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 Oak Harbor Healthcare during CMS and state inspections, most recent first.
Medications, including expired influenza vaccine syringes, were found improperly stored in medication room refrigerators, with temperatures outside the required 36-46°F range and incomplete temperature logs. Staff and pharmacy personnel confirmed the deficiencies, and temperature monitoring was not performed as required by facility policy.
The facility did not inform residents of their right to access contact information for state regulatory agencies, advocacy groups, or details on filing complaints or reporting abuse. Resident council minutes lacked documentation of this information, and all residents interviewed were unaware of their rights or where to find such details. Staff interviews confirmed that specific information about the Ombudsman and complaint procedures was not communicated.
The facility experienced issues with kitchen cleanliness and food handling practices, potentially risking food-borne illness for 121 residents. Observations noted unsanitary conditions in the walk-in refrigerator and freezer, including soiled surfaces and broken equipment. The dishwasher consistently operated below the required temperatures of 120 F. Staff were seen mishandling food, with improper glove usage and cross-contamination. The Dietary Manager cited challenges with new staff not adhering to procedures despite ongoing education efforts.
The facility failed to ensure effective hand hygiene during wound care and did not have a proper barrier to restrict airflow between dirty and clean laundry areas. The Wound Care Nurse performed hand washes significantly shorter than the required 20 seconds, and the laundry area lacked a physical barrier, relying only on a blue line on the floor to separate clean and dirty laundry.
The facility failed to ensure accurate MDS assessments for three residents, missing critical information on dialysis treatments, pain management, and anticoagulant therapy. These inaccuracies were confirmed through record reviews and staff interviews.
A facility failed to provide a splint device for a resident with a right-hand contracture as per the plan of care. The resident, who was non-responsive and completely dependent on staff, was observed multiple times without the required splint. The order for the splint had been omitted from the physician order set, leading to the splint not being documented in the TAR and not being applied as required.
A resident with end-stage renal disease was not consistently administered his prescribed Renvela medication on dialysis days. The medication was often missed due to the early timing of dialysis sessions and prioritization of other residents' medication administration. Staff acknowledged the issue, but there was no communication or review to address the missed doses.
Failure to Properly Store and Monitor Medications in Medication Rooms
Penalty
Summary
The facility failed to ensure proper storage and labeling of medications in all three medication rooms, as required by facility policy and professional standards. During inspection, expired influenza vaccine syringes were found in active storage in one medication room refrigerator, despite being intended for return to the manufacturer. This was confirmed by both a nurse and the consultant pharmacist. Additionally, refrigerator temperature logs and thermometer readings revealed that medication refrigerators were not consistently maintained within the required temperature range of 36-46 degrees Fahrenheit. One refrigerator was found at 32 degrees Fahrenheit, while another was at 17 degrees Fahrenheit, with missing temperature log entries for the day shift. Staff confirmed the out-of-range temperatures and acknowledged that temperature monitoring and documentation were not performed as required. The maintenance director was notified but did not immediately verify the temperatures with available thermometers. The surveyor's calibrated thermometer readings further confirmed the temperature discrepancies. These findings demonstrate a failure to follow facility policy regarding medication storage, temperature monitoring, and removal of outdated medications.
Failure to Inform Residents of Rights and Access to Regulatory Contact Information
Penalty
Summary
The facility failed to ensure that residents were informed of their right to access the names, addresses, and telephone numbers of all pertinent state regulatory and informational agencies, resident advocacy groups, and information on filing a complaint or reporting alleged abuse violations. Review of Resident Council Minutes over several months showed no documentation that residents were informed of these rights or the location of such information within the facility. During a resident council meeting, all residents in attendance confirmed they were not aware of their right to access this information or where it was located. Interviews with facility staff, including the Activity Director and the Administrator, revealed a lack of knowledge regarding the location and communication of contact information for the Ombudsman and the state complaint line. The Activity Director stated that while resident rights were discussed in general terms, specific information about how to contact the Ombudsman or file a complaint was not reviewed. The Administrator acknowledged the need to improve communication of this information, particularly for new residents.
Kitchen Sanitation and Food Handling Deficiencies
Penalty
Summary
The facility failed to ensure proper cleaning of the kitchen and adherence to professional standards for food handling, potentially leading to food-borne illness among all 121 residents. Observations revealed unsanitary conditions in the walk-in refrigerator and freezer, including soiled surfaces and broken equipment. Additionally, the dishwasher was not operating at the required temperatures, with documented logs showing consistently low wash and rinse temperatures below the standard of 120 F. Staff were observed mishandling food during meal service, with instances of improper glove usage and cross-contamination. The Dietary Manager acknowledged the challenges with new staff members not following proper procedures, including wearing gloves and avoiding touching non-food items. Despite ongoing education efforts by the manager, deficiencies in kitchen cleanliness, equipment maintenance, and food handling practices persisted, posing significant risks to resident health and safety.
