Grande Oaks
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 60 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 8.0)
- High staff turnover (65%)
- High RN turnover (80%)
Bottom 25% in OH · Critically understaffed (RN) · Above average staffing · Below chain average · $17,020 in fines
What this means for your family
While the therapy and activities departments receive some praise, the facility is currently facing critical reports regarding basic infrastructure, such as lack of water, and severe medication management errors. We strongly advise families to look elsewhere, or if considering this facility, to conduct an unannounced visit and verify current state inspection reports regarding staffing and sanitation.
Google Reviews
Google Reviews
60 reviews on Google“Grande Oaks receives highly polarized reviews, with recent feedback highlighting severe operational failures including lack of running water, medication mismanagement, and chronic understaffing. While some families praise specific staff members and the therapy department, numerous reports of neglect, poor communication, and unsanitary conditions suggest a high-risk environment for residents.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy team
- Select attentive nursing staff
- Engaging activities department
Concerns
- Chronic understaffing and slow response to call lights (mentioned by 8 reviewers)
- Medication management failures at discharge (mentioned by 3 reviewers)
- Unsanitary conditions including odors and lack of water (mentioned by 3 reviewers)
- Poor communication and unresponsiveness from management (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that physical therapy is a noted strength here, how do you integrate those therapists into the daily routine for residents who need extra support?
- 2I’ve heard great things about your activities department; could you walk me through what a typical week of engagement looks like for residents?
- 3With current staffing levels being a common concern for families, what specific protocols do you have in place to ensure call lights are answered promptly?
- 4Could you explain your process for medication management during the discharge transition to ensure that all prescriptions and instructions are handled accurately?
- 5I noticed some feedback regarding facility maintenance; what is your current schedule for housekeeping and deep cleaning to ensure a comfortable environment for residents?
- 6How does your management team handle communication with families when concerns arise, and what is the best way for us to stay updated on our loved one's care?
Personalized based on this facility's data
Key Review Excerpts
“They left my dad choking in his room and the lights off. I showed up, walked by the nurses station. They stopped me and said that he aspirated during lunch didn’t call a doctor.”
“Upon entering the strong smell of urine and feces in the air was overwhelming. While there, I've talked to other residents who escorted me to their rooms to show me the disarray of clothes, all over the floor and broken furniture.”
“My mom was here and the nurses were nice the facility is a bit under staffed we had some problems but they stepped up to the plate and we ironed them out.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Grande Oaks shows concerning patterns with nearly half (44 of 99) deficiencies triggered by family complaints, indicating ongoing resident and family dissatisfaction. The facility struggles repeatedly with medication management, environmental safety and cleanliness, and nursing care quality across multiple surveys from 2019 to 2024. While deficiencies are marked as corrected, the persistent recurrence of similar issues—particularly medication errors appearing in six separate complaint investigations—suggests underlying systemic problems that families should carefully consider.
Apr 29, 2026Complaint16
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Oct 28, 2025Complaint7
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 27, 2025Routine8
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 2, 2024Complaint16
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services Deficiencies
Have 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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Sep 18, 2024Complaint6
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 11, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 2, 2024
$17,020
Ownership & Operations
Who Operates This Facility
Grande Oaks
for profit
Chain Affiliation
Embassy Healthcare
35 facilities nationwide
Chain avg rating: 2.5/5 · Rank 21 of 37
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
60 reviews from families & visitors
Official Website
Visit embassyhealthcare.net
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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