Oak Grove Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 56 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 (13 vs median 8.0)
- High staff turnover (76%)
- High RN turnover (90%)
Bottom 25% in OH · Below recommended RN staffing · Very high staff turnover · Worst in LIONSTONE CARE chain · $15,593 in fines
What this means for your family
While the rehabilitation therapy team is frequently praised for helping residents recover, the facility suffers from significant, recurring reports of neglect, including slow response times and hygiene issues. If you consider this facility, we strongly recommend conducting an unannounced visit during a weekend or evening shift to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
56 reviews on Google“Oak Grove Manor receives highly polarized feedback, with some families praising the rehabilitation therapy team and individual staff members, while others report severe neglect and hygiene concerns. While some reviewers highlight successful recoveries and compassionate care, a significant number of reports describe long wait times for call lights, poor facility cleanliness, and unprofessional behavior from nursing and administrative staff. Families should be aware of these inconsistencies and perform a thorough in-person visit before placement.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective rehabilitation therapy team
- Some staff members described as caring and attentive
- Successful short-term recovery outcomes
Concerns
- Slow response times to call lights (mentioned by 5 reviewers)
- Poor hygiene and lack of assistance with showering/clothing changes (mentioned by 4 reviewers)
- Understaffing leading to neglect (mentioned by 4 reviewers)
- Unprofessional or rude staff behavior (mentioned by 4 reviewers)
- Poor food quality and difficulty with meal requests (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 58 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the recent feedback regarding response times to call lights, what specific protocols do you have in place to ensure residents receive timely assistance?
- 2I noticed the facility has a strong reputation for rehabilitation outcomes; how do you ensure that same level of dedicated attention carries over into daily personal care like hygiene and dressing assistance?
- 3Could you walk me through your current staffing model and how you ensure there is adequate coverage to meet the needs of all 75 residents throughout the day and night?
- 4I see that you actively respond to feedback online; how do you use that family input to make tangible improvements to the dining experience and food quality?
- 5What steps are being taken to address the recent health inspection findings to ensure the facility meets the highest standards of safety and cleanliness for your residents?
- 6How do you foster a positive and professional environment for your staff to ensure that every interaction with a resident is supportive and respectful?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapists are amazing! But!!! 90% of staff should NOT be there.”
“Neglectful of patients. My friend was admitted for rehab & didn't get a clean gown for 3 days, then 6 more days before next gowm. No bath for 10 days, I had to ask, they hadn't put her on the shower schedule!!!”
“The facility itself looks a little worn down and old, there definitely could be some improvement with the infrastructure, but the nurses and aids are what truly redeem this place.”
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
3
measures
8
measures
6
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
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
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 Grove Manor shows concerning patterns of recurring issues with families filing multiple complaint reports over the past three years. The most persistent problems involve food safety and preparation, medication management, and infection control, with many issues repeating across multiple surveys. While all deficiencies appear corrected, the frequency of complaints and repeated violations in critical care areas suggest ongoing operational challenges that warrant careful evaluation during any visit.
Sep 25, 2025Complaint2
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 1, 2025Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have policies on smoking.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor 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.
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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Dec 23, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 29, 2024Complaint3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jul 31, 2024Complaint4
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
May 16, 2024Routine14
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
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 medical gas storage and administration areas.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Dec 27, 2023
$15,593
Ownership & Operations
Who Operates This Facility
Oak Grove Manor
for profit
Chain Affiliation
Lionstone Care
22 facilities nationwide
Chain avg rating: 2.6/5 · Rank 22 of 22 (Worst)
Ownership & Management
Owners
Lionstone Hz Opco Holdings LLC
Owner · Organization
Kazarnovsky, Solomon
Owner (parent company)
Stein, Abba
Owner (parent company)
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
56 reviews from families & visitors
Official Website
Visit oakgrovemanor.com
Medicare data downloads
Original nursing home datasets
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