Grand Oaks Nursing 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.

38.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 24.1% 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 29 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 79 beds and averages 62.2 residents a day — about 79% occupied, or roughly 17 beds typically open. It usually has some room. 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 4.04 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.73 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 3.55 hrs/resident/day on weekends vs 4.24 on weekdays — 16% thinner on weekends. RN hours go from 0.58 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as 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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · Dcited before2026-05-06 · tag F0658 — failed to meet professional standards of care — isolated
  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 ensure that weights were obtained in accordance with physician orders for 3 residents (Resident #63, #26, and #35), out of 5 residents reviewed for the provision of nursing services.Findings: Resident #63 (R63) Review of an admission Record revealed R63 was a [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: congestive heart failure. Review of R63's Order Summary dated 5/1/26 revealed, Daily weight. See Torsemide (diuretic medication) order for weight gain 4-5lbs in a day. every day shift for CHF (congestive heart failure) and Torsemide Oral Tablet 20 MG Give 1 tablet by mouth as needed for Weight gain 1 tablet prn (as needed) for weight gain of 4-5lbs daily. Review of R63's May Treatment Administration Record revealed: On 5/3/26 R63's weight was 133.2 pounds. On 5/4/26 no weight was obtained for the reason Hold/See Progress Notes. The progress note revealed waiting on weight to be done. On 5/5/26 R63's…

  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 · Dcited before2026-05-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 implement interventions and complete treatments for 1 resident (R16) with an unstageable pressure ulcer out of 2 residents reviewed for pressure ulcers. Findings Include:Resident #16 (R16)Review of an admission Record reflected R16 admitted to the facility with abnormal posture, weakness, muscle wasting and atrophy and dementia. Review of a Care Plan initiated 12/01/2025 reflected R16 had Altered functional mobility and ADLs (Activity of Daily Living) with interventions that included SKIN CARE INTERVENTIONS: . Heel boots at all times Date Initiated: 12/01/2025, revised on 5/4/2026. During an observation on 05/04/2026 at 10:00 AM, R16 was observed in her wheelchair in the common area and appeared to be sleeping. Heel boots were not in place. During an observation on 05/04/2026 at 11:40 AM, R16 was still sleeping in the wheelchair in the common area, heel boots were not in place. During an observation on 05/04/2026 at 1:19 PM, R16 was observed seated in the common area on the unit, and heel boots were not 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-06 · tag F0755 — failed to provide safe pharmacy services — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure controlled drugs were administered in accordance with physician orders and nursing professional standards of practice for 4 residents (Resident #52, #17, #26, and #68) out of 15 residents reviewed for medication administration.Findings:Resident #52 (R52)Review of an admission Record revealed R52 was an [AGE] year-old female, admitted to the facility on [DATE], with pertinent diagnoses which included: restlessness and agitation.Review of R52's Order Summary dated 4/22/26 revealed, Ativan Gel Apply to wrists topically every 4 hours as needed for anxiety.Review of R52's Controlled Drug Receipt/Record/Disposition Form revealed that a dose of the Ativan gel was dispensed on 4/28/26 at 6:19 PM. There was no documentation that the Ativan gel had been wasted (would include a note of wasted with a secondary nurses signature).Review of R52's Electronic Medication Administration Record (EMAR) revealed that the dose of Ativan gel dispensed on 4/28/26 at…

  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 · D2026-05-06 · tag F0847 — isolated
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  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 Binding Arbitration was explained in a manner understood by residents and/or resident representatives and obtain adequate informed consent prior to entering into a binding arbitration agreement for 1 resident (R62) out of 3 residents reviewed for arbitration. Findings Include:Review of an admission Record reflected R62 admitted to the facility from a hospital on 4/26/2026 for orthopedic aftercare. R62 was listed as their own responsible party. During an interview on 05/06/2026 at 1:20 PM, R62 reported that he had no idea what a binding arbitration agreement was. R62 did not recall signing the agreement and said his son handles all these matters and these things are over his head.Review of a Voluntary Binding Arbitration Agreement reflected that R62 signed the agreement on 4/27/2026 and reflected R62 initialed agreement with 20. Understand the Binding Agreement to Arbitrate. The Resident or his/her Representative acknowledges that they fully understand this Binding Arbitration Agreement. During an interview 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-06 · 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

  Based on observation, interview and record review, the facility failed to implement Enhanced Barrier Precautions for 1 resident (R16) out of 15 residents reviewed for infection control. Resident #16 (R16)Review of an admission Record reflected R16 admitted to the facility with diagnoses that included a stage 2 pressure ulcer. Review of R16's entire Care Plan initiated on 12/01/2025 did not reflect R16 was in Enhanced Barrier Precautions (EBP).Review of Interdisciplinary Documentation dated 4/28/2026 reflected Resident appears to have PI (pressure injury) to right heal (sic); 6cm x 3.5cm. It appears to have had a large blister open. Center has dark discoloration with blanchable redness surrounding. Area is tender to touch. 4x4 foam border dressing applied. Message left for CCC (Clinical Care Coordinator). Further review of the Progress Notes did not reflect R16 had been placed in EBP due to having an open wound. Review of R16's Orders in the Electronic Medical Record (EMR) did not reflect R16 required EBP. During an observation on 05/06/2026 at 9:21 AM, the Director of Nursing (DON)…

