OAK GROVE MANOR (MANSFIELD, OH) has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It is flagged for the lowest overall rating; reported nurse staffing is 3.30 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Last inspection: September 25, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3025.
Staffing detail
Registered nurses
0.54
Licensed practical nurses
0.79
Nurse aides
1.97
Weekend nursing
2.76
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 77%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.2%Improving
Residents with a fall causing major injury
4.2%Worsening
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
0.9%Improving
Residents who lost too much weight
8.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.7%Improving
Residents whose ability to walk got worse
7.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.5%Steady
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
27.9%Worsening
Residents with depressive symptoms
19.6%Improving
Long-stay residents given the seasonal flu vaccine
82.4%Steady
Long-stay residents given the pneumonia vaccine
36.2%Improving
Short-stay residents given the seasonal flu vaccine
11.4%Steady
Short-stay residents given the pneumonia vaccine
27.8%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2025 — widespread issue, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to have policies to keep smoking safe and properly managed. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 926 — 42 CFR §483.90 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 11 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
Federal fine
Dec 27, 2023
$15,593
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LIONSTONE CARE · 22 homes · 2.6 stars avg
Occupancy
70.9 residents on an average day (95% of 75 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 35 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.