Oakwood Heights Village
10 Vo Tech Drive · Oil City, PA · 16301 · 8146768686
106 certified beds For profit - Limited Liability company Chain: Abraham Smilow Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $14,015 |
Inspection citations (27 in the current record)
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Potential for harm · E February 6, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 6, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D February 6, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 6, 2026
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 April 3, 2026 · Resident Rights
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Potential for harm · D February 6, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 6, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 6, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · E February 6, 2026
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 3, 2026 · Nursing and Physician Services
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Potential for harm · D February 6, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected April 3, 2026 · Nursing and Physician Services
-
Potential for harm · D February 6, 2026
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 3, 2026 · Pharmacy Service
-
Potential for harm · D February 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2026 · Nutrition and Dietary
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No harm found · B February 6, 2026
Ensure each resident receives an accurate assessment.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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No harm found · C February 6, 2026
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected April 3, 2026 · Nursing and Physician Services
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No harm found · C February 6, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 3, 2026 · Administration
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Potential for harm · D December 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Actual harm · G October 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 8, 2025 · Quality of Life and Care
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Actual harm · G February 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
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.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D February 26, 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 March 28, 2025 · Pharmacy Service
-
Potential for harm · E February 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 28, 2025 · Nutrition and Dietary
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Potential for harm · E December 31, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 10, 2025 · Pharmacy Service
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Potential for harm · D August 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2025 | Fine | $14,015 |
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 395502 · certified since January 30, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.