Oakland Nursing & Rehabilitation Center
706 East Alder Street · Oakland, MD · 21550 · 3013342319
100 certified beds For profit - Limited Liability company Chain: Fundamental Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $16,559 |
Inspection citations (72 in the current record)
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Potential for harm · D December 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D December 12, 2025
Ensure each resident receives an accurate assessment.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide activities to meet all resident's needs.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
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 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
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 February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected February 4, 2026 · Nursing and Physician Services
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Potential for harm · F December 12, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 4, 2026 · Nursing and Physician Services
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Potential for harm · F December 12, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 4, 2026 · Nursing and Physician Services
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Potential for harm · D December 12, 2025
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 February 4, 2026 · Pharmacy Service
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Potential for harm · D December 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 12, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 4, 2026 · Administration
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Potential for harm · F December 12, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 1, 2026 · Environmental
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Potential for harm · E December 12, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected February 4, 2026 · Nursing and Physician Services
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Potential for harm · D December 12, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 4, 2026 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $8,278 |
| August 1, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215232 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.