Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 The Oaks Care Center during CMS and state inspections, most recent first.
An LPN used the same wrist BP cuff on multiple residents without sanitizing it between uses and did not perform hand hygiene between residents during med pass. The facility's hand hygiene policy required hand hygiene before and after direct resident contact and after contact with a resident's intact skin, and the LPN confirmed the omissions.
Failure to develop comprehensive person-centered care plans for two residents: one resident with significant weight loss and multiple chronic diagnoses, and another resident with depression and anxiety receiving an antidepressant. The care plan for the first resident did not include a weight loss focus, and the care plan for the second resident did not include a depression focus, despite the MDS Team Leader confirming that depression should have been care planned.
Failure to implement a physician's order for a resident with severe cognitive impairment and bilateral UE ROM limitations. The resident had an order for rolled gauze or a hand roll to the right hand every shift, but repeated observations found no hand roll in place. An LPN confirmed the item was missing when observed, and the DON acknowledged the order was not being followed.
The facility failed to notify the physician when a resident's blood glucose levels exceeded the prescribed threshold and did not document an unwitnessed fall of another resident. Despite clear policies, the physician and responsible party were not informed, and there was no documentation of the incidents, as confirmed by the DON.
The facility failed to follow puree diet recipes, affecting nine residents. The dietary staff used incorrect ingredients and did not measure portion sizes, compromising the nutritional adequacy of meals. The dietary manager confirmed these deviations from the facility's policy.
A facility failed to implement Enhanced Barrier Precautions for a resident with a surgical wound and PICC line, as required by their infection control policy. Observations revealed the absence of EBP signage and inconsistent use of PPE by staff during high-contact activities. Interviews confirmed that staff were not following EBP protocols, and the necessary precautions were only implemented after the deficiency was identified.
Failure to Sanitize Reusable Equipment and Perform Hand Hygiene
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent communicable disease and infection. During observation of medication administration, an LPN used a wrist blood pressure cuff to monitor the blood pressure of multiple residents, and the cuff was not sanitized between resident uses. The same observation also showed the LPN did not perform hand hygiene between multiple residents during medication administration. Review of the facility's hand hygiene policy stated hand hygiene shall be performed before and after direct resident contact and before and after contact with a resident's intact skin. In interview, the LPN confirmed she did not sanitize the wrist blood pressure cuff or perform hand hygiene between residents, but should have.
Failure to Care Plan Weight Loss and Depression
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for 2 of 20 sampled residents. For Resident #10, the record showed an admission date of 08/21/2020 and diagnoses including Alzheimer's disease, schizoaffective disorder, dementia, anxiety, severe intellectual disabilities, chronic kidney disease, unspecified severe protein-calorie malnutrition, dysphagia, and vitamin deficiency. The quarterly MDS dated 11/04/2025 indicated the resident was rarely or never understood, did not complete a BIMS, and was dependent on staff for all ADLs. Review of the weight record showed significant weight loss, but the care plan did not include a focus for weight loss. For Resident #12, the record showed an admission date of 03/13/2025 and diagnoses including depression and anxiety. The quarterly MDS dated 11/04/2025 showed a BIMS score of 12, indicating intact cognition. The resident was receiving an antidepressant medication and had a diagnosis of depression, but the current care plan did not include a focus for depression. During interview, the MDS Team Leader stated that a resident with a diagnosis of depression and receiving antidepressant medication should have depression care planned, and confirmed that Resident #12's depression was not care planned.
Failure to Implement Physician's Order for Hand Roll
Penalty
Summary
The facility failed to provide care and services that met professional standards of quality by not ensuring a physician's order was implemented for Resident #73. The resident was admitted on 01/03/2017 with diagnoses including COPD, mild protein-calorie malnutrition, generalized osteoarthritis, mild cognitive impairment, dementia, gout, and prophylactic measures, and the quarterly MDS dated 10/09/2025 showed a BIMS score of 1, indicating severe cognitive impairment. The resident also had bilateral upper extremity functional limitations in range of motion. A physician's order dated 08/04/2025 directed that rolled gauze or a hand roll be applied to the right hand every shift, but multiple observations on 01/05/2026, 01/06/2026, and 01/07/2026 found no rolled gauze or hand roll present in the resident's right hand. During observation on 01/07/2026, the LPN confirmed the item was not in place but should have been, and the DON later acknowledged that the resident had the order and that during multiple observations the rolled gauze or hand roll was not in place.
