Oakland Heights Nursing And Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

70.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 221 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 78.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 73 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.65 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 48 beds and averages 46.0 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.06 hrs/resident/day on weekends vs 4.71 on weekdays — 14% thinner on weekends. RN hours go from 0.88 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Ecited before2025-04-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and record review, the facility failed to store food in accordance with professional standards for safety when: 1. Unlabeled and undated food was stored in the kitchen refrigerator. 2. Unlabeled and undated food was stored in the kitchen freezer. 3. Unlabeled, undated and beyond use by date for food items were stored in the resident refrigerator. These failures had the potential for contamination of food resulting in food borne illness for 43 residents who received food from the kitchen and had access to use the resident refrigerator. Findings: During an observation 4/7/25, at 9:40 a.m., in the kitchen, the refrigerator, and freezer and was observed. The refrigerator had one unsealed plastic bag of carrots that was not labeled with date. The freezer had one unsealed plastic bag of tilapia. During an observation on 4/7/25, at 10:25 a.m., the resident refrigerator and freezer was observed with one plastic bag of unsealed carrots and two egg salad sandwiches that were not labeled with resident name and date. The resident refrigerator and freezer…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, the facility failed to maintain a safe, comfortable and homelike environment when Resident 18's wall beside the right side of his bed had scattered areas of peeling paint. This failure had the potential to compromise the health and safety of the resident and could negatively impact the resident's psychological health. Findings: Review of Resident 18's Facesheet indicated, Resident 18 was admitted to the facility on [DATE] with diagnoses that included Major Depressive Disorder (A mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life). Review of Resident 18 's Minimum Data Set (MDS, an assessment tool used to direct resident care) dated 1/24/25, indicated that the resident was able to understand others and was understood by others clearly without assistance. During an initial tour on 4/7/25 at 10:33 a.m., Resident 18 was lying in bed and was awake. Resident 18's wall was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure safe medication storage practices were followed when upon inspection of the medication refrigerator, medications for the following discharged residents were found: 1. Eight packets of Veltassa 8.4 grams powder which belonged to Resident 154 (Veltassa is a medication used to correct the high potassium in the body. Potassium is a mineral that your body needs to work properly). 2. One Arexvy 120 micrograms kit which belonged to Resident 37 (Arexvy 120 micrograms kit contains two containers to be mixed to form a vaccine which is given to residents for the prevention of a lung infection caused by a virus called respiratory syncytial virus; a vaccine is a shot that trains your body's immune system to fight off a specific disease. Micrograms or mcg. is a form of measurement). 3. One Arexvy 120 mcg. kit which belonged to Resident 39. 4. One Arexvy 120 mcg. kit which belonged to Resident 157. These failed practices could contribute to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that staff were following isolation precautions to prevent the spread of disease for two of 16 sampled residents when: 1. A Licensed Vocational Nurse (LVN) did not use the proper personal protective equipment (PPE) while giving medications via gastrostomy tube (a gastrostomy is a surgical procedure that creates an opening in the stomach through the abdominal wall. A tube, called a gastrostomy tube is then inserted through this opening to provide nutrition and medication directly into the stomach) to a resident who was on enhanced barrier precaution (Enhanced Barrier Precautions are an infection control strategy that focuses on using gowns and gloves during high-contact resident care activities to reduce the transmission of infection). 2. Two Certified Nursing Assistants (CNAs) did not use the proper personal protective equipment (PPE, equipment worn to minimize exposure to illnesses) when they were giving care and changing the bed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0882 — isolated
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review , the facility failed to ensure the designated Infection Preventionist (IP is a professional who ensures healthcare workers and patients are doing all the things they should to prevent infections) had completed and received certification for specialized training in infection prevention and control program in accordance with the facility's policy and procedure and CMS (Centers for Medicare and Medicaid Services ) requirement. This failure resulted in the infection control and prevention program of the facility not having the benefit of a fully qualified and competent IP and possibly negatively affecting the quality of care provided to all residents. Findings: During an interview on 4/09/25 at 3:01 p.m., with the Director of Nursing (DON), the DON stated the IP had been working as designated IP for the facility since September of 2024. DON stated IP could not provide proof of IP certification. During an interview on 4/10/25 at 10:30 a.m., with IP, IP stated she had two roles in the facility since September of 2024: 1) IP and; 2) Nursing Supervisor.