Green Oaks Nursing And Rehabilitation

Penalties

• Jan 20, 2024 — Fine ($83,850)

Inspection findings

1. Mar 12, 2026 Fire Safety · 14 findings
   • Not serious Scope/severity F

     E0009 Emergency Preparedness Deficiencies

     Include a process for Emergency Preparedness collaboration.

     Corrected Apr 14, 2026 · CMS fire safety

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Apr 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Apr 9, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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 Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 13, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Apr 14, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Apr 14, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 14, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Apr 14, 2026 · CMS fire safety

2. Sep 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Sep 6, 2025 · CMS health inspection

3. Feb 26, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Mar 8, 2025 · CMS health inspection

4. Feb 24, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Mar 8, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0661 Resident Assessment and Care Planning Deficiencies

     Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

     Corrected Mar 8, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 8, 2025 · CMS health inspection

5. Jan 13, 2025 Fire Safety · 11 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Feb 4, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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 Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 10, 2025 · CMS fire safety

6. Jul 30, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 23, 2024 · CMS health inspection

7. May 7, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0803 Nutrition and Dietary Deficiencies

     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.

     Corrected May 24, 2024 · CMS health inspection

8. Jan 20, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jan 21, 2024 · CMS health inspection

9. Jan 3, 2024 Health · 1 finding
   • Not serious Scope/severity B Complaint

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Jan 12, 2024 · CMS health inspection

10. Nov 29, 2023 Fire Safety · 3 findings
    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Jan 17, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0343 Smoke Deficiencies

      Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

      Corrected Jan 17, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Jan 17, 2024 · CMS fire safety

11. Nov 16, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Nov 17, 2023 · CMS health inspection

12. Aug 6, 2023 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0803 Nutrition and Dietary Deficiencies

      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.

      Corrected Aug 7, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Aug 7, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Aug 7, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 09/29/2021
• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 09/29/2021
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 02/01/2021
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 03/27/2019
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 03/27/2019
• GARY, JONICA — adp of the snf, NOT APPLICABLE, since 05/01/2024
• GARY, JONICA — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• JOHANAN, ERIC — adp of the snf, NOT APPLICABLE, since 05/06/2024
• JOHANAN, ERIC — operational/managerial control, NOT APPLICABLE, since 05/06/2024
• KLAG, BEHTANY — adp of the snf, NOT APPLICABLE, since 10/23/2024
• KLAG, BEHTANY — operational/managerial control, NOT APPLICABLE, since 10/23/2024
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/01/2012
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PERRYMAN, JOE — adp of the snf, NOT APPLICABLE, since 09/01/2023
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 05/13/2024
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 05/13/2024
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 09/29/2014
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• VRATIS, KACEY — corporate director, NOT APPLICABLE, since 11/01/2020
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• WAY, GEORGE — corporate officer, NOT APPLICABLE, since 01/01/2013
• WAY, GEORGE — corporate director, NOT APPLICABLE, since 01/01/2013
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• HMG PARK MANOR OF GREEN OAKS, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2021
• HMG SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/01/2021
• QUESTCARE MATRIX PLLC — adp of the snf, NOT APPLICABLE, since 04/01/2018
• ZIONS BANCORPORATION — adp of the snf, NOT APPLICABLE, since 04/01/2021