Oak Grove Manor

Certification

Medicare-certified.

Ratings

Inspection history (71)

Records from November 2022 to September 2025.

• December 27, 2023

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2024.

• November 21, 2023

  Tag F0689

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 1, 2023.

• November 21, 2023

  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 December 1, 2023.

• September 26, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.

• August 1, 2023

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2023.

• August 1, 2023

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2023.

• November 15, 2022

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  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 March 7, 2023.

• November 15, 2022

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0695

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0773

  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2023.

• November 15, 2022

  Tag F0757

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0660

  Plan the resident's discharge to meet the resident's goals and needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 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 March 7, 2023.

• November 15, 2022

  Tag F0655

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0727

  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.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

• November 15, 2022

  Tag F0761

  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.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 7, 2023.

Penalties (1)

Total fines: $15,593

• December 27, 2023 · Fine

  CMS recorded a civil money penalty of $15,593 against this nursing home on December 27, 2023.

Staffing

3.16 nurse hours per resident per day in Q2 2026, down from 3.30 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Lionstone HZ Opco Holdings LLC