Oakridge Manor Nursing and Rehabilitation Center L
3161 Hilton Rd · Ferndale, MI · 48220 · 2485476227
64 certified beds For profit - Corporation Chain: Pioneer Healthcare Management
Why this verdict
- Federal penalties on record: $46,370 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.86 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $62,259 |
Inspection citations (52 in the current record)
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Actual harm · G May 8, 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 June 9, 2025 · Resident Rights
-
Potential for harm · D May 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 9, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 9, 2025 · Pharmacy Service
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Potential for harm · E May 8, 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 June 13, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 9, 2025 · Infection Control
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Potential for harm · E May 8, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 9, 2025 · Quality of Life and Care
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No harm found · B May 8, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 9, 2025 · Environmental
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Potential for harm · D October 8, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 5, 2024 · Quality of Life and Care
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Actual harm · G April 24, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 28, 2024 · Quality of Life and Care
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Potential for harm · D April 24, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · D April 24, 2024
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 May 28, 2024 · Resident Rights
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Potential for harm · E April 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 28, 2024 · Quality of Life and Care
-
Potential for harm · D April 24, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 28, 2024 · Pharmacy Service
-
Potential for harm · E April 24, 2024
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 May 28, 2024 · Pharmacy Service
-
Potential for harm · D April 24, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 28, 2024 · Administration
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Potential for harm · D April 24, 2024
Provide and implement an infection prevention and control program.
Corrected May 28, 2024 · Infection Control
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Potential for harm · D April 24, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 28, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 8, 2025 | Fine | $46,370 |
| May 8, 2025 | Payment Denial | 9 days |
| April 24, 2024 | Fine | $15,889 |
| April 24, 2024 | Payment Denial | 10 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235322 · certified since October 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.