Infection Control Deficiencies in Hand Hygiene and Laundry Separation
Penalty
Summary
The facility failed to ensure effective hand hygiene during wound care and did not have a proper barrier to restrict airflow between the dirty laundry and clean laundry areas. During an observation of a resident's ischial pressure ulcer treatment, the Wound Care Nurse (WCN) performed multiple hand washes that were significantly shorter than the facility's policy requirement of 20 seconds. The WCN also demonstrated confusion about the correct handwashing procedure, including the sequence of turning off the water. The Director of Nursing (DON) confirmed the expectation of a 20-second hand scrub and the correct sequence of handwashing, which was not followed by the WCN during the observed wound care session. In the laundry area, there was no physical barrier to separate dirty laundry from the clean laundry area. The laundry staff indicated that a blue line on the floor served as the divider between clean and dirty areas, but there was no curtain or any type of barrier to prevent cross-contamination. The observation revealed that dirty laundry was sorted and placed into washing machines directly across from clean linen, with only a blue line on the floor as a divider. Additionally, an air vent above the divider blew air straight down, potentially causing any settled bacteria, viruses, dust, lint, or dirt to become airborne and contaminate the clean laundry area. Interviews with the Administrator and the DON confirmed the lack of a physical barrier in the laundry area and the expectation for proper separation between clean and dirty laundry. The DON also emphasized the need for proper personal protective equipment (PPE) when handling laundry and ensuring that air does not flow from dirty to clean areas. The facility's failure to adhere to these infection control policies had the potential to cause wound infections and expose residents to viruses and bacteria.
Inaccurate MDS Assessments for Specialized Care Needs
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessments accurately captured the specialized care needs of three residents. Resident 17, who was diagnosed with end-stage renal disease and dependent on dialysis, had an MDS assessment that incorrectly indicated he was not receiving dialysis services, despite orders and care plans showing he received dialysis three times weekly. The MDS Coordinator confirmed the error during an interview and acknowledged the need to modify the assessment to reflect the resident's dialysis services accurately. Resident 29, diagnosed with dementia, osteoarthritis, and a history of falls, had an MDS assessment that failed to capture her frequent pain, which was expressed through facial wincing, grimacing, or crying out. The resident had an order for narcotic pain medications, which were administered at least once daily and documented as effective. An LPN confirmed that the resident regularly experienced pain and required pain medication to manage it, which was not accurately reflected in the MDS assessment. Resident 113, admitted with diagnoses including sepsis, quadriplegia, and pulmonary embolism, was not coded for taking an anticoagulant medication in the quarterly MDS assessment, despite being administered apixaban daily. The MDS Coordinator admitted to the error, noting that the resident had been on the medication for atrial fibrillation throughout January. The discrepancy was identified during a review of the resident's Medication Administration Record and confirmed through an interview with the MDS Coordinator.
Failure to Apply Splint Device as Per Plan of Care
Penalty
Summary
The facility failed to provide a splint device for a resident with a right-hand contracture as per the plan of care. The resident, who was non-responsive and completely dependent on staff for all activities of daily living, was observed multiple times without the required splint on her right hand. The splint was found hanging on a hook at the resident's bedside instead of being applied to her hand. The Director of Therapy confirmed that the resident was supposed to wear the splint all day and that nursing staff had been educated on its application. However, the order for the splint had been omitted from the resident's physician order set, resulting in the splint not being documented in the Treatment Administration Records (TAR) and not being applied as required. The Director of Nursing (DON) also confirmed that the splint was expected to be applied according to the resident's plan of care and that physician's orders should have been in place. The deficiency was identified when the splint order was found to be missing from the electronic medical record (EMR), leading to the failure in applying the splint. The issue was acknowledged by both the Director of Therapy and the DON, who stated that the splint order had been re-entered into the EMR and nursing staff had been informed of the requirement to apply the splint daily.
Failure to Administer Dialysis-Related Medication
Penalty
Summary
The facility failed to ensure that dialysis-related medications were provided for a resident who required such services. Resident 71, who had diagnoses including diabetes mellitus II, end-stage renal disease, and dependence on renal dialysis, was not consistently administered his prescribed Renvela medication on dialysis days. The resident's Medication Administration Record (MAR) indicated multiple instances where the medication was not given because the resident was out of the facility for dialysis. Interviews with the resident and staff confirmed that the medication was often missed due to the early timing of the dialysis sessions and the prioritization of other residents' medication administration. The facility's policy required holding specific medications as ordered by the physician, but there was no indication that the Renvela was to be held. The Unit Manager and Nurse Practitioner acknowledged the issue, with the Nurse Practitioner unsure if the medication was necessary on dialysis days. The Director of Nursing was unaware of any communication or review regarding the missed doses. This lack of coordination and adherence to the medication schedule led to the deficiency in providing appropriate dialysis care for the resident.
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 52 citations issued within 25 miles in the last 12 months — including the 6 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 Mt Pleasant
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sandpiper Post Acute | 0.6 mi | ★★★★★ | 0 | 0 |
| Franke Health Care Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Retreat At Wellmore Of Daniel Island | 4.7 mi | ★★★★★ | 8 | 2 |
| Kempton Of Charleston | 5.7 mi | ★★★★★ | 0 | 0 |
| Riverside Health And Rehab | 8.1 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Oak Harbor 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.