Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Oak Grove Healthcare during CMS and state inspections, most recent first.
The facility did not consistently post or maintain daily nurse staffing sheets, with numerous days missing due to a lack of designated responsibility when the Scheduler was off. The DON and Administrator were unaware of the missing postings, and the absence of a weekend supervisor contributed to the deficiency.
The facility failed to accurately code MDS assessments for three residents, leading to deficiencies in PASRR Level II determinations and medication reporting. Two residents with mental health diagnoses had their PASRR Level II status omitted from their MDS, despite documentation confirming this status. Another resident was incorrectly reported as being on an anticoagulant, although they were only prescribed Aspirin, an antiplatelet. The MDS nurse acknowledged these errors, and the Administrator expected accurate coding.
Two residents in an LTC facility experienced misappropriation of controlled substances, specifically Oxycodone. One resident's medication went missing from the cart, while another had their medication signed out after discontinuation. Investigations revealed procedural failures in handling controlled medications, leading to the termination of a nurse and reports to law enforcement. Both residents were assessed with no adverse outcomes, and the facility absorbed the medication costs.
Failure to Consistently Post and Maintain Daily Nurse Staffing Information
Penalty
Summary
The facility failed to consistently post daily nurse staffing information as required, resulting in missing postings for 1 of 4 days during the survey period and a total of 83 days missing from June through December. Observations on specific dates revealed that the posted staffing sheet was outdated, and a review of records confirmed numerous days where the required documentation was absent. The Scheduler, who had been in the position for about two months, was responsible for posting the daily nurse staffing sheets and stated she posted them on the days she worked. However, on days she was off, she left the sheets in the assignment book for others to post, but there was no designated person to ensure this was done in her absence. The Scheduler acknowledged that there were multiple occasions when the staffing sheets were not posted when she returned to work and that she did not report these lapses to the DON or Administrator. The DON and Administrator both stated they expected the sheets to be posted daily but were unaware of the missing postings and the lack of a designated person to post the sheets when the Scheduler was off. The facility did not have a weekend supervisor in place during this period, contributing to the failure to maintain and post the required daily nurse staffing information.
Inaccurate MDS Coding for PASRR and Medications
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for three residents, leading to deficiencies in the areas of Level II Pre-Admission Screening and Resident Review (PASRR) and medication reporting. Resident #17, diagnosed with schizoaffective disorder and bipolar disorder, had a PASRR Level II determination that was not reflected in their MDS assessment. Despite the care plan and a PASRR Level II Determination Notification letter confirming this status, the MDS nurse acknowledged the coding error. Similarly, Resident #27, with a diagnosis of bipolar disorder, also had a PASRR Level II determination that was not accurately coded in their MDS assessment, despite documentation in their care plan and a notification letter confirming the status. Additionally, Resident #23, who was admitted with coronary artery disease, heart failure, hypertension, and diabetes mellitus type II, had an MDS assessment inaccurately reporting the use of an anticoagulant. A review of physician orders revealed no anticoagulant prescription, and the MDS nurse admitted the error, noting that the resident was on Aspirin, an antiplatelet, which was mistakenly coded as an anticoagulant. The facility's Administrator expressed an expectation for accurate coding of PASRR information and medications on the MDS for all residents.
Misappropriation of Controlled Substances in LTC Facility
Penalty
Summary
The facility failed to protect residents from the misappropriation of controlled substances, specifically Oxycodone, for two residents. Resident #212, who had moderately impaired cognition and was prescribed Oxycodone for pain management, experienced a misappropriation incident when a card of 30 tablets went missing from the medication cart. The discrepancy was discovered during a routine medication count, and an internal investigation revealed that the medication was last accounted for on 09/14/2023. Despite attempts to contact involved staff members, including a medication aide suspected of involvement, the facility was unable to locate them. The facility absorbed the cost of the missing medication, ensuring Resident #212 had access to necessary pain management. Resident #49, diagnosed with dementia and a femur fracture, was also affected by the misappropriation of Oxycodone. The medication was discontinued by a nurse practitioner, yet Nurse #1 continued to sign out the narcotic after its discontinuation. The nurse claimed accidental removal and immediate waste of the medication, but only one instance of waste was verified by another nurse. The facility's investigation substantiated the diversion of drugs, leading to the termination of Nurse #1. The facility reported the incident to law enforcement and relevant regulatory bodies. The facility's failure to follow proper procedures for handling controlled medications, such as removing discontinued medications from the cart, contributed to these incidents. The Director of Nursing identified that the process for reconciling controlled medications was not adhered to, which allowed for the misappropriation to occur. Both residents were assessed and found to have no adverse outcomes from the incidents, and the facility took responsibility for the cost of the medications.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 44 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rutherfordton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Ridge Of Nc | 1.1 mi | ★★★★★ | 5 | 0 |
| Hilltop Health And Rehabilitation | 3.7 mi | ★★★★★ | 2 | 0 |
| Fair Haven Of Forest City, Llc | 7.1 mi | ★★★★★ | 3 | 0 |
| Fair Haven Home Inc | 10 mi | ★★★★★ | 2 | 0 |
| Willowbrooke Court Sc Ctr At Tryon Estates | 16 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Oak Grove Healthcare.
100% money-back within 48 hours.
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.