Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oak Pointe Nursing & Rehabilitation during CMS and state inspections, most recent first.
A CNA raised her voice and instructed a resident with cognitive impairment and behavioral issues to sit down and wait her turn when entering the smoking room. The resident reported being bothered by the CNA's tone, while another resident did not view the CNA's actions as disrespectful. The incident resulted in a deficiency for failing to ensure residents are treated with respect and dignity.
A resident with multiple serious mental health diagnoses did not receive required specialized services as outlined in the PASARR Level II determination, including behavioral health interventions and care plan updates. Staff interviews and record reviews confirmed that these services were not implemented or documented, and the social service designee was unaware that the services were mandatory.
Surveyors observed that the facility's medication error rate exceeded 5%, with errors including improper crushing of medications labeled 'do not crush' and incomplete administration of prescribed doses. In several cases, an LPN and an RN crushed medications against manufacturer instructions or discarded portions of medications, resulting in residents not receiving their full prescribed treatments.
Resident Not Treated with Respect and Dignity by CNA
Penalty
Summary
A deficiency was identified when a certified nursing assistant (CNA) failed to treat a resident with respect and dignity. The resident, who had a history of schizoaffective disorder, alcohol dependence with alcohol-induced persisting dementia, and anxiety, was observed walking toward the smoking room. The CNA, standing at the doorway, called residents by name to enter and instructed the resident to stop. When the resident continued walking, the CNA leaned toward her and, in a raised voice, told her to go sit down until it was her turn. The CNA later confirmed raising her voice, explaining that the resident had previously pushed past others and nearly caused falls. The resident expressed that it bothered her when the CNA raised her voice and told her to sit down. Another resident present stated that the CNA was not out of line, given the resident's behavior, and did not consider the CNA's actions to be abusive or disrespectful. However, the incident demonstrated a failure to ensure the resident was treated with respect and dignity, as required by regulations.
Failure to Implement Required PASARR Specialized Services
Penalty
Summary
The facility failed to implement specialized services as required by the PASARR Level II outcome determination letter for a resident with significant mental health diagnoses, including schizoaffective bipolar type disorder, delusional disorder, panic disorder, auditory hallucinations, psychosis, suicidal ideations, depression, generalized anxiety, and insomnia. The PASARR determination approved the resident for nursing facility services with specific requirements for specialized behavioral health services, such as a crisis intervention plan, behavior management safety plan, ongoing psychiatric medication review, mental health counseling, and a behaviorally based treatment plan. Additional recommendations included self-health care management training, ADL training, therapy evaluations, skills training, adaptive equipment evaluation, and structured therapeutic activities. Medical record review and staff interviews confirmed that these required services were not implemented or documented in the resident's care plan after the PASARR determination was received. Staff, including the RN, clinical coordinator, and social service designee, verified that the specialized services had not been addressed or added to the care plan. The social service designee also indicated a lack of understanding that these services were mandatory per the PASARR determination letter, resulting in the resident not receiving the required supports.
Medication Error Rate Exceeds Acceptable Threshold Due to Improper Administration
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, with nine errors identified out of 26 opportunities, resulting in a 34.6% error rate. For one resident with schizophrenia, paraplegia, congestive heart failure, and anxiety disorder, staff crushed and administered Aripiprazole despite clear pharmacy labeling and manufacturer guidance stating the medication should not be crushed. The LPN involved confirmed the error during an interview. Another resident with anxiety, Alzheimer's disease, hypertension, and psychosis did not receive the full dose of multiple medications, as the LPN discarded the remaining crushed and liquid medications after partial administration. The LPN was unable to specify which medications or how much was not given. Additionally, a resident with congestive heart failure received crushed Sacubitril-Valsartan (Entresto), contrary to manufacturer guidelines, which recommend against crushing the tablet and suggest alternative forms if swallowing is an issue. These events were observed and verified through staff interviews and review of relevant policies and manufacturer instructions.
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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 Baltic
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Walnut Hills Nursing Home | 6.7 mi | ★★★★★ | 0 | 0 |
| Scenic Pointe Nursing And Rehab Ctr | 11.3 mi | ★★★★★ | 0 | 0 |
| Lafayette Pointe Nursing & Rehab Ctr | 12.1 mi | ★★★★★ | 1 | 0 |
| Hennis Care Centre Of Dover | 13 mi | ★★★★★ | 0 | 0 |
| Majora Lane Ctr For Rehab & Nsg Care Inc | 13.1 mi | ★★★★★ | 18 | 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 June 2026) and official state health department websites.