Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson, Missouri · CCN 265680
18 surveys since 2011, 1 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 91
- Surveys
- 18
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 79
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- St. Louis
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 2
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 113 for-profit facilities of 66–99 beds in Missouri.
Last survey on record
Jul 24, 2026
108 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.04 | 3.32 |
| Registered-nurse hours per resident day | 0.29 | — |
| Annual nurse turnover | 41.1% | 60.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1852.9% | E1338.2% | F— |
| No harm, potential for minimal | A— | B— | C38.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F7002×
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
- F5671×
Honor the resident's right to manage his or her financial affairs.
In the surveyor’s words
From the most serious findings on record at Oak Knoll Skilled Nursing & Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF656May 24, 2024
37681 Based on interview and record review, the facility failed to ensure complete, accurate and individualized care plans to address the specific needs of residents for five of 18 sampled residents (Resident #2, #36, #34,#26 and #13). The census was 66. Review of the facility Care Plan Policy, dated 2001, revised [DATE], showed: -An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident; -Our facility's Care Planning/Interdisciplinary Team, in coordination with the resident, his/her family or representative (sponsor), develops and maintains a comprehensive care plan for each resident that identifies the highest level of functioning the resident may be… […]
- No harm, potential for more than minimal, patternF700May 24, 2024
37681 Based on observation, interview and record review, the facility failed to ensure bed rails were accurately assessed as a necessary device prior to installation and use for five of 18 sampled residents (Resident #62, #36, #26, #2 and #13). The facility also failed to document usage in the resident's care plan. The census was 66. Review of the facility's Proper Use of Side Rails policy, revised October 2010, showed: -The purpose of these guidelines are to ensure the safe use of side rails as resident mobility aids to and prohibit the use of side rails as restraints unless necessary to treat a resident's medical symptoms; -General Guidelines; -Side rails are only permissible if they are used to treat a resident's medical symptoms or to assist with mobility and transfer of residents;… […]
- No harm, potential for more than minimal, patternF727May 24, 2024
Based on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight consecutive hours per day, seven days a week. The facility maintained a census of greater than 60 residents, and this deficiency had the potential to affect all residents. The census was 66. Review of the facility's daily assignment sheets, dated 4/20/24 through 5/20/24, showed no RN was scheduled on 4/22, 4/24, 4/26, 4/29, 5/1, 5/3, 5/6, 5/8, 5/9, 5/15, 5/17, and 5/20. During an interview on 5/21/24 at 9:04 A.M., RN B said he/she worked part-time, every Tuesday, Thursday and some weekends. During an interview on 5/22/24 at 11:45 A.M., the Director of Nursing (DON) said there were three RNs in the facility, including herself. […]
- No harm, potential for more than minimal, patternF755May 24, 2024
Based on interview and record review, the facility failed to establish a system of records for all controlled drugs with sufficient detail to enable an accurate reconciliation for one of one controlled substance binders reviewed. This had the potential to affect all residents with controlled substance orders. The census was 66. Review of the facility's Controlled Substance Policy, dated December 2011, showed: -Policy Statement: The facility shall comply with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of Schedule II (drugs with a high abuse risk) and other controlled substances (a drug or other substance that is tightly controlled by the government because it may be abused or cause addiction); -The Director of Nursing (DON)… […]
- No harm, potential for more than minimal, patternF761May 24, 2024
Based on observation, interview and record review, the facility failed to ensure medications were stored in accordance with acceptable professional principles when staff walked away from the medication cart, leaving it unlocked. In addition, staff left the medication room unlocked. The census was 66. Review of the facility's Storage of Medications Policy, dated April 2007, showed: -The nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner; -Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals shall be locked when not in use, and trays or carts used to transport such items shall not be left unattended if open or otherwise potentially… […]
Read 21 findings in full →The most serious and the most recent: 21 of 91 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 24, 2026Complaint1 finding
- Jun 11, 2025Complaint1 finding
- May 28, 2025Complaint1 finding
- Apr 3, 2025Complaint1 finding
- May 24, 2024Standard9 findings
- Nov 15, 2023Complaint1 finding
- Nov 11, 2022Standard14 findings
- Sep 24, 2019Standard6 findings
Show the 10 earlier surveys
- Sep 25, 2018Standard14 findings
- Sep 4, 2018Complaint1 finding
- Sep 12, 2017Standard9 findings
- Aug 18, 2017Complaint1 finding
- Jul 8, 2016Standard6 findings
- Jul 10, 2015Standard5 findings
- Jul 22, 2014Standard3 findings
- Sep 9, 2013—2 findings
- Jul 31, 2012—4 findings
- Jul 28, 2011—12 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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