  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 · Ecited before2026-01-29 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 2677566. Based on observation, interview, and record review, the facility failed to ensure the appropriate assessing, monitoring, documenting, and care planning reflected the needs, cares, and services required for one (R2) of 4 residents reviewed for quality of care. Findings include:Resident #2 (R2)Review of a Face Sheet revealed R2 originally admitted to the facility on [DATE] with pertinent diagnoses of diabetes, congestive heart failure (CHF), hernia, chronic kidney disease, benign prostatic hyperplasia (enlarged prostate), major depressive disorder, weakness, and needs for assistance with personal care. Review of the Minimum Data Set (MDS) dated [DATE] for R2 revealed he was cognitively intact. During an observation and an interview on 1/27/26 at 2:30 PM, R2 was observed sitting in a wheelchair with his hair disheveled and notable scabbing on his head. R2 reported he scratches his head because it itches. R2 reported he had been in the hospital for a hernia repair but 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · 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

  This pertains to intake 2716089.Based on observation, interview, and record review, the facility failed to protect Resident#1 (R1) for the right to be free from verbal and physical abuse by Ancillary Service Provider the Podiatrist.Findings include:A review of the facility's Identification of Abuse, policy and procedure, reviewed/revised 3/19, revealed, abuse the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish . Willful means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. A review of the facility's Identification of Abuse, policy and procedure, reviewed/revised 3/19, revealed, Psychological, Mental or Verbal Abuse: Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation.Resident#1 (R1)Review of an admission Record reflected Resident #1 (R1) admitted to the facility with pertinent diagnoses of.…

  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 · E2025-03-20 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  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 call lights were left within reach of 2 residents (R30 and R22) of 2 residents reviewed for availability of call lights. Findings include: R30 Review of an admission Record revealed R30 admitted to the facility on [DATE] with pertinent diagnoses which included dementia and weakness. Review of a Minimum Data Set (MDS) assessment for R30, with a reference date of 2/25/2025 revealed a Brief Interview for Mental Status (BIMS) score of 12, out of a total possible score of 15, which indicated R30 was moderately cognitively impaired. Further review of same MDS assessment revealed R30 required staff assistance with transfers. Review of a current functional mobility Care Plan interventions for R30, initiated 1/9/2024, directed staff that R30 required staff assistance with ambulation and directed staff to maintain personal items within her reach and encourage her to use her call light to alert staff of needs. In an observation and interview…

  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 · E2025-03-20 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  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 follow policies and procedures and implement appropriate antibiotic stewardship for two (R39 and R48) of two residents reviewed for antibiotic stewardship and failed to have an affective system in place for assessing, monitoring and preventing unnecessary antibiotic usage. Findings include: Review of a policy titled Antimicrobial Stewardship last revised on 3/2020 revealed: It is the policy of this facility to utilize various antimicrobial stewardship strategies to improve the quality of antimicrobial therapy, minimize antimicrobial resistance, and optimize clinical outcomes. The facility will utilize antimicrobial stewardship strategies in combination with infection prevention and control efforts to limit the emergence and transmission of antimicrobial-resistant pathogens. Purpose: To preserve the effectiveness of antimicrobials, reduce avoidable adverse effects, minimize healthcare associated infection, and limit the emergence and transmission of…

  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 · D2025-03-20 · 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

  This citation pertains to intake M100150227. Based on interview and record review, the facility failed to treat a resident in a dignified manner for one (R27) of three residents reviewed for dignity. Findings include: Review of a Facility Reported Incident (FRI) revealed on 1/31/25, a Certified Nursing Assistant (CNA) P went into R27's room and asked the resident Why you mean muggin' me? It was reported the staff member and R27 began arguing back and forth until CNA P left the room. R27 told CNA P to get over himself and he then jumped in the air and stated, I just got over myself. R27 told CNA P she was going to write him up and he answered, Good, can't wait. I see flaming daggers come out of your eyes. In an interview on 3/20/25 at 9:07 AM, R27 reported CNA P was not abusive, but he insulted her intellect and injury and would not elaborate any more because she already told the facility and did not want to stir up any problems. Review of a Corrective Action Form for the incident dated 1/31/25, CNA P was permanently dismissed from his position at the facility for severe violation of…

  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

“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 THE PEPLINSKI GROUP — 10 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 32 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $696K 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 MI