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
Registered name: Oaknoll Retirement Residence
Iowa City, IA · Medicare-certified · 70 beds
In good standing
Non-profit
Data as of July 1, 2026
5 of 5 overall
Oaknoll (Iowa City, IA) has an overall 5-star rating, with 5 stars for health inspections and staffing, but only 2 stars for quality measures. Reported nurse staffing is 5.28 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.2794 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 5.2794.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.48
- Nurse aides
- 3.90
- Weekend nursing
- 5.12
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 13%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—31.1%—
Residents with a fall causing major injury
3.7%6.1%Worsening
Residents with pressure ulcers (bedsores)
7.9%4.2%Improving
Residents with a urinary tract infection
5.9%2.1%Improving
Residents who lost too much weight
2.5%5.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.5%22.9%Worsening
Residents whose ability to walk got worse
12.6%18.2%Worsening
Long-stay residents on antianxiety or sleep medication
14%13.2%Improving
Short-stay residents newly given an antipsychotic
—5.8%—
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
15.3%28.8%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.3%95.9%No change
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
95.7%97.7%Improving
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.
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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
- 57.1 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.