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0660 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Plan the resident's discharge to meet the resident's goals and needs. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · E

  Citation F0756

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0756 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · E

  Citation F0759

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

• November 15, 2022 · F

  Citation F0761

  Federal surveyors cited this nursing home on 2022-11-15 under CMS tag F0761 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-15.GOV

Penalties (1)

Total fines on file: $15,593

• December 27, 2023 · Fine

  Citation FINE-78111

  CMS recorded a civil money penalty of $15,593 against this nursing home on 2023-12-27 (Fine ID: 78111). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-27.GOV

Staffing

Latest: 3.32 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Lionstone HZ Opco Holdings LLC

   parent · PAC 7214393198

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)