Oak Ridge Healthcare Center

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.

63.8% 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 220 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 67.2% 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 125 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 0.60 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 67 beds and averages 64.5 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 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 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 3.74 hrs/resident/day on weekends vs 4.31 on weekdays — 13% thinner on weekends. RN hours go from 0.73 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% 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 more than at the previous inspection — worsening. 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.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · D2026-06-08 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 one of three sampled residents (Resident 1) was free from abuse, when Resident 2 grabbed and scratched Resident 1's left hand. This failure had the potential to negatively impact Resident 1's highest practicable physical, mental, and psychosocial well-being.Findings: A review of an admission record indicated Resident 1 was admitted to the facility with a diagnosis of age-related osteoporosis (when body breaks down old bone faster than it can replace it causing bones to become fragile and porous). A review of an admission record indicated Resident 2 was admitted to the facility with diagnoses including schizoaffective disorder (a chronic mental health condition combining the symptoms of schizophrenia such as hallucinations or delusions with a mood disorder), Alzheimer's disease (a progressive, irreversible brain disorder that slowly destroys memory, thinking skills, and the ability to perform simple daily tasks), and metabolic encephalopathy (a general term for altered brain function or structure caused…

  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 · Ecited before2026-05-08 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 interview and record review, the facility failed to deliver care within professional standards of practice when spironolactone (a medication used to manage high blood pressure and heart failure) was administered to Resident 45 despite low blood pressure readings, and the order was not clarified.This failure increased the risk for disease complications and adverse effects associated with hypotension (low blood pressure).Findings:A review of Resident 45's clinical record showed the resident was admitted on [DATE] with the following diagnoses: hypertensive heart disease with heart failure (high blood pressure that has weakened the heart) and myocardial infarction (heart attack).A review of Resident 45's Medication Administration Record (MAR) from April 2026 through May 7, 2026, indicated the following physician orders: Spironolactone Oral Tablet 25 mg: Give 1 tablet by mouth one time a day for heart disease. Start date 4/1/2026. Monitor Blood Pressure: Check blood pressure every 12 hours for hypertension…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-08 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 pharmaceutical procedures were in place to meet the needs of a resident and to ensure accurate accounting of controlled substance medications (medications under tight government control due to high addiction and abuse potential) when:The facility did not have a procedure to ensure Resident 26's weekly clonidine patch (a medication patch used to help manage high blood pressure) was in place for continued delivery of the medication.Controlled Drug Record (CDR) sheets (an inventory log used to track the receipt, administration, and remaining inventory of controlled substances) did not reconcile for 2 out of 4 sampled records (Resident 45 and Resident 57).These failures increased the risk for medication errors, untreated high blood pressure, and inaccurate accountability and the potential for abuse/loss of controlled medication.Findings:1. A review of Resident 26's clinical record indicated he was admitted to the facility with diagnoses that included hypertension (high blood pressure) and chronic kidney…

  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 · E2026-05-08 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary 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 interview and record review, the facility failed to ensure one of five sampled residents (Resident 45) was free from unnecessary medication. The resident received insulin lispro without monitoring for potential side effects and doses were held without clinical indication. These failures had the potential to result in uncontrolled blood sugars and complications related to hypoglycemia and hyperglycemia.Findings:A review of Resident 45's clinical record showed the resident was admitted on [DATE] with multiple diagnoses, that included: type 2 diabetes (a chronic disease causing high blood sugar), long term insulin use (ongoing need for insulin injections), type 2 diabetes with circulatory complications (blood vessel damage), and polyneuropathy (nerve damage causing numbness or tingling).A review of physician orders indicated:Insulin lispro 3 units inject; three times daily before meals scheduled 6 a.m. 11 a.m. and 4 p.m. (start date 7/13/2025).Fingerstick blood sugar monitoring ordered daily with…

  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 · E2026-05-08 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 its medication error rate was below 5 %. The facility had a medication error rate of 13.89% when 5 medication errors occurred out of 36 opportunities observed during the medication administration for 2 out of 5 sampled residents (Residents 81 and 62).Resident 81 received a lower-than-prescribed dose of cholecalciferol (Vitamin D3 supplement), placing the resident at risk for vitamin deficiency and weakened bones. Resident 81 also received a higher than prescribed dose of magnesium (electrolyte supplement), creating the potential for diarrhea, nausea, or stomach cramps.Nursing staff crushed Resident 62's delayed release aspirin, a medication designed to bypass the stomach, creating the potential for stomach upset, nausea, and vomiting. Staff also crushed Resident 62's ferrous sulfate (supplement) tablet, which can cause mouth irritation and stomach discomfort.In addition, nursing staff failed to prime Resident 62's insulin pen before administration, a required manufacturer safety step to ensure accurate…

