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Nursing HomeMedicaid Investigative

Oakland Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

737 North Highway, Oakland, IA 5156061 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.1/5

based on 35 Google reviews

5
4
3
2
1
Oakland Manor Nursing Home in Oakland, IA — Street View
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6/ 10
high Risk

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 (2/5 stars)
  • Above-median deficiencies (31 vs median 5)
  • High staff turnover (67%)
  • High RN turnover (88%)

Bottom 25% in IA · Below recommended RN staffing · Worst in MGM HEALTHCARE chain · $15,593 in fines

Source: Medicare data

What this means for your family

Given the consistent and serious reports of neglect, hygiene failures, and theft, we strongly advise families to look elsewhere. If you must consider this facility, perform an unannounced visit during a weekend or evening shift to observe staffing levels and cleanliness for yourself.

Google Reviews

Google Reviews

35 reviews on Google
Oakland Manor faces severe and recurring criticism regarding neglect, poor hygiene, and lack of basic communication with families. While a small minority of reviewers report positive experiences, the overwhelming majority of feedback describes a facility struggling with understaffing, theft of personal belongings, and inadequate medical oversight.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Occasional high-quality hospice care
  • Some dedicated individual staff members
  • Effective physical therapy transitions for select residents

Concerns

  • Neglect and poor hygiene (filthy rooms, lack of showers) (mentioned by 7 reviewers)
  • Theft of resident personal property (mentioned by 3 reviewers)
  • Lack of communication and unresponsive staff (mentioned by 6 reviewers)
  • Inadequate nutrition and meal service (mentioned by 4 reviewers)
  • Unprofessional management and lack of leadership (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(2)'21(3)'23(4)'25(6)'26(5)

Distribution · 39 analyzed

5
9
4
2
3
1
2
2
1
25

How They Respond to Reviews

53%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard some wonderful things about the hospice care and physical therapy transitions here; could you tell us more about how those specialized services are integrated into a resident's care plan?
  • 2How do you ensure that rooms and common areas are kept clean and that personal hygiene, like regular showers, is consistently managed for every resident?
  • 3What is the process for communicating important updates to family members, and how can we ensure we stay in regular contact with the nursing staff?
  • 4Could you describe the daily meal service and how you ensure that nutrition and dietary needs are met for all residents?
  • 5How does the facility manage medication administration and what protocols are in place to ensure accuracy and safety?
  • 6What steps are taken to ensure the security of residents' personal belongings and to prevent any loss of property?

Personalized based on this facility's data


Key Review Excerpts

My loved one was malnourished to the point that dialysis called and chewed out the nursing home because he had lost 5% of his body weight in a week!

Long-term resident's family · 2017☆☆☆☆

Left pee in the portapot for 3 days and a sandwich in-room for 3 days was moldy and stunk. Gma waited 30 mins to get answer said she had to pee the nurse said would be back with another person another 40mins later gma pull cord again nurse came in and said she forgot.

Long-term resident's family · 2022☆☆☆☆

The rooms are very small and look nasty .My mother turned on her call light to go to the bath room they made her hold it 3 hrs they did not treat her well.

Long-term resident's family · 2024☆☆☆☆
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
2.68hrs
65%
All nurses + aides combined
Staff Turnover
80%
Lower is better (< 30% = good)
RN Turnover
88%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
15.3%
IA
17.5%
Pottawattamie
19.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility12.5%
Worse than Avg
Here
12.5%
US
12.1%
IA
4.1%
Pottawattamie
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
14.4%
IA
17.6%
Pottawattamie
16.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
IA
93.9%
Pottawattamie
92.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.8%
Mixed vs Avgs
Here
25.8%
US
19.4%
IA
25.9%
Pottawattamie
28.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
5.3%
IA
4.9%
Pottawattamie
2.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.6%
Better than Avg
Here
86.6%
US
81.8%
IA
84.1%
Pottawattamie
76.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.0%
Mixed vs Avgs
Here
75.0%
US
79.8%
IA
73.3%
Pottawattamie
70.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Pottawattamie
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

37deficiencies
1penalties
Well above state avg (6.2)
34 complaint-triggered
$15,593 in fines

Oakland Manor has a concerning pattern of family complaints (30 deficiencies), with recurring issues in abuse prevention and reporting, care planning and assessment, and infection control. Recent complaints through 2026 show problems with nursing staffing and protecting residents from abuse and neglect. While the facility has corrected past violations, the persistence of serious care quality issues and ongoing complaints suggest families should carefully evaluate whether this facility can safely meet their loved one's needs.

Apr 22, 2026Complaint
3
0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0761Potential for harm · IsolatedCorrected

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.

Feb 12, 2026Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 8, 2026Routine
20
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jan 8, 2026Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Nov 5, 2025Complaint
3
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 15, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Federal Penalties

Fine

Aug 31, 2023

$15,593

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
25deficiencies
May 18, 2026Other
Clean

Fed violations: 0, State violations: 0

Apr 22, 2026Other
Clean

Fed violations: 3, State violations: 1

Mar 2, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Feb 12, 2026Complaint
Clean

Fed violations: 1, State violations: 0

Feb 11, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Jan 8, 2026Inspection
Clean

Fed violations: 13, State violations: 1

Dec 30, 2025Other
Clean

Fed violations: 0, State violations: 0

Dec 29, 2025Other
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakland Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Mgm Healthcare

Chain Size

32 facilities nationwide

Chain avg rating: 2.2/5 · Rank 28 of 30 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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