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The Oaks Rehabilitation and Healthcare Center

3291 Northpointe Drive, Zanesville, OH 43701 · Muskingum County · (740) 452-3000

75 certified beds, about 72 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366051 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 29, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 51 health citations since June 2022, 4 were rated as actual harm or immediate jeopardy to residents.

CMS lists 3 fines totaling $97,465 in the last three years; the largest was $43,435, and the latest is dated July 13, 2026.

Nurses and nurse aides worked 3.73 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.

CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
39D
6E
2F
Potential for minimal harm
0A
0B
0C
July 13, 2026Complaint inspection · 1 citation
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on record review, review of on-call notes, review of the emergency medical services (EMS) run report, review of outside hospital medical records, interview and policy review, the he facility failed to timely respond to a change in condition. This resulted in Actual Harm when on [DATE], Resident #28 had a change in condition. Facility staff failed to notify the medical provider and or respond to the change in condition. Resident #28 suffered a moderate diffuse ileus (the normal wave-like contractions of your intestines have slowed or stopped across a broad area, causing a backup of gas and fluids) which resulted in hypotension, sepsis colitis, respiratory failure, coagulopathy, volume depletion, acidosis and renal failure. Resident #38 died on [DATE]. This affected one (Resident #28) of five residents reviewed for change in condition. The facility census was 69.
May 12, 2026Complaint inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on interview and record review the facility failed to complete respiratory assessments pre and post administration of a nebulizer (aerosol) breathing treatment. This affected one resident (#73) of three residents reviewed for respiratory care. The facility census was 71.
April 14, 2026Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2026
    Inspectors wroteBased on medical record review, staff interview, and facility policy the facility failed to administer medication as prescribed. This affected one resident (Resident #73) of three residents reviewed for medication administration. The facility census was 71.
December 1, 2025Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 9, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure Resident #35's family was notified of missing hearing aids in a timely manner. This affected one (Resident #35) out of three residents reviewed for notification of change. The facility census was 73.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 9, 2026
    Inspectors wroteBased on record review, observation and interviews, the facility failed to ensure the physician ordered diet was followed for Resident #35, who had a swallowing impairment. This affected one (Resident #35) out of three residents reviewed for diet orders. The facility census was 73.
July 29, 2025Standard inspection, Complaint inspection · 5 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on medical record review, employee statement review, facility investigation review, hospital record review, employee file review, interviews and facility policy review the facility failed to timely and adequately assess and identify a major injury status post fall resulting in a delay in medical intervention. Actual harm occurred on 06/13/25 at approximately 9:30 P.M. when Resident #54, who was dependent on staff and the use of a mechanical lift for transfers, was discovered by Certified Nursing Assistant (CNA) #250 lying on the floor of her room, in front of her wheelchair. Resident #54 appeared to be in pain and was unable to recall what had occurred. CNA #250 and CNA #169 used a mechanical lift to place the resident in bed, without an assessment or direction from Licensed Practical Nurse #131. On 06/14/25 at 6:51 A.M. [...]
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review the facility failed to ensure fall interventions were implemented. This deficient practice affected one resident (Resident #61) out of four residents reviewed for accidents and hazards. The facility census was 65. Findings Include: Review of the medical record for Resident #61 revealed an admission date of 06/01/22 with diagnoses including but not limited to Parkinson's disease, dementia, chronic kidney disease, and depression. Review of Resident #61's Minimum Data Set (MDS) dated [DATE] revealed Resident #61 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of two out of possible 15. Resident #61 required assistance from staff for transfers and Resident #61 used a walker and wheelchair for assistance for mobility. [...]
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure physician ordered nutritional interventions were implemented for residents with significant weight loss and dietician recommendations were addressed. This affected one resident (Resident #17) of two residents reviewed for nutrition. The facility census was 65.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on medical record review, interview and policy review the facility failed to ensure non-pharmacologic pain interventions were implemented prior to the administration of as needed pain medication. This affected two residents (#25 and #45) of three residents reviewed for pain management.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025
    Inspectors wroteBased on observation, medical record review and interview, the facility failed to ensure infection control guidelines were maintained during a dressing change. This affected one resident (Resident #47) of one residents observed for dressing changes. The facility census was 65.
June 16, 2025Complaint inspection · 14 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of facility assessment, review of concerns logs, review of time sheets, review of facility policy, observation, and interviews the facility failed to ensure adequate nursing staff to ensure residents received medication timely and failed to provide adequate supervision. This affected five residents (#20, #23, #26, #32, and #51) of six residents reviewed for medication administration and one resident (#66) of two residents reviewed on the secure unit with the potential to affect all 72 residents residing in the facility.
