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 Oakridge Gardens Nur Ctr, Inc during CMS and state inspections, most recent first.
The facility failed to thoroughly investigate abuse allegations involving two residents with severe cognitive impairments. In one case, a CNA was not removed from resident care after an allegation of physical abuse, and only a few staff were interviewed. In another case, a resident alleged sexual abuse by an unknown male staff, but not all staff on duty were interviewed, compromising the investigation's thoroughness.
The facility failed to ensure food was stored and prepared in a sanitary manner, affecting all 73 residents. Issues included undated and improperly stored food items, inadequate hand hygiene by a cook, and failure to reheat microwaved foods to safe temperatures.
A facility failed to report a potential abuse incident involving a severely cognitively impaired resident found unclothed in another resident's bed. The incident was documented but not escalated to the State Agency or law enforcement as required by policy.
The facility failed to investigate a potential abuse allegation involving a resident with severe cognitive impairment who was found laying across another resident without clothes. The incident was reported in a progress note but was missed by the administration, leading to no investigation or protective measures being implemented.
The facility failed to ensure consistent communication for a resident requiring dialysis services, resulting in the absence of a dialysis communication binder and proper documentation. Staff and dialysis center personnel confirmed the lack of formalized communication, leading to a deficiency in providing safe and appropriate dialysis care.
A resident with severe cognitive impairment and aggressive behavior did not have an updated care plan to address these issues. Despite documented incidents of aggression and paranoia, the care plan lacked specific interventions, and staff were informed of the resident's needs through word of mouth. The care plan was only updated after a surveyor's request, but it still did not include interventions for physically aggressive behavior or de-escalation techniques.
The facility failed to ensure that the designated Infection Preventionist (IP) completed specialized training in infection prevention and control, as required by the facility's policy. The IP, who started in August 2023, confirmed the lack of training, and the Director of Nursing (DON) acknowledged the oversight.
Inadequate Investigation of Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate allegations of abuse involving two residents. In the first case, a resident with severe cognitive impairment reported that a Certified Nursing Assistant (CNA) slapped their hand and made derogatory comments. The facility's response was inadequate as the CNA was not removed from resident care but was instead transferred to a different unit. The investigation was incomplete, with only three out of seventeen staff members interviewed, and the facility delayed contacting law enforcement based on the resident's Power of Attorney's request. In the second case, another resident with severe cognitive impairment alleged sexual abuse by an unknown male staff member. The facility's investigation was insufficient as not all staff on duty during the incident were interviewed, including two male staff members who were on a different unit. The facility's failure to interview all potential witnesses or involved staff members compromised the thoroughness of the investigation, as all units were accessible to staff, and the possibility of staff having knowledge of the incident was not adequately explored.
Sanitary Food Storage and Preparation Deficiencies
Penalty
Summary
The facility did not ensure food was stored and prepared in a sanitary manner, which had the potential to affect all 73 residents. During an initial kitchen tour, the surveyor noted undated food items in the dry storage area and walk-in freezer, including open, unsealed, and undated bags of snack chips, brown sugar, cereal, and various other food items. The Dietary Manager confirmed that the facility's process is to label all items with a received date or best-by date, which was not followed in this instance. Additionally, food was observed being stored on the floor of the freezer, contrary to FDA Food Code requirements, and the Dietary Manager acknowledged that staff did not put the boxes away properly after delivery. The surveyor also observed multiple instances of improper hand hygiene by a cook during meal service. The cook was seen handling food and kitchen equipment without changing gloves or washing hands after performing activities that could lead to cross-contamination, such as picking up tongs from the floor and touching various surfaces and food items. Despite previous education provided by the Dietary Manager on proper hand hygiene and the use of utensils, the cook did not follow these guidelines during the observed meal service. Furthermore, the facility did not ensure that microwaved foods were reheated to the appropriate temperature and allowed to stand covered for two minutes as required by the FDA Food Code. The cook was observed microwaving Cream of Wheat, a breakfast burrito, and coffee without checking the temperatures or allowing the food to stand covered for the required time. The Dietary Manager confirmed that staff are expected to follow procedures to ensure foods are reheated properly and to a safe temperature, which was not adhered to during the observation.
