Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oakton Place Health And Rehabilitation At The Arli during CMS and state inspections, most recent first.
The facility failed to comply with safe food handling practices, as observed during a kitchen tour. Items such as a pan of gravy, oatmeal, and a bucket of potatoes and carrots were found unlabeled and uncovered in the refrigerator. Additionally, an opened Caesar salad dressing container was not labeled with the date it was opened. Staff acknowledged these items should have been labeled and covered according to facility policy.
The facility failed to maintain personal hygiene for four residents, including those with dementia and hemiplegia, who were unable to perform daily living activities independently. Observations revealed unkempt hair, dirty fingernails, and unshaven facial hair. Family members and caregivers reported inadequate staff assistance, with assumptions that they would provide care. Documentation showed inconsistencies in scheduled showers, and staff interviews highlighted confusion about shower versus bed bath procedures.
The facility failed to inform residents of their right to rescind the arbitration agreement within 30 days of signing. The agreements signed by three residents did not include this information, and the Administrator confirmed the omission during an interview.
A resident with a stage 4 pressure ulcer and deep tissue damage was not provided with prescribed offloading boots, despite physician orders and care plan instructions. The resident was observed multiple times without the boots, and the Treatment Administration Record inaccurately indicated compliance. A CNA was unaware of the requirement, and the LPN and DON confirmed the oversight.
Failure to Comply with Safe Food Handling Practices
Penalty
Summary
The facility failed to adhere to safe food handling practices as observed during a survey. During an initial tour of the kitchen, it was noted that a pan of gravy and a pan of oatmeal stored in the walk-in refrigerator were not labeled with the date of preparation. Additionally, a large, uncovered bucket of water containing peeled and diced potatoes and carrots was found without a date. Staff members, including the Dietitian, Kitchen Supervisor, and Sous Chef, acknowledged that these items should have been labeled with the preparation, cooked, or opened date, and the bucket should not have been stored uncovered. Further observations during a second kitchen tour revealed a large, opened Caesar salad dressing container in the walk-in refrigerator that was not labeled with the date it was opened. The Dietitian confirmed that the dressing had been opened and used the previous night and should have been labeled accordingly. The facility's policy requires that all refrigerated foods be labeled, dated, and monitored to ensure they are used by their use-by date, frozen, or discarded, which was not followed in these instances.
Failure to Maintain Personal Hygiene for Residents
Penalty
Summary
The facility failed to provide necessary care and services to maintain personal hygiene for four residents who were unable to perform activities of daily living independently. Resident #20, diagnosed with dementia and severely impaired cognitive skills, was observed with unkempt hair and dirty fingernails. Her spouse reported that staff were reluctant to assist due to her combative behavior, and he felt compelled to provide most of her care, including feeding and requesting staff assistance. Documentation showed inconsistencies in her scheduled showers, with only bed baths recorded on certain dates. Resident #21, with severe cognitive impairment and hemiplegia, was observed with unshaven facial hair and dry lips, indicating neglect in personal hygiene. A CNA admitted to not having time to shave him due to being off duty and workload constraints. Similarly, Resident #25, who required assistance due to a COVID infection and hemiplegia, was found with dirty fingernails and facial hair growth. His spouse and private caregiver reported that staff assumed they would provide all care, leading to neglect in toileting and bathing, with only one shower documented over several weeks. Resident #35, also in isolation due to COVID, required assistance with showers but was observed with dirty fingernails and no documented showers except one. Family members expressed concerns about the lack of observed bathing. Interviews with staff revealed confusion about shower versus bed bath procedures, with some CNAs incorrectly assuming that residents needing two-person transfers or lifts should only receive bed baths. The Director of Nursing was unaware of this practice and emphasized that resident preferences for showers should be followed, as documented in care plans.
Failure to Inform Residents of Right to Rescind Arbitration Agreement
Penalty
Summary
The facility failed to ensure that the binding arbitration agreement explicitly informed residents of their right to rescind the agreement within 30 calendar days of signing it. This deficiency was identified during a review of clinical records and staff interviews, which revealed that three residents had signed arbitration agreements that did not clearly state their right to withdraw from the agreement within the specified time frame. The agreements were signed on different dates by the residents, but none of them included the necessary information about the right to rescind. The arbitration agreement contained clauses that bound all parties to the agreement and outlined the authority of the arbitrator in resolving disputes. However, it did not explicitly mention the residents' right to rescind the agreement within 30 days. During an interview, the Administrator confirmed that the arbitration agreement form used by the facility did not clearly explain this right to the residents. This form was the one currently signed by residents upon admission to the facility.
Failure to Implement Pressure Ulcer Prevention Measures
Penalty
Summary
The facility failed to implement measures to prevent the development and/or worsening of a pressure ulcer for a resident with a stage 4 pressure ulcer in the sacral region and deep tissue damage on the right heel. The resident, who had moderately impaired cognition, was observed multiple times without the prescribed offloading boots, which were intended to redistribute pressure and prevent further skin damage. Despite physician orders and care plan instructions specifying that the boots should be worn at all times except when ambulating or transferring, the resident was seen wearing slip-on loafers instead. The Treatment Administration Record inaccurately indicated that the resident was wearing the offloading boots, as nurses had signed off on this care measure without it being implemented. A CNA, on her first day caring for the resident, was unaware of the requirement for the boots and could not find them in the resident's room. The LPN and DON both verified the oversight, acknowledging that the resident was not wearing the boots as ordered, which contributed to the deficiency in care.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Naples
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Solaris Healthcare Lely Palms | 1.5 mi | ★★★★★ | 0 | 0 |
| Gardens At Terracina Health & Rehabilitation | 3.4 mi | ★★★★★ | 0 | 0 |
| Woodside Health And Rehabilitation Center | 4 mi | ★★★★★ | 5 | 0 |
| Naples Health And Rehabilitation Center | 8.5 mi | ★★★★★ | 14 | 3 |
| Chateau At Moorings Park, The | 9.4 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.