  2. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on review of the Payroll Base Journal (PBJ) Staffing Data Report and interview the facility failed to submit staffing information to Centers for Medicare and Medicaid Services (CMS) timely. This had the potential to affect all 72 residents residing in the facility.
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure medication carts were properly secured and medication were properly stored and labeled. This had the potential to affect 11 residents (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11) of 11 residents residing on 100 hall and 40 residents (#12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #37, #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, and #51) of 40 residents residing on 200 hall. The facility census was 72.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of self-reported incident (SRI), review of the facility investigation, interview, and policy review the facility failed to ensure all allegations of resident abuse was reported immediately to the administrator and to the state survey agency. This affected two residents (#66, #70) of four residents reviewed for abuse.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of a self-reported incident (SRI) and investigation, and interview the facility failed to ensure a dependent resident was provided adequate oral hygiene. This affected one resident (#36) of one resident reviewed for neglect.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of self-reported incident (SRI), review of the facility's investigation, interview, and policy review the facility failed to timely assess, monitor, and report weight gain. This affected one resident (#70) of three residents reviewed for falls and one resident (#20) three residents reviewed nutrition.
  7. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of hospital notes, review of wound clinic notes, and interviews, the facility failed to comprehensively assess and provide treatment as ordered to a resident foot. This affected one resident (#2) of three residents reviewed for skin alterations.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on observation, interviews and record review the facility failed to ensure safety measures were implemented to prevent resident injuries. This affected one resident (#34) of three residents reviewed for accidents. Findings Include: Review of the medical record for Resident #34 revealed an admission date 08/07/24. Diagnoses included diabetes mellitus, respiratory failure with hypoxia, chronic kidney disease, heart failure, dysphagia, and other feeding difficulties. Review of the physician orders dated 06/10/25 revealed wound care for left leg to be cleansed with normal saline, apply skin prep and leave upon to air. Monitor steri strips and allow them to fall off on their own. Review of the wound evaluation dated 12/10/24 revealed new skin tear to right lateral calf noted measuring 3.4 centimeter (cm) by 2.8 cm by 0.2 cm. [...]
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on interviews and record review, it was determined the facility failed to treat Urinary Tract Infections (UTI) in a timely manner for all residents. This affected one resident (#34) of one resident (Resident #34) for UTI. Findings Include: Review of the medical record for Resident #34 revealed an admission date 08/07/24. Diagnoses included diabetes mellitus, respiratory failure with hypoxia, chronic kidney disease, heart failure, dysphagia, and other feeding difficulties. Resident #34 had intact cognition. Review of the quarterly Minimum data Set (MDS) assessment dated [DATE] revealed Resident #34 had intact cognition. Resident #34 was dependent on transfers and had frequent incontinence of bowel and bladder. Review of the progress note dated 06/04/25 at 8:00 A.M. revealed the Nurse Practitioner (NP) #300 saw Resident #34. [...]
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, review of Medscape, observation, interview, and policy review the facility failed to ensure the facility medication error rate was not greater than five percent. The facility had five medication errors out of 28 opportunities resulting in a medication error rate of 17.8%. This affected two residents (#20 and #49) of three residents observed for medication administration.
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, interview, observation, and policy review the facility failed to ensure residents were free from significant medication errors. This affected one resident (#49) of three residents reviewed for medication administration and one resident (#34) of three residents reviewed for urinary tract infections (UTI).
  12. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on observation, interviews and record review the facility failed to ensure all residents had required assistive device available during meal times. This affected one resident (#34) of one resident that was reviewed for assistive devices. Findings Include: Review of the medical record for Resident #34 revealed an admission date 08/07/24. Diagnoses included diabetes mellitus, respiratory failure with hypoxia, chronic kidney disease, heart failure, dysphagia, and other feeding difficulties. Resident #34 had intact cognition. Review of physician orders for June 2025 revealed regular diet, regular texture and thin consistency for liquids. Divided plate, Kennedy cup (cup with handles and lid) and built-up utensils for all meals as tolerated dated 11/26/24. [...]
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, observation, interview, and policy review the facility failed to ensure medication administration was accurately documented on the medication administration record (MAR). This affected one resident (#49) of three residents reviewed for medication administration.
  14. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2025
    Inspectors wroteBased on medical record review, observation, interview, and policy review the facility failed to ensure enhanced barrier precaution (EBP) were maintained during resident care and failed to ensure infection control practices were maintained during medication administration. This affected one resident (#4) of 72 residents observed during the tour and one resident (#49) of three residents observed for medication administration.
