Oak Forest Health and Rehabilitation
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-06-12 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-08 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2023-12-18 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-11-15 — ACTUAL HARM (tag F0689, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.60
state median 3.11
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.22
registered nurses only
Contract (agency) staff
20%
share of all nursing hours
Nursing staff turnover
61%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $38,527 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-12 | Fine | $12,948 |
| 2024-11-08 | Fine | $16,801 |
| 2023-12-18 | Fine | $8,778 |
Ownership
Ownership type: For profit - Corporation. Part of the LIBERTY SENIOR LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Royal Park Rehabilitation & Health Center (Matthews, NC) —
- Summerstone Health and Rehabilitation Center (Kernersville, NC) —
- The Foley Center at Chestnut Ridge (Blowing Rock, NC) —
- Woodhaven Nursing Center (Lumberton, NC) —
- Yadkin Nursing and Care Center (Yadkinville, NC) —
- Capital Nursing and Rehabilitation Center (Raleigh, NC) —
- Liberty Commons Nursing and Rehabilitation Center (Whiteville, NC) —
- Elizabethtown Healthcare & Rehab Center (Elizabethtown, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-12 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-12 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-12 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-12 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-12 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-06-12 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-12 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-12 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-12 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-08 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-08 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-02-15 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-15 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-15 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-02-15 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-15 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-15 | F0867 | Administration Deficiencies | F | not recorded |
| 2024-02-15 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-12-18 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-12-18 | F0867 | Administration Deficiencies | D | not recorded |
| 2023-07-26 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-07 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-07 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-11-15 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2022-11-15 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2022-11-15 | F0641 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2022-11-15 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-11-15 | F0689 | Quality of Life and Care Deficiencies | H | not recorded |
| 2022-11-15 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-11-15 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-11-15 | F0867 | Administration Deficiencies | E | not recorded |