Oak Grove Manor
1670 Crider Rd · Mansfield, OH · 44903 · 4195896222
75 certified beds For profit - Limited Liability company Chain: Lionstone Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $15,593 |
Inspection citations (71 in the current record)
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Potential for harm · D September 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 17, 2025 · Quality of Life and Care
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Potential for harm · F September 25, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 17, 2025 · Nutrition and Dietary
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Potential for harm · D July 1, 2025
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.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D July 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D July 1, 2025
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.
Corrected July 25, 2025 · Nursing and Physician Services
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Potential for harm · D July 1, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 25, 2025 · Pharmacy Service
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Potential for harm · D July 1, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected July 25, 2025 · Nutrition and Dietary
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Potential for harm · F July 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 25, 2025 · Nutrition and Dietary
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Potential for harm · E July 1, 2025
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
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Potential for harm · F July 1, 2025
Have policies on smoking.
Corrected July 25, 2025 · Environmental
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No harm found · B July 1, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 25, 2025 · Resident Rights
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No harm found · C July 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected July 25, 2025 · Nursing and Physician Services
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No harm found · C July 1, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected July 25, 2025 · Nursing and Physician Services
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Potential for harm · D December 23, 2024 · 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.
Corrected December 27, 2024 · Resident Rights
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Potential for harm · D December 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D October 29, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F October 29, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · F October 29, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 22, 2024 · Environmental
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Potential for harm · D July 31, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 22, 2024 · Pharmacy Service
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Potential for harm · F July 31, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · D July 31, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · D July 31, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · F May 16, 2024
Keep residents' personal and medical records private and confidential.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F May 16, 2024
Dispose of garbage and refuse properly.
Corrected June 7, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 27, 2023 | Fine | $15,593 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365837 · certified since May 6, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.