June 25, 2024Standard inspection · 16 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on medical record review, observation, interview, and facility policy review, the facility failed to provide appropriate assistance and follow care planned interventions for Resident #48 to prevent a fall with an injury. The facility failed to complete a fall investigation and neurological checks as ordered for Resident #29 and failed to ensure appropriate interventions were in place to prevent Resident #37 from leaving the secured unit. Actual harm occurred on 04/03/24 when Resident #48, who was severely cognitively impaired sustained a fall and fractured left hip when ambulating wearing inappropriate footwear and without her walker. At the time of the incident, staff told the resident to go put shoes on but failed to provide any additional intervention or assistance to prevent the fall with injury. [...]
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on interview and medical record review the facility failed to ensure residents #16, #18, #40, and #59, had comprehensive care plans that addressed activity of daily living (ADL), wandering behaviors, and contracture. This affected four residents (#16, #18, #40, and #59) of 22 residents whose care plans were reviewed. The facility census was 69.
  3. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on interview and record review the facility failed to appropriately document, revise, and implement care plans, and appropriately address Resident #35's dementia related behaviors. This affected one (Resident #35) of five residents reviewed for dementia and had the potential to affect all 12 residents on the memory care unit. The facility census was 69.
  4. E
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observations, staff interview, and facility policy review, the facility failed to ensure pureed food items were an appropriate texture, requiring surveyor intervention. This affected six residents (Residents #6, #9, 11, #16, #49 and #320) who had an ordered pureed diet. The facility census was 69. Findings Include: Observations completed on 06/18/24 from 4:02 P.M. to 4:37 P.M. with Dining Services Assistant (DSA) #123 of pureed swiss steak revealed the facility had six residents on an ordered pureed diet and the cook would be preparing seven servings of swiss steak. DSA #123 washed his hands with soap and water at the sink and donned clean gloves. DSA #123 added seven whole swiss steak patties to the puree blender at 4:06 P.M. At 4:08 P.M., DSA #123 added one cup and one teaspoon of beef base and added ¼ teaspoon and ½ teaspoon of thickener to the swiss steak. [...]
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to follow appropriate hand hygiene and glove use during dinner meal service. Additionally, the facility failed to ensure prepared food temperatures were taken prior to delivering the foods to be served to the residents who resided on the Memory Care Unit (Residents #5, #18, #34, #35, #37, #42, #43, #48, #51, #59, #60, and #174). This had the potential to affect a total of 68 residents who resided in the facility and received foods from the kitchen. The facility had one resident (Resident #21) on an ordered nothing by mouth (NPO) diet. Findings Include: Observations of food temperatures with [NAME] #123 were attempted on 06/18/24 at 4:55 P.M. [...]
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observations, medical record review, and interviews the facility failed to have enhanced barrier precautions (EBP) in place for Resident #58, #63, #171, and #371. This affected four (Resident #58, #63, #171, and #371) out of eight residents reviewed for enhanced barrier precautions. Also, the facility failed to follow contact isolation precaution procedures. This affected one (Resident #2) of five residents reviewed for infection control. The census was 69.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on interview, review of medical records, and facility policy review, the facility failed to report potential abuse between Resident #35 and #37 to the state agency. This affected two residents (#35 and #37) of three residents reviewed for abuse. The facility census was 69.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on record review and interviews the facility failed to have an initial care conference in a timely manner for Resident #53. This affected one (Resident #53) out of one reviewed for care planning. Facility census was 69.
  9. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on record review and interview the facility failed to provide a discharge summary when Resident #66 was discharged . This affected one (Resident #66) out of two residents reviewed for discharge. Facility census was 69.
  10. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to provide Resident #53 with bathing as scheduled and per Resident #53's preference. This affected one (Resident #53) out of three reviewed for assistance with activities of daily living. Facility census was 69.
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on resident and staff interviews, medical record review, review of hospital records, and review of invoices for wound care equipment, the facility failed to ensure one resident's (Resident #63) wound vac and supplies were received prior to admission. This affected one resident (Resident #63) of one reviewed for medical equipment. The facility census was 69. Findings Include: Review of the medical record for Resident #63 revealed an admission date on 05/28/24 at 5:12 P.M. [...]
  12. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review, the facility failed to timely identify, accurately assess, and timely treat one resident's (Resident #9) pressure ulcer areas of her right heel and ankle. This affected one resident (Resident #9) of two residents reviewed for pressure ulcers. The facility census was 69. Findings Include: Review of the closed medical record for Resident #9 revealed an admission date on 02/02/23 and a discharge date of 06/22/24. Medical diagnoses included Alzheimer's Disease, Type II Diabetes Mellitus with unspecified complications, mixed receptive-expressive language disorder, difficulty in walking, unsteadiness on feet, generalized weakness, cognitive communication deficit, and need for assistance with personal care. [...]
