Cycle 1
Health 2025-09-18 · Fire 2025-09-18
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Iowa City, IA
Oaknoll Retirement Residence
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
1 Oaknoll Ct, Iowa City, IA
(319) 351-1720
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
55
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-11-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
1.01
Registered nurse staffing
LPN hours / resident day
0.49
Licensed practical nurse staffing
Aide hours / resident day
3.88
Nurse aide staffing
Weekend hours
5.03
Weekend nurse staffing
RN turnover
24%
Annual RN turnover
Total nurse turnover
34%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.5
0.7 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
94.0%
2.7 pts better
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.7%
About the same
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.0%
4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.5% |
4.9%
2.4 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.0% |
20.6%
11.6 pts better
|
19.6%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.7% |
19.8%
9.9 pts worse
|
16.7%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.7% |
18.5%
6.8 pts better
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
18.3%
3.9 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.7%
0.2 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
2.5%
2.3 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
26.0%
5.7 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 11.3% |
4.3%
7 pts worse
|
5.1%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
84.3%
11.5 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.2% |
13.1%
6.9 pts better
|
12.0%
5.8 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.5% |
73.3%
14.2 pts better
|
79.7%
7.8 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.4% |
21.3%
7.9 pts better
|
23.9%
10.5 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-28 · Fire 2024-08-28
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2024-04-04 · Fire 2024-04-04
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-02
F · Potential for more than minimal harm
2025-09-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-26
F · Potential for more than minimal harm
2025-09-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-01
F · Potential for more than minimal harm
2025-09-18
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-09-25
E · Potential for more than minimal harm
2025-09-18
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-29
F · Potential for more than minimal harm
2024-08-28
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-09-04
F · Potential for more than minimal harm
2024-08-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-04
F · Potential for more than minimal harm
2024-08-28
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-09-06
F · Potential for more than minimal harm
2024-08-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-04
D · Potential for more than minimal harm
2024-08-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-06
F · Potential for more than minimal harm
2024-04-04
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-11
F · Potential for more than minimal harm
2024-04-04
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-11
F · Potential for more than minimal harm
2024-04-04
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-11
F · Potential for more than minimal harm
2024-04-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-11
E · Potential for more than minimal harm
2024-04-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-11
E · Potential for more than minimal harm
2024-04-04
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-04-04
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-04-04
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-08-28
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-29
E · Potential for more than minimal harm
2024-04-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-25
E · Potential for more than minimal harm
2024-04-04
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-04-25
D · Potential for more than minimal harm
2024-04-04
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-25
D · Potential for more than minimal harm
2024-04-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-25
D · Potential for more than minimal harm
2024-04-04
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-25
D · Potential for more than minimal harm
2024-04-04
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-04-25
Penalties and ownership
What sits behind the stars
Ownership
Bender, Thomas
5% Or Greater Direct Ownership Interest · Individual
Dykstra, Roger
5% Or Greater Direct Ownership Interest · Individual
Gilbreth, Kristin
5% Or Greater Direct Ownership Interest · Individual
Goerdt, Christopher
5% Or Greater Direct Ownership Interest · Individual
Haas, Retha
5% Or Greater Direct Ownership Interest · Individual
Hall, Jeannette
5% Or Greater Direct Ownership Interest · Individual
Kaboli, Peter
5% Or Greater Direct Ownership Interest · Individual
Mckinstry, John
5% Or Greater Direct Ownership Interest · Individual
Mims, Susan
5% Or Greater Direct Ownership Interest · Individual
Nusser, Charlie
5% Or Greater Direct Ownership Interest · Individual
O'leary, Ryan
5% Or Greater Direct Ownership Interest · Individual
Porter, Rebecca
5% Or Greater Direct Ownership Interest · Individual
Reese, Margaret
5% Or Greater Direct Ownership Interest · Individual
Richardson, Sarah
5% Or Greater Direct Ownership Interest · Individual
Ricketts, Ann
5% Or Greater Direct Ownership Interest · Individual
Roe, Stephen
5% Or Greater Direct Ownership Interest · Individual
Sanford, Darcy
5% Or Greater Direct Ownership Interest · Individual
Swanson, Elizabeth
5% Or Greater Direct Ownership Interest · Individual
Vervaecke, Michael
5% Or Greater Direct Ownership Interest · Individual
Wheeler, Taylor
5% Or Greater Direct Ownership Interest · Individual
Bender, Thomas
Corporate Officer · Individual
Beyerink, Katerina
Operational/Managerial Control · Individual
Butler, Nicholas
Operational/Managerial Control · Individual
Comstock, Aaron
Operational/Managerial Control · Individual
Dykstra, Roger
Corporate Director · Individual
Gilbreth, Kristin
Corporate Officer · Individual
Gilmore, Kaleigh
Operational/Managerial Control · Individual
Goerdt, Christopher
Corporate Director · Individual
Haas, Retha
Corporate Officer · Individual
Hall, Jeannette
Corporate Director · Individual
Jones, Gregory
Operational/Managerial Control · Individual
Kaboli, Peter
Corporate Director · Individual
Mcbride, Sheila
Operational/Managerial Control · Individual
Mckinstry, John
Corporate Director · Individual
Midwestone Bank
5% Or Greater Mortgage Interest · Organization
Mims, Susan
Corporate Director · Individual
Nusser, Charlie
Corporate Director · Individual
O'leary, Ryan
Corporate Director · Individual
Pommrehn, Christy
Operational/Managerial Control · Individual
Porter, Rebecca
Corporate Director · Individual
Reed, Lindsey
Operational/Managerial Control · Individual
Reese, Margaret
Corporate Officer · Individual
Richardson, Sarah
Corporate Director · Individual
Ricketts, Ann
Corporate Director · Individual
Roe, Stephen
Corporate Officer · Individual
Ruhlmann, Sara
Operational/Managerial Control · Individual
Sanford, Darcy
Corporate Officer · Individual
Swanson, Elizabeth
Corporate Director · Individual
Vervaecke, Michael
Corporate Director · Individual
Wheeler, Taylor
Operational/Managerial Control · Individual
Wheeler, Taylor
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Briarwood Healthcare Center
Iowa City, IA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#2
Iowa City Rehab & Health Care
Iowa City, IA
1-star overall rating with 1-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Lantern Park Specialty Care
Coralville, IA
1-star overall rating with 2-star inspections with $105,030 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out