Oak Hills Nursing Center

In the surveyor’s words

From the most serious findings on record at Oak Hills Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921Mar 4, 2026

  Based on observation and staff interview, the facility failed to maintain a building in good repair. This had the potential to affect all residents residing in the facility. The facility census was 63.Findings Include:During an environment tour on 03/03/26 from 8:02 A.M. to 8:22 A.M. revealed physical damage to resident rooms and the hallways throughout the facility. Damage included general dents and chipped paint on walls throughout the building in the hallways. Observation in the hallway outside of Resident #05's room revealed a hole in the wall near the floor behind a carpeted wall. Inside Resident #05's room revealed holes on both sides of the bathroom door. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observation, staff interview, review of the dishwashing machine temperature logs and review of the facility policy, the facility failed to maintain appropriate dishwasher temperatures to ensure clean and sanitary dishware. This had the potential to affect all 59 residents who received food from the kitchen. The facility census was 59. Findings include: Review of the low-temperature dishwashing machine logs from 03/01/25 through 06/03/25 revealed wash temperatures were not to be below 120 degrees Fahrenheit (F) and were to be checked once per shift. During the time period reviewed, wash temperatures were documented to be below 120 degrees F on 83 occasions. During an observation on 06/04/25 at approximately 1:35 P.M. […]

• No harm, potential for more than minimal, widespreadF814Jun 5, 2025

  Based on observation and staff interview, the facility failed to ensure garbage and refuse was disposed of properly. This had the potential to affect all 59 residents residing in the facility. The census was 59. Findings include: Observation on 06/02/25 at approximately 8:50 A.M. with Dietary Supervisor (DS) #471 revealed two exterior dumpsters with trash laying around the dumpsters. The trash included an empty cheese wrapper, disposable gloves, an aluminum can, disposable plastic lids, clear plastic bags, empty bread bags, an empty salad dressing bottle, crumbled aluminum foil, an empty nutritional shake bottle, empty sugar packets, empty Styrofoam cups, plastic eating utensils, and more than 50 cigarette butts on the ground. […]

• No harm, potential for more than minimal, widespreadF926Apr 5, 2025

  Based on observation, interview, and policy review, the facility failed to implement their resident smoking policy related to the outside smoking area. This had the potential to affect Residents #4, #8, #12, #13, #17, #21, #25, #27, #29, #30, #32, #34, #35, #36, #40, #41, #42, #46, #54, #56 and all facility residents. The facility census was 58. Findings Include: Observation of the outside smoking area on 04/05/25 at 1:30 P.M. with the Administrator revealed approximately 75 to 100 cigarette butts on the ground. Multiple piles of leaves were also noted on the ground with cigarette buts intertwined in the piles of leaves. Additionally six cigarette receptacles made of combustible plastic were observed in the area and were all approximately 75% or more full. […]

• No harm, potential for more than minimal, widespreadF880Aug 29, 2022

  Based on review of staff schedules, review of screening logs, review of nursing assignment sheets, staff interviews, facility policy review, and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure all staff were screened for COVID-19 exposure risk and signs/symptoms of COVID-19 prior to entering the facility. This had the potential to affect all 59 residents in the facility. The facility census was 59. Findings include: Review of the staff schedules and screening log, dated 08/05/22 through 08/11/22, on 08/25/22 from 1:45 P.M. to 2:15 P.M. […]