  13. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure orders were in place for Resident #171 who had a catheter. This affected one resident (#171) of one resident reviewed for catheters. The facility census was 69.
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to timely address all pharmacy recommendations. This affected one (Resident #31) of five residents reviewed for medication administration. The census was 69. Findings Include: Resident #31 was admitted to the facility on [DATE]. Her diagnoses were Parkinson's disease, psychosis, hypertensive heart disease, chronic kidney disease (stage III), heart failure, old myocardial infarction, osteoarthritis, syncope and collapse, major depressive disorder, hyperlipidemia, hypomagnesemia, hypokalemia, mild cognitive impairment, anxiety disorder, dysphagia, cognitive communication deficit, and pain in right shoulder. Review of her minimum data set (MDS) assessment, dated 03/31/24, revealed she was cognitively intact. [...]
  15. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to timely address all pharmacy recommendations. This affected one (Resident #31) of five residents reviewed for medication administration. The census was 69. Findings Include: Resident #31 was admitted to the facility on [DATE]. Her diagnoses were Parkinson's disease, psychosis, hypertensive heart disease, chronic kidney disease (stage III), heart failure, old myocardial infarction, osteoarthritis, syncope and collapse, major depressive disorder, hyperlipidemia, hypomagnesemia, hypokalemia, mild cognitive impairment, anxiety disorder, dysphagia, cognitive communication deficit, and pain in right shoulder. Review of her minimum data set (MDS) assessment, dated 03/31/24, revealed she was cognitively intact. [...]
  16. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to keep accurate medical records for two residents (Residents #9 and #48). This affected two residents (Residents #9 and #48) of 21 residents reviewed in the sample. The facility census was 69.
June 28, 2022Standard inspection · 11 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to develop and implement a comprehensive and individualized pain management program to provide adequate pain control for Resident #35. Actual harm occurred on 06/21/22 when Resident #35, who received Hospice services for terminal Parkinson's Disease, complained of continued, unrelieved pain despite scheduled and as needed narcotic pain medication doses, exhibited by verbal complaints of pain and moaning. The facility failed to comprehensively assess the resident's pain and notify Hospice services and/or the primary care physician regarding the resident's increased pain resulting in the resident being very restless and unable to get adequate rest due to increased pain despite additional dosages of as needed pain medication. This affected one resident (#35) of one resident reviewed for pain. [...]
  2. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on personal funds record review, interview and facility policy and procedure review the facility failed to ensure residents and/or representatives were notified timely and aware of the need to spend-down personal funds once the account balance reached/exceeded the maximum resource limit. This affected two residents (#13 and #38) of five current residents reviewed for facility-managed funds. The facility managed 39 resident personal funds accounts. The total census was 71.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to notify Resident #6's representative when the resident experienced a skin tear on the arm requiring treatment. This affected one resident (#6) of 21 sampled residents reviewed for notification.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure an allegation of rape, involving Resident #9 was thoroughly investigated and included written details of the total circumstances of the allegation being made. This affected one resident (#9 of three residents reviewed in facility self-reported incidents (SRIs).
  5. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on closed record review, facility policy and procedure review and interview the facility failed to ensure Resident #70 was provided a notice of the facility bed hold policy prior to a hospital transfer. This affected one resident (#70) of one resident reviewed for hospitalization.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on record review and interview the facility failed to develop a comprehensive psychotropic plan of care identifying target behaviors related to the use of antipsychotic, anti-anxiety and antidepressant medications for Resident #50. This affected one resident (#50) of five residents reviewed for unnecessary medication use.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure non-pressure related wound care was provided for a surgical wound for Resident #168 and a skin tear for Resident #6 as ordered. This affected two residents (#6 and #168) of two residents reviewed for non-pressure skin conditions.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to adequately assess a pressure ulcer for Resident #67 to identify the proper stage of the ulcer. This affected one resident (#67) of two residents reviewed for pressure ulcers.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure fall prevention interventions were implemented as planned for Resident #14 and Resident #51 to decrease the residents' risk of falls. This affected two residents (#14 and #51) of four residents reviewed for falls.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure Resident #49's weights were obtained as recommended by the dietician to adequately monitor the resident's nutritional status and to identify a significant weight loss in a timely manner. This affected one resident (#49) of three residents reviewed for nutrition.
  11. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to identify and/or monitor and measure specific targeted behaviors, perform Abnormal Involuntary Movement Scale (AIMS) testing and/or complete gradual dose reductions as required for the use of psychotropic medication to ensure psychotropic medications were justified and administered at the lowest effective dose for each resident. This affected three residents (#41, #50 and #51) of five residents reviewed for unnecessary medication use. The facility identified 55 residents who received psychoactive medications. The facility census was 71.

