OAK GROVE MANOR

CCN 365837 · OAK GROVE MANOR OPERATING COMPANY LLC · For profit - Limited Liability company · LIONSTONE CARE chain · 75 certified beds · Richland · OH


OAK GROVE MANOR is a 75-bed nursing home in MANSFIELD, Ohio. CMS has certified it for Medicare and Medicaid since 1991-05-06. It averages 71.6 residents a day.

What harm was found in the violations cited at OAK GROVE MANOR?

CMS lists 71 health-inspection deficiencies for OAK GROVE MANOR since 2022-11-15, 46 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-09-25.

Survey dateTagDeficiencySeverity
2025-09-25F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2025-09-25F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-07-01F0812, F0926Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have policies on smoking.F
2025-07-01F0880Provide and implement an infection prevention and control program.E
2025-07-01F0578, F0684, F0726, F0759, F0800Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure medication error rates are not 5 percent or greater. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D
2025-07-01F0730, F0947Observe each nurse aide's job performance and give regular training. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.C
2025-07-01F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2024-12-23F0584, F0684Honor 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-10-29F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2024-10-29F0610Respond appropriately to all alleged violations.D
2024-07-31F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2024-07-31F0760, F0805, F0806Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2024-05-16F0583, F0814Keep residents' personal and medical records private and confidential. / Dispose of garbage and refuse properly.F
2024-05-16F0584, F0679, F0680Honor 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. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional.E
2024-05-16F0558, F0578, F0609, F0755, F0760, F0842Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-02-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-06F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-02-06F0868, F0921Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2024-02-06F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E
2024-02-06F0550, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide and implement an infection prevention and control program.D
2023-12-27F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-11-21F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-26F0880Provide and implement an infection prevention and control program.D
2023-08-01F0677, F0686Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2022-11-15F0727, F0761, F0812, F0868, F0880Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program.F
2022-11-15F0623, F0677, F0756, F0758, F0759Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater.E
2022-11-15F0625, F0655, F0657, F0660, F0684, F0689, F0692, F0695, F0697, F0698, F0755, F0757, F0760, F0770, F0773Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D

Why was OAK GROVE MANOR fined?

DateTypeAmount
2023-12-27Fine$15,593

How is OAK GROVE MANOR staffed relative to the OH average?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day3.316643.68589
Total nursing staff turnover (%)68.148.7
Average number of residents per day71.673.7

Who owns OAK GROVE MANOR, and what chain is it in?

OAK GROVE MANOR is registered with CMS as For profit - Limited Liability company, operates under the legal business name OAK GROVE MANOR OPERATING COMPANY LLC and belongs to the LIONSTONE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLIONSTONE HZ OPCO HOLDINGS LLCsince 01/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTKAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2023
CORPORATE OFFICERCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZER, KAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2020
OPERATIONAL/MANAGERIAL CONTROLCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZER, STEIN, ABBAsince 01/01/2023
ADP OF THE SNFCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZERsince 01/01/2023

Were you or a family member harmed at OAK GROVE MANOR?