The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2024 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Nursing home report
Oak Grove Healthcare
Rutherfordton, NC · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
4 of 5 stars overall. Oak Grove Healthcare has a 5-star health inspection rating, a 1-star staffing rating, and reported nurse staffing of 2.87 hours per resident per day versus the 4.1-hour federal benchmark; it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8736 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8736.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.81
- Nurse aides
- 1.71
- Weekend nursing
- 2.42
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 78%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.8%Improving
Residents with a fall causing major injury
7%Improving
Residents with pressure ulcers (bedsores)
2.5%Steady
Residents with a urinary tract infection
4.3%Improving
Residents who lost too much weight
7.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12%Worsening
Residents whose ability to walk got worse
20%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.3%Improving
Short-stay residents newly given an antipsychotic
1.7%Worsening
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
17%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.8%Improving
Short-stay residents given the seasonal flu vaccine
84.7%Steady
Short-stay residents given the pneumonia vaccine
92.3%Improving
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2022 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2022 — isolated incident, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited December 2025 — widespread issue, minimal harm.
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F-Tag 732 — 42 CFR §483.35(i) — S/S: C
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 57.6 residents on an average day (96% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.