Oak Forest Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 76 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 (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 4.0)
- High staff turnover (64%)
- High RN turnover (59%)
Bottom 25% in NC · Below recommended RN staffing · Above average staffing · Worst in LIBERTY SENIOR LIVING chain · $43,002 in fines
What this means for your family
This facility's physical therapy department is frequently praised for helping patients regain mobility, making it a potential option for short-term rehab. However, families must be vigilant regarding basic care; multiple reviewers report significant issues with response times to call bells and hygiene. We strongly recommend visiting in person during off-hours to observe staffing levels and responsiveness before making a decision.
Google Reviews
Google Reviews
76 reviews on Google“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
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Professional and dedicated therapy staff
- Clean facility environment (noted by some)
- Helpful administrative and social work staff
Concerns
- Chronic understaffing and slow response to call bells (mentioned by 12 reviewers)
- Neglect of basic hygiene and patient care (e.g., changing diapers, hydration) (mentioned by 9 reviewers)
- Difficulty reaching staff via phone (mentioned by 5 reviewers)
- Inconsistent medication management (mentioned by 3 reviewers)
- Rude or unprofessional staff behavior (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 79 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard great things about your physical and occupational therapy programs; how would a personalized therapy plan be developed for our loved one?
- 2With the recent focus on improving care, what specific steps is the facility taking to ensure call bells are answered promptly and residents' basic hygiene needs are met?
- 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
- 4We noticed the administration team is very active in responding to community feedback; how can we best communicate with the staff if we have concerns about our loved one's care?
- 5What is the process for notifying family members in the event of a medical emergency or a change in health status after hours?
- 6Could you tell us more about the daily dining experience and how you ensure residents receive nutritious meals and proper hydration?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
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 pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Jun 12, 2025Complaint5
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.
Jun 12, 2025Routine6
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.
Feb 12, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 8, 2024Complaint2
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.
Feb 15, 2024Routine18
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.
Feb 15, 2024Complaint2
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
Fine
Jul 7, 2023
$4,475
Ownership & Operations
Who Operates This Facility
Oak Forest Health and Rehabilitation
for profit
Chain Affiliation
Liberty Senior Living
37 facilities nationwide
Chain avg rating: 2.6/5 · Rank 34 of 35 (Worst)
Ownership & Management
Owners
Liberty Healthcare Group LLC
Owner · Organization
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
76 reviews from families & visitors
Official Website
Visit libertyhealthcareandrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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