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-06 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow its policy and procedure to immediately report alleged abuse allegations to the California Department of Public Health (CDPH) within 2 hours, for one of one sampled resident (Resident 1), when Resident 1 alleged they were raped. This failure had the potential to cause a delay in investigations and affect physical and psychological well-being of resident 1. A review of Resident 1's admission Record printed 4/11/24, indicated Resident 1 was admitted to the facility in 2024 with a diagnosis of Traumatic Subdural Hemorrhage without loss of consciousness (a type of bleeding near your brain that can happen after a head injury). During a review of Resident 1 ' s Nurses Note, dated 4/7/24, the note indicated, Resident 1 notified staff on 4/6/24 at 11:30 p.m., they were raped. During a review of Resident 1 ' s Report of Suspected Dependent Adult/Elder Abuse (SOC 341), dated 4/7/24, the SOC 341 indicated Resident 1 had an allegation of rape on 4/6/24 at 11:30 p.m. The SOC 341 indicated the report was faxed to CDPH on 4/8/24.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-11-03 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility document review, the facility failed to ensure qualified staff carried out the functions of the food and nutrition services when the Registered Dietitian and the Certified Dietary Manager had minimal to no oversight of food received, stored, prepared, and served to residents. This failure had the potential to result in intake of an inadequate and/or a harmful amount of nutrients further compromising residents' medical status; and contamination of food leading to foodborne illness for 40 residents who received food from the kitchen. Findings: The document titled Department of Food and Nutrition Services Consultant (Consultant Dietitian) Job Description with an effective date of 11/1/22, showed The Registered Dietitian provides consultation to the facility for the purpose of providing nutrition care and oversight of the operations of the Department of Food and Nutrition Services, which will result in optimal health of the resident/patient. Responsibilities included: evaluates and participates in implementing in-service programs for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-11-03 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure the menu: 1. Met the nutritional needs of residents in accordance with established national guidelines; and; 2. Was followed when: a. Cheesecake was not served to residents on a modified textured diet. b. Cheesecake was not served to residents who were on a controlled carbohydrate (CCHO, a diet which has consistent amount of carbohydrate for each meal. This diet is typically prescribed for individuals who have difficulty with controlling blood sugars) diet. c. Penne pasta and chicken was not served for residents who were on a renal diet (diet that helps promote kidney health). d. Mixed baby green salad was not served to residents on a regular textured, and mechanical soft diet. e. Pureed pasta and pureed meatballs were served on a plate separately, rather than mixed together. f. Pasta with meatballs was not served with tomato sauce. These failures had the potential to result providing residents with an inadequate and/or a harmful amount of nutrients further compromising residents' medical status for 40…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-11-03 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide food at a palatable temperature. This failure had the potential to result in a decreased intake of food by residents leading to nutrition related medical complications for 40 residents who received food from the kitchen. Findings: Record review for Resident 62 showed her original admission date was 9/14/2023 and diagnoses include but were not limited to adult failure to thrive (a syndrome including weight loss, decreased appetite, poor nutrition, and inactivity) and type 2 diabetes mellitus (a chronic condition that affects the way the body processes blood sugar). The MDS (Minimum Data Set) Comprehensive dated 9/20/23 showed Resident 62 had a BIMS (Brief Interview for Mental Status; a score of 8-12 suggests moderate cognitive impairment, and a score of 13-15 suggests cognitive intactness) score of 15. In an interview on 10/30/23 at 11:45 a.m., Resident 62 stated the food was always cold. An observation of trayline food service in the kitchen on 10/31/23 at 11:35 a.m. to 12:30 p.m., showed resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-11-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for safety when: 1. The inside of two ice machines were not maintained clean. 2. Fish was not thawed safely. 3. Fish was not stored safely. 4. Chicken held on trayline was not maintained at a safe temperature. 5. A food service staff was unable to properly calibrate thermometers. 6. Food was stored and available for use in the walk-in refrigerator past the use-by-dates and without identified use-by-dates. 7. Food stored in a reach-in freezer was not covered and had freezer burn. 8. Dry food stored in the dry storeroom was not protected from contamination. 9. Bulk, dry food storage bins containing bulk foods, were not maintained clean. 10. An industrial can opener was not maintained clean. 11. Four frying pans stored and ready for use were in poor condition and were not clean. 12. Nine cutting boards were in poor condition. 13. A meat slicer was not clean and stored uncovered. 14. The inside of a drawer used to store clean utensils,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$7,409 in federal fines across 1 penalty.

• $7,409 — penalty dated 2023-09-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ASPEN SKILLED HEALTHCARE — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 31 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $652K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA