Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Nhc Healthcare, Oak Ridge during CMS and state inspections, most recent first.
Failure to Follow Ordered Fluid Restrictions: The facility did not follow its fluid restriction policy for three residents with physician-ordered limits. One resident with ESRD on dialysis and CHF had a 1000 ml restriction, but the e-MAR did not show the nursing allotment or actual intake, and an LPN stated she gave 300 ml per shift. Another resident with DM, CKD, and CHF had an 1800 ml restriction, but the e-MAR did not reflect the restriction and staff confirmed it was missing. A third resident with HF, CKD, and DM had a 1500 ml restriction, and the DON confirmed the facility did not follow the policy; the MD stated the residents were not harmed.
Improper infection control during medication administration: An LPN failed to wash hands or don gloves before handling a resident’s meds, removed a discontinued medication while contacting the resident’s other meds, and later dropped another resident’s meds on an unclean med cart, picked them up with an ungloved hand, and administered them. The DON confirmed the expectation that dropped meds be discarded and that hands be washed and gloves donned before handling meds.
Failure to Follow Ordered Fluid Restrictions
Penalty
Summary
The facility failed to follow its fluid restriction policy for 3 residents who had physician-ordered fluid limits. The facility policy and guideline stated that when a resident had a fluid restriction order, nursing should review the diet order and any special instructions, and fluid should be distributed according to the ordered total volume with amounts assigned to nursing and food and nutrition services. The guideline also listed baseline distributions for 1000 ml, 1500 ml, and 1800 ml fluid restrictions. Resident #2 had diagnoses including chronic stage 5 kidney disease and chronic congestive heart failure. The resident’s care plan identified end stage renal disease requiring dialysis and the need to report signs and symptoms of fluid deficits. A physician’s order dated 1/27/2026 ordered a 1000 ml fluid restriction with 280 ml from nursing and 720 ml from FNS, and no bedside water pitcher. However, the e-MAR from 2/1/2026 through 2/19/2026 did not document how much fluid nursing was to administer each shift or how much fluid had been administered. During interview, an LPN stated the resident received 300 ml each shift and confirmed she administered 300 ml during her shift. Resident #7 had diagnoses including diabetes, chronic kidney disease, and congestive heart failure. The care plan listed an 1800 ml fluid restriction with 1440 ml from FNS and 360 ml from nursing, and no bedside pitcher. The e-MAR for February 2026 did not document how much fluid the resident received in a 24-hour period, and the physician’s order dated 2/19/2026 listed an 1800 fluid restriction with no bedside water pitcher. Staff interviews confirmed the restriction was not reflected on the e-MAR. Resident #23 had diagnoses including hypertensive heart disease with heart failure, chronic diastolic congestive heart failure, stage 3 chronic kidney disease, and type 2 diabetes mellitus. The care plan and physician’s order identified a 1500 ml daily fluid restriction with 300 ml from nursing and 1200 ml from FNS, with no bedside water pitcher. The e-MAR from 2/4/2026 through 2/18/2026 documented the resident’s fluid intake, and the DON confirmed the facility did not follow the fluid restriction policy. The MD stated he expected the orders to be followed and said the three residents were not harmed.
Improper infection control during medication administration
Penalty
Summary
The facility failed to ensure proper infection control practices during medication administration for two residents. The facility policy titled, Medication Administration, stated that medications are to be administered as prescribed in accordance with good nursing principles and practices, that the person administering medications adheres to good hand hygiene, and that gloves must be worn to prevent touching tablets. Resident #33 had diagnoses including hemiplegia, anxiety disorder, and major depressive disorder. During medication administration, an LPN prepared the resident’s medications, did not wash hands or don gloves, and removed a discontinued Buspirone 7.5 mg from the resident’s medication packet while coming in contact with the resident’s additional medications. The LPN then administered the medications to Resident #33. Resident #34 had medications including aspirin, clopidogrel, loratadine, senna, fluoxetine, lisinopril, bupropion, Abilify, and Lyrica. During medication administration, the LPN dropped the resident’s medications on the unclean medication cart, picked them up with an ungloved hand, placed them into a medication cup, and administered them to Resident #34. The LPN stated gloves should be donned before touching medications and medications should be discarded when they come in contact with the unclean medication cart. The DON confirmed it was her expectation for medications dropped on the medication cart to be discarded, hands washed, and gloves donned prior to touching medications to be administered.
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Illustrative
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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 Oak Ridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Oak Ridge | 0.6 mi | ★★★★★ | 0 | 0 |
| Senator Ben Atchley State Veterans' Home | 7.7 mi | ★★★★★ | 2 | 0 |
| The Waters Of Clinton, Llc | 9.5 mi | ★★★★★ | 7 | 0 |
| Wellpark Health And Rehabilitation | 12.3 mi | ★★★★★ | 2 | 0 |
| Legacy Park Health And Rehabilitation | 12.3 mi | ★★★★★ | 7 | 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.