Oakwood Gardens Care Center

Inspection history (28)

Records from March 2020 to January 2026.

• January 9, 2026 · D

  Citation F0573

  Federal surveyors cited this nursing home on 2026-01-09 under CMS tag F0573 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Let each resident or the resident's legal representative access or purchase copies of all the resident's records. The deficiency was recorded as corrected on 2026-01-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-09.GOV

• January 9, 2026 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2026-01-09 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 2026-01-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-09.GOV

• April 22, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-04-22 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 2025-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-22.GOV

• April 2, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-04-02 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 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOV

• April 2, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOV

• March 17, 2025 · E

  Citation F0609

  Federal surveyors cited this nursing home on 2025-03-17 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-17.GOV

• January 30, 2025 · B

  Citation F0911

  Federal surveyors cited this nursing home on 2025-01-30 under CMS tag F0911 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. The deficiency was recorded as corrected on 2025-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-30.GOV

• January 30, 2025 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2025-01-30 under CMS tag F0759 (CMS scope/severity D: isolated, 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 2025-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-30.GOV

• July 8, 2024 · D

  Citation F0620

  Federal surveyors cited this nursing home on 2024-07-08 under CMS tag F0620 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. The deficiency was recorded as corrected on 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-08.GOV

• February 17, 2023 · F

  Citation F0761

  Federal surveyors cited this nursing home on 2023-02-17 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 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · E

  Citation F0759

  Federal surveyors cited this nursing home on 2023-02-17 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 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-02-17 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 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · D

  Citation F0692

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · D

  Citation F0836

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0836 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · E

  Citation F0552

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0552 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2023-02-17 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 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · E

  Citation F0801

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · D

  Citation F0911

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0911 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. The deficiency was recorded as corrected on 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

• February 17, 2023 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2023-02-17 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2023-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-17.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.01 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Pacs Holdings, LLC

   parent · PAC 6103289202

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 - Corporation".

   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 - Corporation".

   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)