Grande Oaks

24579 Broadway Ave · Oakwood Village, OH · 44146 · 4404397976

60 certified beds For profit - Corporation Chain: Embassy Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

RN staffing in the bottom 10% nationally

0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 70
Staffing 20% 55
Federal penalties 15% 73
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.153.48 min · 4.1 strong
RN hours / resident-day0.160.55–0.75
Weekend hours / resident-day3.83≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)1 · $17,020

Inspection citations (85 in the current record)

  • Actual harm · G April 29, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Actual harm · G April 29, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D April 29, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D April 29, 2026 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D April 29, 2026 · found via complaint

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D April 29, 2026 · found via complaint

    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.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D April 29, 2026 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 29, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 29, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 29, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D April 29, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D April 29, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D April 29, 2026 · found via complaint

    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.

    Deficient, Provider has no plan of correction · Nutrition and Dietary

  • Potential for harm · D April 29, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2026 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Deficient, Provider has no plan of correction · Environmental

  • Potential for harm · D April 29, 2026 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Deficient, Provider has no plan of correction · Environmental

  • Potential for harm · D October 28, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 31, 2025 · Resident Rights

  • Potential for harm · D October 28, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 28, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 31, 2025 · Quality of Life and Care

  • Potential for harm · D October 28, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 31, 2025 · Quality of Life and Care

  • Potential for harm · D October 28, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 31, 2025 · Quality of Life and Care

  • Potential for harm · E October 28, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 31, 2025 · Infection Control

  • Potential for harm · E October 28, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected October 31, 2025 · Environmental

  • Potential for harm · D March 27, 2025

    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.

    Corrected April 15, 2025 · Pharmacy Service

  • Potential for harm · D March 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 15, 2025 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 2, 2024Fine$17,020

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365825 · certified since February 22, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.