Elder Care Record

Ohio › Richland County › Mansfield

Oak Grove Manor

1670 Crider Rd, Mansfield, OH 44903

CCN 365837 · For-profit, limited liability company · 75 certified beds · chain Lionstone Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Oak Grove Manor is a For-profit, limited liability company nursing home in Mansfield, Ohio, certified for 75 beds and caring for about 72 residents a day.

CMS gives it 1 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 71 health deficiencies across the three most recent survey cycles (13, 16, 42 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 94.7 per 100 beds, more than the state median of 33.3.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Ohio median of 3.6; nursing staff turnover is 68.1%.

71health deficiencies, 3 survey cycles2 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.6
95%occupancy (residents ÷ beds)72 residents a day

Compared with county, state and nation

MeasureThis facilityRichland Co. medianOhio medianUS average
Overall star rating1233.0
Health citations, 3 cycles71352728.7
Citations per 100 beds94.747.733.326.8
Total nurse hours per resident day3.33.33.63.9
RN hours per resident day0.40.50.60.7
Nursing staff turnover68.1%46.6%48.5%45.8%
Fines listed$15,593$15,593$0—

County and state figures are medians across facilities (10 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 216
Cycle 342

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Jul 2025, 16 May 2024.

Severity mix: J ×1 G ×1 D ×41 E ×10 F ×15 B ×1 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Sep 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation17 Nov 2025
25 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Nov 2025
1 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Jul 2025
1 Jul 2025F0926Have policies on smoking.FStandard survey25 Jul 2025
1 Jul 2025F0880Provide and implement an infection prevention and control program.EStandard survey25 Jul 2025
1 Jul 2025F0578Honor 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.DStandard survey25 Jul 2025
1 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Jul 2025
1 Jul 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey25 Jul 2025
1 Jul 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey25 Jul 2025
1 Jul 2025F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard survey25 Jul 2025
1 Jul 2025F0730Observe each nurse aide's job performance and give regular training.CStandard survey25 Jul 2025
1 Jul 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.CStandard survey25 Jul 2025
1 Jul 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard survey25 Jul 2025
23 Dec 2024F0584Honor 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.DComplaint investigation27 Dec 2024
23 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Dec 2024
29 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation22 Nov 2024
29 Oct 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation22 Nov 2024
29 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation22 Nov 2024
31 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation22 Aug 2024
31 Jul 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation22 Aug 2024
31 Jul 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint investigation22 Aug 2024
31 Jul 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation22 Aug 2024
16 May 2024F0583Keep residents' personal and medical records private and confidential.FStandard survey7 Jun 2024
16 May 2024F0814Dispose of garbage and refuse properly.FStandard survey7 Jun 2024
16 May 2024F0584Honor 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.EComplaint investigation7 Jun 2024
16 May 2024F0679Provide activities to meet all resident's needs.EComplaint investigation7 Jun 2024
16 May 2024F0680Ensure the activities program is directed by a qualified professional.EComplaint investigation7 Jun 2024
16 May 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation7 Jun 2024
16 May 2024F0578Honor 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.DComplaint investigation7 Jun 2024
16 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey7 Jun 2024
16 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation7 Jun 2024
16 May 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation7 Jun 2024
16 May 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation7 Jun 2024
6 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 Feb 2024
6 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation24 Feb 2024
6 Feb 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint investigation24 Feb 2024
6 Feb 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation24 Feb 2024
6 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint investigation24 Feb 2024
6 Feb 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation24 Feb 2024
6 Feb 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation24 Feb 2024
27 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation24 Feb 2024
21 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation1 Dec 2023
21 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Dec 2023
26 Sep 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation6 Oct 2023
1 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation1 Sep 2023
1 Aug 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation1 Sep 2023
15 Nov 2022F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey7 Mar 2023
15 Nov 2022F0761Ensure 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.FStandard survey7 Mar 2023
15 Nov 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Mar 2023
15 Nov 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey7 Mar 2023
15 Nov 2022F0880Provide and implement an infection prevention and control program.FStandard survey7 Mar 2023
15 Nov 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey7 Mar 2023
15 Nov 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey7 Mar 2023
15 Nov 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey7 Mar 2023
15 Nov 2022F0758Implement 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.EStandard survey7 Mar 2023
15 Nov 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey7 Mar 2023
15 Nov 2022F0625Notify 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.DStandard survey7 Mar 2023
15 Nov 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Mar 2023
15 Nov 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Mar 2023
15 Nov 2022F0660Plan the resident's discharge to meet the resident's goals and needs.DStandard survey7 Mar 2023
15 Nov 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Mar 2023
15 Nov 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Mar 2023
15 Nov 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey7 Mar 2023
15 Nov 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 Mar 2023
15 Nov 2022F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey7 Mar 2023
15 Nov 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey7 Mar 2023
15 Nov 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Mar 2023
15 Nov 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Mar 2023
15 Nov 2022F0760Ensure that residents are free from significant medication errors.DStandard survey7 Mar 2023
15 Nov 2022F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey14 Mar 2023
15 Nov 2022F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey14 Mar 2023

Penalties

DateTypeAmountDetail
27 Dec 2023Fine$15,593

Staffing

Total nursing3.32 h
Nurse aides2.06 h
LPN0.84 h
RN0.42 h
Weekend total2.79 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 68.1%, RNs 88.2%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.6%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.2%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay2.6%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.0%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Oak Grove Manor Operating Company Llc. Chain: Lionstone Care (24 facilities).

OrganisationRole in the CMS recordInterestSince
Lionstone Hz Opco Holdings LLC5% or greater direct ownership interest100%01/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Richland County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Shelby PointeShelby455421533.3—2 Jan 2025
Lexington Court Care CenterLexington754332330.7—30 Oct 2025
Arbors At MifflinMansfield993332121.2$16K23 Dec 2024
Crystal Care Center of MansfieMansfield743411418.9—30 Jun 2026
Country Meadow Rehabilitation and Nursing CenterBellville482211122.9—30 May 2024
Crestwood Care CenterShelby1302136247.7$232K25 Mar 2025
Liberty Nursing Center of MansfieldMansfield682243551.5$41K13 May 2025
Winchester TerraceMansfield832214048.2$14K31 Dec 2025

All 10 facilities in Richland County

Questions and answers

How many deficiencies has Oak Grove Manor been cited for?

71 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has Oak Grove Manor been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Oak Grove Manor compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Oak Grove Manor?

It is part of the Lionstone Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lionstone Hz Opco Holdings LLC. Individual owners and managers are not listed on this site.

When was Oak Grove Manor last inspected?

The most recent survey or investigation in the CMS record is dated 25 Sep 2025; the most recent standard health survey was 1 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.