The Oaks
Winston-Salem, North Carolina · CCN 345284
20 surveys since 2011. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 126
- Surveys
- 20
- Harm or worse
- 3
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 131
- Ownership
- For profit - Corporation
- Chain
- LIBERTY SENIOR LIVING
- County
- Forsyth
- Medicare-certified since
- 1988
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.
Last survey on record
Aug 22, 2025
444 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 | 3.37 | 3.49 |
| Registered-nurse hours per resident day | 0.29 | — |
| Annual nurse turnover | 65.8% | 52.4% |
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 | D1250.0% | E520.8% | F416.7% |
| No harm, potential for minimal | A— | B312.5% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5652×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5531×
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F6231×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F6251×
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.
In the surveyor’s words
From the most serious findings on record at The Oaks, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF801Aug 22, 2025
Based on record review, observations and staff interviews, the facility dietary staff failed to demonstrate competency with monitoring the chemical sanitization level for the low temperature dish machine by not performing testing at least once per shift which could affect 111 of the 111 residents. The findings included: The program brochure for the low temperature dish machine was reviewed. It stated the minimum chemical sanitizer rinse requirements were 50 parts per million (ppm) of chlorine. An observation of the dish machine with Dietary Manager (DM) was conducted on 8/11/25 at 9:46 AM and the DM confirmed the chlorine level of the low temperature dish machine measured 0 ppm. […]
- No harm, potential for more than minimal, widespreadF812Aug 22, 2025
Based on observation and staff interviews, the facility failed to 1) to maintain the minimum chemical sanitization level of the low temperature dish machine according to the manufacturer's recommendations 2) clean the convection ovens, the fryer, the toaster, steamer, stove and plate warmer for 3 of 3 observations 3) allow cooking pans and dishes to completely dry prior to assemblage and stacking for two of two observations, 4) remove cracked and dirty plates prior to meal service for 1 of 1 observation and clean 2 of 3 meal carts. These practices had the potential to affect food served to residents. 1. […]
- No harm, potential for more than minimal, widespreadF814Aug 22, 2025
Based on observation and staff interviews, the facility failed to ensure debris was removed from behind the dumpsters for 3 of 3 dumpsters observed. This practice had the potential to attract pests and rodents. An observation of the dumpster area was conducted on 8/11/25 at 10:04 AM. Behind all 3 dumpsters, used debris items such as straws, cup lids, empty chip bags, and empty milk cartons were observed. An interview was conducted with the Maintenance Director on 8/11/25 at 10:07 AM. He stated that he normally picked up debris items in the parking lot, but the dietary department was responsible for the dumpster area. He stated he would grab a shovel and pick up the debris behind the dumpsters. […]
- No harm, potential for more than minimal, widespreadF851Aug 22, 2025
Based on record review and staff interviews, the facility failed to submit accurate payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) related to Registered Nurse (RN) hours. This was for 1 of 3 Federal Fiscal Year quarters reviewed for sufficient nurse staffing (Quarter 2: January 1-March 31, 2025).Findings included:The PBJ report for the Federal Fiscal Year Quarter 2 2025 (January 1 through March 31, 2024) revealed there were no Registered Nurse (RN) hours for 2/22/25, 2/23/25, 3/10/25, and 3/16/25. The nursing staff time detail reports for 2/22/25, 2/23/25, 3/10/25, and 3/16/25 revealed there was not a RN onsite for at least 8 hours a day. […]
- No harm, potential for more than minimal, widespreadF812Jul 8, 2022
Based on observations and staff interviews, the facility failed to discard expired open food items and failed to label and date opened food items in the main kitchen and in one nourishment refrigerator. The findings include: 1. A brief tour and observation of the kitchen on [DATE] at 10:12 AM with the Kitchen Manager revealed two opened packs of sliced cheese were found in the main kitchen refrigerator that had each been placed in a plastic zip bag. Neither bag was labeled or dated. 2. An observation of the dry storage area on [DATE] at 11:05 AM revealed the following expired items: a. thickened orange juice 4 oz containers exp [DATE]---31 count b. thickened orange juice 4oz containers exp [DATE]---27 count c. thickened orange juice 46 oz cartons exp [DATE]--18 count d. […]
Read 23 findings in full →The most serious and the most recent: 23 of 126 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 5, 2026Complaint1 finding
- Aug 22, 2025Standard11 findings
- Jul 24, 2024Standard and complaint5 findings
- Sep 15, 2023Standard8 findings
- Jul 8, 2022Standard and complaint13 findings
- Sep 24, 2021Complaint2 findings
- Jul 23, 2021Standard and complaint14 findings
- Jul 25, 2019Standard and complaint15 findings
Show the 12 earlier surveys
- Jun 8, 2018Standard and complaint14 findings
- Oct 19, 2017Complaint7 findings
- May 25, 2017Standard and complaint13 findings · 3 harm
- Jun 10, 2016Standard3 findings
- Dec 10, 2015Complaint1 finding
- Oct 23, 2014Standard and complaint2 findings
- Oct 31, 2013—3 findings
- Oct 31, 2012—2 findings
- Jul 17, 2012—1 finding
- Jun 21, 2012—3 findings
- Nov 2, 2011—5 findings
- Mar 31, 2011—3 findings
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.
- Jacob's Creek Nursing and Rehabilitation CenterMadison3 harm findings
- Willow Creek Nursing and Rehabilitation CenterGoldsboro3 harm findings
- Macgregor Downs Health Center by HarborviewGreenville1 harm finding
- Edgecombe Health Center by HarborviewTarboro5 harm findings
- Raleigh Rehabilitation CenterRaleigh5 harm findings
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