Oakland Manor
737 North Highway St. · Oakland, IA · 51560 · 7124826403
61 certified beds For profit - Limited Liability company Chain: Mgm Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Total nurse staffing below 3.0 hours per resident-day
2.68 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 1 · $15,593 |
Inspection citations (68 in the current record)
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Potential for harm · E April 22, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 22, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 22, 2026 · found via complaint
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.
Corrected May 14, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E January 8, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 8, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 8, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · E January 8, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · E January 8, 2026
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.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · E January 8, 2026
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Potential for harm · D January 8, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · E January 8, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 6, 2026 · Nursing and Physician Services
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Potential for harm · D November 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 5, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D October 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Actual harm · G July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
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Actual harm · G July 9, 2025 · found via complaint
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.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · E July 9, 2025 · found via complaint
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Corrected July 25, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 31, 2023 | Fine | $15,593 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165230 · certified since July 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.