Failure to Notify Physician and Document Incidents
Penalty
Summary
The facility failed to adhere to professional standards of quality care by not notifying the physician when a resident's blood glucose levels exceeded the threshold set by the physician's orders. Resident #102, who has a history of Type 2 Diabetes Mellitus with Hyperglycemia and other significant health conditions, had multiple instances where blood glucose levels were recorded above 451 mg/dL. Despite the clear directive in the medication administration record to notify the physician when levels exceeded this threshold, there was no documentation indicating that the physician was informed on these occasions. This oversight was confirmed by the Director of Nursing (DON) during an interview. Additionally, the facility did not follow its policy for reporting and documenting incidents when Resident #97 experienced an unwitnessed fall. Resident #97, who is at risk for falls due to various health issues, fell from her wheelchair while outside the facility. Although the resident reported the fall and stated that several nurses assisted her afterward, there was no documentation of the incident in her clinical record. Furthermore, the physician and the resident's responsible party were not notified, as required by the facility's policy. The lack of documentation and failure to notify the physician and responsible party in both cases highlight a significant lapse in the facility's adherence to its own policies and procedures. These deficiencies were identified through interviews and record reviews conducted by the surveyors, and the DON acknowledged the failures in both instances.
Failure to Follow Puree Diet Recipes
Penalty
Summary
The facility failed to ensure that menus were followed to meet the nutritional needs of residents requiring a puree diet. During an observation, it was noted that the dietary staff did not adhere to the recipes for pureed meals, specifically for pot roast and cabbage. The dietary staff member used ingredients not specified in the recipes, such as bread and water, and failed to use the required food thickener. Additionally, portion sizes were not measured according to the recipes, which could affect the nutritional adequacy of the meals provided to the residents. The dietary manager confirmed that the dietary staff did not follow the puree recipes and did not measure portion sizes as required. The facility's policy on the preparation and service of pureed diets was not adhered to, as the staff member did not follow the provided recipes or use the necessary food thickener. This deficiency affected all nine residents who were on a puree diet, potentially compromising their nutritional intake.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program for Resident #109, who was one of the 30 sampled residents. The deficiency was identified through observation, record review, and interviews. Resident #109 had a surgical wound and a PICC line, which required Enhanced Barrier Precautions (EBP) as per the facility's policy. However, the facility did not implement these precautions, as there was no EBP signage on or near the resident's room, and staff did not consistently use gowns and gloves during high-contact activities. Resident #109's clinical records indicated a history of orthopedic aftercare, osteomyelitis, and a surgical wound, necessitating specific infection control measures. Despite these needs, the resident's care plan and physician's orders did not include EBP, which are crucial for preventing cross-contamination, especially given the presence of a PICC line and a wound vac. Observations on multiple occasions revealed the absence of EBP signage and the lack of appropriate personal protective equipment (PPE) use by staff during resident care activities. Interviews with staff and the resident confirmed the lack of adherence to EBP. A CNA mentioned that EBP was indicated by an orange sign on the resident's door, which was not present until later. The resident reported that CNAs did not wear gowns during transfers or toileting hygiene, and tubing from the wound vac was disconnected during these activities. An LPN confirmed placing the EBP sign on the resident's door only after the deficiency was noted, indicating a delay in implementing necessary precautions.
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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 Pineville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hilltop Nursing & Rehabilitation Center | 1.8 mi | ★★★★★ | 16 | 2 |
| Tioga Community Care Center | 2.6 mi | ★★★★★ | 1 | 0 |
| Legacy Nursing At St. Christina | 3.7 mi | ★★★★★ | 23 | 0 |
| Matthews Memorial Health Care Center | 4 mi | ★★★★★ | 10 | 0 |
| Lexington House | 6.3 mi | ★★★★★ | 3 | 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.