  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 · E2026-05-08 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  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 interview and record review, the facility failed to ensure one of 10 sampled residents (Resident 45) was free from a significant medication error when Resident 45's insulin lispro (a short acting insulin used to treat diabetes) was not administered according to physician orders, manufacturer guidelines, and the facility's policies. The facility's failure to administer Resident 45's insulin at the correct time increased the potential for severe low blood sugar (hypoglycemia) and other medical complications.Findings:A review of Resident 45's clinical record showed the resident was admitted on [DATE] with multiple diagnoses that included: type 2 diabetes (a chronic disease causing high blood sugar), long term insulin use (ongoing need for insulin injections), type 2 diabetes with circulatory complications (blood vessel damage), polyneuropathy (nerve damage causing numbness or tingling), and other diabetic neurological complications.A review of Resident 45's clinical record indicated the following physician…

  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 · Ecited before2026-05-08 · tag F0761 — failed to label and store drugs safely — pattern
  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 medications were stored and maintained according to manufacturer guidelines and facility policies and procedures when:Medications requiring temperature control were not stored at the proper temperature. The medication refrigerator was observed to be out of range for over five hours without follow up. The refrigerator stored medications for a census of 62 residents.An expired bottle of latanoprost (a medication used to reduce and control eye pressure in glaucoma) labeled for Resident 66, and an opened, undated multidose container of glucose test strips, were observed in the Station 3 medication cart (one out of two medication carts sampled). This created the potential for administering expired or ineffective medication to Resident 66 and the risk of using expired or inaccurate glucose test strips to monitor blood glucose levels.Resident 81's eye drops were observed stored at the resident's bedside.These failures resulted in…

  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 · Ecited before2026-05-08 · tag F0880 — failed to prevent and control infections — pattern
  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 proper infection control practices were implemented when:1. Clean gauze was not used to dry the wound after cleansing for Resident 76.2. Glucometer not sanitized properly between residents, and;3. Insulin pen hub not sanitized before the needle was attached.These failures had the potential to compromise resident's health and safety and potentially lead to infection and the spread of communicable diseases.Findings: 1. During a review of Resident 76's admission Record (AR), AR indicated Resident 76 was admitted on [DATE] with diagnoses that included pressure ulcer of sacral (large triangular area at the base of spine) region stage 2 (partial-thickness loss of skin, presenting as a shallow open sore or wound); pressure ulcer (localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence) right buttock unstageable and pressure ulcer left buttock unstageable. During a review of Resident 76's Order…

  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 · Dcited before2026-05-08 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 respect one out of eighteen sampled residents (Resident 26) right to privacy, and respect for personal property when staff searched and took Resident 26's belongings without consent. This deficient practice resulted in psychosocial distress for Resident 26 who was observed visibly upset, expressing anger, pacing in his room and verbalizing that the staff opened and took something from his belongings while he was not in his room and without his permission. Findings:During a review of Resident 26's admission Record (AR), Resident 26 was admitted , 8/25 with diagnosis including Fracture of Second Cervical Vertebra (a broken bone in the upper neck), and frequent falls.A review of Resident 26's Minimum Data Set (MDS- a federally mandated resident assessment tool)- dated, 3/5/26 indicated, Resident 26 has intact cognition.During an observation on 5/6/26, at 10:47 a.m., Resident 26 was observed pacing inside his room, appearing visibly upset, angry and frustrated. Resident 26 stated he was very upset, he did not like…

  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 · D2026-05-08 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 smoking safety interventions per care plan were implemented and adequate supervision was provided to prevent smoking related accidents for one out of 18 sampled residents (Resident 26). This failure to implement smoking safety intervention per care plan despite the facility's non-smoking status, had the potential to place Resident 26 at risk for foreseeable smoking-related accidents and injuries. Findings:During a review of Resident 26's admission Record (AR), Resident 26 was admitted , 8/25 with diagnosis including, Fracture of Second Cervical Vertebra (a broken bone in the upper neck), Repeated Falls, Nicotine (addictive chemical in cigarettes) Dependence.A review of Resident 26's Minimum Data Set (MDS- a federally mandated resident assessment tool)- dated, 3/5/26 indicated, Resident 26 has intact cognition.During a review of Resident 26 care plan, revised 5/5/26, the care plan indicated, Focus- Potential for injury related to noncompliance as evidenced by refusal of.non-compliant with not smoking on…

  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 Assessment and Care Planning 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to CYPRESS HEALTHCARE GROUP — 13 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 26 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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 $887K 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