Failure to Report Potential Abuse Incident
Penalty
Summary
The facility failed to develop and implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act. This deficiency was identified in the case of a resident who was found laying across another resident in their bed without clothes on. The incident, which occurred in the early hours, was reported by a CNA but was not escalated to the State Agency or local law enforcement as required by the facility's policy. The resident involved had severe cognitive impairment, as indicated by a BIMS score of 0 out of 15, and was diagnosed with Alzheimer's disease and vascular dementia. The incident was documented in a behavior progress note, but the facility's administration failed to review and act upon this note. During an interview, the Nursing Home Administrator and Director of Nursing confirmed that the incident was missed during their daily review of progress notes and was not reported to the appropriate authorities. The failure to report this potential allegation of abuse was acknowledged by the Nursing Home Administrator, who stated that the incident would have been reported if it had been noticed earlier.
Failure to Investigate Allegation of Abuse
Penalty
Summary
The facility did not thoroughly investigate a potential allegation of abuse involving a resident (R50) who was found laying across another resident in their bed without clothes on. The incident was reported by a Certified Nursing Assistant (CNA) in a behavior progress note, but the facility administration was not aware of the incident, and no investigation was conducted. The facility's policy on investigating allegations of abuse was not followed, as the incident was missed during the daily review of progress notes by the Nursing Home Administrator (NHA) and Director of Nursing (DON). Consequently, no protections were put in place for the residents involved. R50, who has diagnoses including Alzheimer's disease and vascular dementia, was admitted to the facility and had a Minimum Data Set (MDS) assessment indicating severe cognitive impairment. The behavior progress note detailed that R50 was found in another resident's room without clothes and was laying on top of the other resident's legs. Despite this, the facility could not provide an investigation report when requested by the surveyor. The NHA and DON confirmed that an investigation should have been completed but was not due to their unawareness of the incident.
Lack of Consistent Communication for Dialysis Care
Penalty
Summary
The facility did not ensure consistent communication for a resident who required dialysis services. The resident, who had end-stage renal disease and diabetes with chronic kidney disease, did not have a dialysis communication binder provided prior to routine dialysis appointments. Additionally, there was no evidence of communication between the facility and the dialysis center on the resident's dialysis days. The facility's policy required ongoing communication and collaboration with the dialysis center, including specific documentation before and after dialysis treatments, but this was not followed. Interviews with staff and review of the resident's medical record confirmed the lack of proper communication and documentation. The Director of Nursing (DON) acknowledged the issue and mentioned a new program initiated to improve communication, but it had not been effectively implemented. Licensed Practical Nurse (LPN) and dialysis center staff confirmed the absence of a communication binder and inconsistent communication practices. The dialysis center had its own communication form, but it was not consistently used by the facility. The lack of formalized communication and documentation between the facility and the dialysis center led to the deficiency in providing safe and appropriate dialysis care for the resident.
Failure to Update Care Plan for Resident with Dementia
Penalty
Summary
The facility did not ensure that a resident with a diagnosis of dementia received appropriate care and services to maintain their highest practicable well-being. The resident, who had severe cognitive impairment and exhibited physically and verbally aggressive behavior, did not have an updated care plan to address these behaviors. Despite incidents of aggression and paranoia documented in progress notes, the care plan lacked specific interventions to manage these behaviors effectively. The care plan was only updated after the surveyor requested it, and even then, it did not include interventions for physically aggressive behavior or de-escalation techniques. The resident's care plan initially included general interventions for dementia but failed to address the resident's escalating aggressive and paranoid behaviors. The Director of Nursing confirmed that the care plan was not updated in a timely manner and that staff were informed of the resident's needs through word of mouth rather than documented interventions. This lack of a comprehensive and updated care plan contributed to the resident's declining quality of life and increased behavioral issues.
Infection Preventionist Lacks Required Training
Penalty
Summary
The facility did not ensure that the designated Infection Preventionist (IP) completed specialized training in infection prevention and control. The facility's policy required the IP to have specialized IPC training beyond initial professional training, with evidence provided through certificates or equivalent documentation. However, the IP, who started in August 2023, confirmed during an interview that they had not completed the required training. The Director of Nursing (DON) was aware of the training requirement and indicated that both the IP and DON would complete the CDC training modules.
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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 Menasha
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peabody Manor | 0.6 mi | ★★★★★ | 0 | 0 |
| Meadowbrook At Appleton | 1.4 mi | ★★★★★ | 2 | 0 |
| Brewster Village | 3.9 mi | ★★★★★ | 13 | 0 |
| Edenbrook Of Appleton North | 4.1 mi | ★★★★★ | 3 | 1 |
| Rennes Health And Rehab Center-appleton | 4.3 mi | ★★★★★ | 0 | 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.