Fire safety inspections

11 fire safety citations on file: 2 on July 29, 2025, 5 on June 25, 2024, 4 on June 28, 2022.

Every fire safety citation11 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 29, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 29, 2025 · Corrected (the home has a date of correction)
  3. F
    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.
    K 222 · June 25, 2024 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 25, 2024 · Corrected (the home has a date of correction)
  5. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 25, 2024 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 25, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 25, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 28, 2022 · Corrected (the home has a date of correction)
  9. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 28, 2022 · Corrected (the home has a date of correction)
  10. E
    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.
    K 222 · June 28, 2022 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · June 28, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 13, 2026Fine $43,435
July 29, 2025Fine $37,229
June 25, 2024Fine $16,801

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.733.693.86
Registered nurses0.220.640.69
All nursing staff on weekends3.433.283.42
Nurse aides2.42
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)not reported48.7%45.8%
Registered nurse turnovernot reported43.9%42.9%
Administrators who leftnot reported

CMS expects 4.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.85 on weekdays and 3.43 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.73 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.730.223.853.43 0.0%0 of 9072
Oct to Dec 20253.700.253.883.24 0.0%2 of 9271
Jul to Sep 20253.740.273.903.34 0.0%2 of 9270
Apr to Jun 20253.280.313.363.07 0.0%2 of 9172
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.45.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.56.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.58.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.324.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.712.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Oaks Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

59.5% this home

Better than the national rate

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 157 eligible stays.

Potentially preventable readmissions

13.5% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 163 eligible stays.

Infections that led to a hospital stay

8.4% this home

No different from the national rate

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 113 eligible stays.

Self-care and mobility at discharge

57.1% this home

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 84 residents counted.

Falls with major injury

0.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.

New or worsened pressure ulcers

1.0% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 106 residents counted.

Medication list given at discharge

97.4% this home

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 39 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF MUSKINGUM, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Continental Merger Sub LLC5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Inc5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Operating Partnership LP5% or greater indirect ownership interestOrganization10/01/2021
Trilogy Holdings Nt-Hci, LLC5% or greater indirect ownership interestOrganization10/01/2021
Corbin, KathyW-2 managing employeeIndividual02/25/2011
Fightmaster, LisaW-2 managing employeeIndividual12/01/2015
Barney, LeighCorporate officerIndividual11/01/2019
Bryant, WilliamCorporate officerIndividual01/05/2016
Bufford, RandallCorporate officerIndividual11/01/2019
Conner, GregoryCorporate officerIndividual06/03/2021
Davis, DavidCorporate officerIndividual08/21/2017
Mehaffey, ToddCorporate officerIndividual01/31/2022
Pietrowski, CristinaCorporate officerIndividual01/31/2022
Prosky, DannyCorporate officerIndividual11/01/2019
Streiff, MathieuCorporate officerIndividual11/01/2019
Trilogy Management Services LLCOperational/managerial controlOrganization10/01/2021
Guthrie, MeganOperational/managerial controlIndividual10/21/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 23 problems in this area, most recently on July 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on April 14, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 16, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 1, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Oaks Rehabilitation and Healthcare Center's Medicare star rating?
CMS rates The Oaks Rehabilitation and Healthcare Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Oaks Rehabilitation and Healthcare Center get at its last inspection?
5 health deficiencies at the standard inspection on July 29, 2025. The Ohio average is 10.5.
Has The Oaks Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 3 fines totaling $97,465 in the last three years.
Does The Oaks Rehabilitation and Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Oaks Rehabilitation and Healthcare Center?
CMS lists 17 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF MUSKINGUM, LLC.

Sources

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