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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Knolls Of Oxford during CMS and state inspections, most recent first.
A resident who required assistance for transfers was injured during a mechanical lift transfer when two CNAs attempted to move the resident from bed to a recliner. One CNA, inexperienced with the lift, was being trained by the other, who accidentally pressed the wrong button, causing the resident to fall from the sling and sustain a significant leg laceration requiring emergency care. The incident was compounded by improper arm placement in the sling and incomplete communication to supervisory staff about the exact cause of the fall.
Resident Injury During Mechanical Lift Transfer Due to Staff Error
Penalty
Summary
A deficiency occurred when a resident who required staff assistance and the use of a mechanical lift for transfers was not safely transferred, resulting in actual harm. The resident, who had generalized weakness, unsteadiness, and was dependent on staff for transfers, was being moved from bed to a recliner by two CNAs using a mechanical (Hoyer) lift. During the transfer, one CNA pressed the wrong button on the lift, causing the resident to be placed in a lying position instead of a sitting position, which led to the resident flipping backward and falling out of the sling. The resident sustained a laceration to the back of the right leg, requiring an emergency room visit and stitches. Medical record review indicated that the resident had intact cognition and a care plan specifying the use of a mechanical lift with two staff for transfers due to a risk of harm or injury related to falls. Witness statements from the CNAs involved revealed that the resident did not have proper arm placement in the sling, and despite this, the transfer was attempted. One CNA, who was inexperienced with the mechanical lift and being trained by the other, followed instructions step-by-step but was unable to prevent the fall when the wrong button was pressed. The incident report and staff interviews confirmed that the resident's improper arm placement and the CNA's error in operating the lift controls directly contributed to the accident. Further interviews with nursing staff and facility leadership revealed that the mechanical lift and sling were functioning properly and were appropriate for the resident. However, there was a lack of communication regarding the exact cause of the incident, as the CNA's admission of pressing the wrong button was not initially reported to supervisory staff. This omission affected the facility's initial assessment of the root cause and the interventions that were implemented immediately following the incident.
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 356 citations issued within 25 miles in the last 12 months — including the 2 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 Oxford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodland Country Manor Inc | 4.6 mi | ★★★★★ | 12 | 0 |
| Golden Years Nursing Center | 9.1 mi | ★★★★★ | 0 | 0 |
| Envive Of Brookville | 10.7 mi | ★★★★★ | 9 | 0 |
| Berkeley Square Retirement Cen | 11.2 mi | ★★★★★ | 4 | 0 |
| Westover Retirement Community | 11.7 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Knolls Of Oxford.
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 June 2026) and official state health department websites.