Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oakmont Manor during CMS and state inspections, most recent first.
Dietary staff were observed handling clean serving bowls by touching the inside surfaces with bare hands during meal service, contrary to safe food handling practices. Staff and management interviews confirmed that this was not the expected procedure and could result in cross-contamination, potentially affecting all residents.
A dietary aide repeatedly coughed into her elbow over residents' lunch trays without stepping away or performing hand hygiene, contrary to facility policy. Staff interviews confirmed that proper infection control procedures, including hand washing and removal from the tray line if coughing persisted, were not followed, resulting in a breakdown of the infection prevention and control program.
Staff failed to document the time a tube feeding was hung for a resident with diabetes, cachexia, and moderate cognitive impairment, and did not consistently follow manufacturer and facility guidelines regarding hang time and spiking procedures. Interviews revealed inconsistent practices and understanding among staff, leading to a deficiency in preventing possible complications of enteral feeding.
The facility did not provide all required items on the prescribed puree diet menus for two residents, omitting key components such as vegetable, bread, and dessert items during meal service. Staff interviews revealed inconsistent understanding of menu requirements, and leadership acknowledged missed items and lack of oversight.
Improper Handling of Dishware During Meal Service
Penalty
Summary
Dietary staff failed to serve food in a sanitary manner during lunch service, as observed on two separate occasions. Staff members, including the cook and a dietary aide, were seen handling acrylic serving bowls by touching the inside or underside of the bowls with their bare hands while preparing trays for residents. This practice was observed during the lunch tray line, where fingers made contact with surfaces that would later come into contact with food, contrary to professional standards and safe food handling guidelines. Interviews with the Dietary Manager, staff involved, the DON, and the Administrator confirmed that the expected practice was to avoid touching the inside of dishware to prevent cross-contamination. All interviewed parties acknowledged that bare hand contact with the inside of bowls or plates was not appropriate and could lead to contamination. The deficiency had the potential to affect all 84 current residents, as the improper handling of dishware was observed during meal service.
Failure to Follow Infection Control Protocol During Tray Line Service
Penalty
Summary
A deficiency was identified when a dietary aide was observed coughing multiple times over residents' lunch trays on the D Unit tray line without stepping back, sanitizing, or washing her hands. Although the aide coughed into her elbow as trained, she did not follow the facility's hand hygiene policy, which requires hand washing after coughing. This practice had the potential to affect all residents on the D Unit, which had a census of 20 at the time. The aide later reported she had allergies and had been trained to cough into her elbow, but did not mention any additional hand hygiene measures following the coughs. Interviews with facility staff, including the dietary manager, infection preventionist, DON, and administrator, confirmed that the expected protocol was for staff to step away from the tray line, sanitize or wash hands after coughing, and, if coughing persisted, to be removed from the tray line or wear a mask. The facility's policies on personal hygiene and hand washing were not followed during the incident, resulting in a failure to maintain an effective infection prevention and control program as required.
Failure to Document and Adhere to Tube Feeding Protocols
Penalty
Summary
Facility staff failed to provide appropriate care and documentation for a resident receiving enteral tube feeding, resulting in a deficiency related to the prevention of possible complications such as diarrhea, vomiting, and dehydration. Observations revealed that the tube feeding was hung and spiked at the bedside, with the tubing primed, but the time the tube feeding was hung was not documented on the label as required. The facility's policy and manufacturer guidelines indicated that tube feeding formula should not hang for more than 24 hours after being spiked, and that the system should be changed accordingly to prevent contamination. The resident involved had diagnoses including diabetes mellitus type 2, cachexia, and depression, and was assessed to have moderate cognitive impairment. Physician's orders specified that enteral nutrition was to be administered via pump for 10 hours nightly. Despite these orders, staff interviews revealed inconsistent practices and understanding regarding when tube feeding should be hung, how long it could remain in place, and the importance of documenting the hang time. Some staff indicated that tube feeding could be hung for up to 48 hours, while others stated it should be discarded after 24 hours, and several staff members acknowledged that hanging the feeding early or failing to document the time could lead to contamination or spoilage. Multiple staff interviews confirmed that the tube feeding was sometimes hung or spiked before the scheduled start time, and that documentation of the hang time was not consistently performed. The lack of proper documentation and adherence to established guidelines increased the risk of bacterial contamination and compromised the safety of the enteral feeding process for the resident. The deficiency was identified through observation, record review, and staff interviews, all of which highlighted lapses in following both facility policy and manufacturer recommendations for tube feeding care.
Failure to Follow Puree Diet Menus for Residents
Penalty
Summary
The facility failed to follow prescribed puree diet menus for two residents during both dinner and lunch meal services. On one occasion, the dinner tray line did not provide the required vegetable portion (tomato juice), bread portion (croissant), puree crackers, or puree fruit plate, nor were appropriate alternate items provided as specified in the puree diet extension. During a subsequent lunch service, the puree menu was not followed as residents received mashed potatoes instead of puree tater tots and were served regular Jello without fruit instead of the required puree fruit cocktail. These omissions were directly observed during meal service. Interviews with dietary staff revealed inconsistencies in understanding and implementing the puree diet menu extensions, with some staff relying on diet sheets and others on the recipe book. The Foodservice Director acknowledged that the correct puree items were missed, and the Registered Dietitian confirmed responsibility for nutritional adequacy but noted that menus were provided by an outside source. The Executive Director stated there was no involvement with cycle menus and that the dietitian follows the recipe book, further indicating a lack of oversight in ensuring menu compliance.
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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 Flatwoods
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crystal Care Of Coal Grove | 2.6 mi | ★★★★★ | 13 | 0 |
| Sanctuary At Ohio Valley | 3.1 mi | ★★★★★ | 0 | 0 |
| Harbor Healthcare Of Ironton | 3.3 mi | ★★★★★ | 0 | 0 |
| Wurtland Nursing And Rehabilitation | 4.3 mi | ★★★★★ | 12 | 3 |
| Woodland Oaks | 5.6 mi | ★★★★★ | 0 | 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 July 2026) and official state health department websites.