The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
Oaknoll Retirement Residence
Iowa City, IA · Medicare-certified · 70 beds
In good standing
Non-profit
5 of 5 overall
Oaknoll Retirement Residence has a 5 out of 5 overall star rating, with 5-star health inspection and staffing scores, 4-star quality measures, and no fines in the last 24 months. Reported nurse staffing is 5.24 hours per resident day, above the federal benchmark of 4.1, though recent inspection citations included accident hazards, drug storage/labeling, and service quality standards.
Facility ratings
Health inspections
Staffing
5.244 hrs/resident/day
Quality measures
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.244.
Staffing detail
- Registered nurses
- 0.98
- Licensed practical nurses
- 0.46
- Nurse aides
- 3.80
- Weekend nursing
- 5.12
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 24%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
32.8%Steady
Residents with a fall causing major injury
3.7%Worsening
Residents with pressure ulcers (bedsores)
8.7%Improving
Residents with a urinary tract infection
4.3%Improving
Residents who lost too much weight
3.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.8%Worsening
Residents whose ability to walk got worse
14.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
9.9%Worsening
Short-stay residents newly given an antipsychotic
2.2%Steady
Residents with a long-term catheter
2%Steady
Residents with new or worsening incontinence
23.9%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
93.9%Worsening
Short-stay residents given the seasonal flu vaccine
87.5%Steady
Short-stay residents given the pneumonia vaccine
94.4%Worsening
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited August 2024 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — 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 April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 57.3 residents on an average day (82% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.