Three Oaks Health Services

Certification

Medicare-certified.

Ratings

Inspection history (20)

Records from November 2023 to March 2026.

• March 5, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.

• March 5, 2026

  Tag F0698

  Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.

• March 5, 2026

  Tag F0814

  Dispose of garbage and refuse properly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.

• December 17, 2025

  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 January 16, 2026.

• December 17, 2025

  Tag F0693

  Ensure 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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 16, 2026.

• March 11, 2025

  Tag F0552

  Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2025.

• March 11, 2025

  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 April 2, 2025.

• March 11, 2025

  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 April 2, 2025.

• March 11, 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 April 2, 2025.

• December 12, 2024

  Tag F0625

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 12, 2025.

• December 12, 2024

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 12, 2025.

• December 12, 2024

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 12, 2025.

• December 12, 2024

  Tag F0851

  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 12, 2025.

• December 12, 2024

  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 January 12, 2025.

• December 12, 2024

  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 January 12, 2025.

• December 12, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 12, 2025.

• December 12, 2024

  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 January 12, 2025.

• March 4, 2024

  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 February 19, 2024.

• November 1, 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 November 17, 2023.

• November 1, 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 November 17, 2023.

Penalties (2)

Total fines: $31,778

• March 11, 2025 · Fine

  CMS recorded a civil money penalty of $17,345 against this nursing home on March 11, 2025.

• March 4, 2024 · Fine

  CMS recorded a civil money penalty of $14,433 against this nursing home on March 4, 2024.

Staffing

3.75 nurse hours per resident per day in Q2 2026, up from 3.36 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit