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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 82 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 39% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 9 findings, above the NC average of 5.6. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Oak Forest Health and Rehabilitation receives highly polarized feedback, with many families praising the physical and occupational therapy teams for successful rehabilitation outcomes. However, a significant number of reviewers report severe concerns regarding chronic understaffing, neglect of basic hygiene, and slow response times to call bells. Families should be aware that while some residents have positive experiences, there are recurring reports of poor communication and inconsistent care standards.
Quality Themes
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Concerns
Rating Trends
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Distribution · 85 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy team is absolutely awesome. The care, compassion and diligence they have shown is outstanding.”
“The 3rd shift could use a little work.but i would recommend this facility”
“The facility is always clean. Staff is friendly. Caregivers are always helpful. My brother has been clean on our visits. The only improvement is difficulty talking to someone on the phone when needed.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
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 with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
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
Detailed Medicare record · up to 3-year lookback
Oak Forest Health and Rehabilitation has ongoing concerns with accident prevention, care planning, and medication management, with families filing 15 complaints that triggered federal investigations. The facility shows a pattern of recurring safety issues, including multiple deficiencies for preventing accidents and ensuring proper supervision of residents. While most violations have correction dates, the facility continues to struggle with basic care coordination and resident assessment accuracy across multiple surveys.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure medical gas and vacuum systems have documented maintenance programs.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Fine
Jun 12, 2025
$12,948
Fine
Nov 8, 2024
$16,801
Fine
Dec 18, 2023
$8,778
Oak Forest Health and Rehabilitation
for profit
Liberty Senior Living
37 facilities nationwide
Chain avg rating: 2.6/5 · Rank 34 of 35 (Lowest rating)
Owners
Liberty Healthcare Group LLC
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
82 reviews from families & visitors
Official Website
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Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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