The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Oakland Manor
Oakland, IA · Medicare-certified · 61 beds
Needs attention
For-profitChain member
1 of 5 overall
Oakland Manor (Oakland, IA) has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It is flagged for the lowest overall rating; reported nurse staffing is 2.68 hours per resident per day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.6785 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6785.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.56
- Nurse aides
- 1.57
- Weekend nursing
- 2.46
Hours per resident per day.
Total staff turnover: 80%
Registered nurse turnover: 88%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20%Worsening
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
4%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.9%Improving
Residents whose ability to walk got worse
33.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
25.8%Worsening
Residents with depressive symptoms
12.5%Improving
Long-stay residents given the seasonal flu vaccine
96.1%Steady
Long-stay residents given the pneumonia vaccine
98.8%Worsening
Short-stay residents given the seasonal flu vaccine
75%Steady
Short-stay residents given the pneumonia vaccine
86.6%Steady
What the inspectors found
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2023 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to submit complete and accurate staffing information based on verifiable records. Cited November 2024 — widespread issue, potential for harm.
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F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
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 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
- $15,593
Federal fine
Aug 31, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MGM HEALTHCARE · 33 homes · 2.4 stars avg
- Occupancy
- 38.7 residents on an average day (63% of 61 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.