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

Compare this facility

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

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.01

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.88

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

5.39

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

5.03

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.82

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.17

CMS adjusted RN staffing hours

Adjusted total hours

6.24

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

24%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

271

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

74.89

Composite VBP score used to determine payment impact.

Payment multiplier

1.0244

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.82

Baseline 41.56% · Performance 31.71% · Measure score 7.82 · Achievement 7.82 · Improvement 5.40

Adjusted total nurse staffing

7.16

Baseline 5.20 hours · Performance 5.11 hours · Measure score 7.16 · Achievement 7.16 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.68%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 5.69%
Discharge to community	43.94%	50.57% 6.6 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 35.48% · Lower 95% interval 31.12%
Medicare spending per beneficiary	0.68	1.02 0.3 pts better
Drug regimen review with follow-up	95%	95.27% 0.3 pts worse	Numerator 19 · Denominator 20
Falls with major injury	10%	0.77% 9.2 pts worse	Numerator 2 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	23.28%	8.2% 15.1 pts better	Numerator 61 · Denominator 262
Staff flu vaccination coverage	15.28%	42% 26.7 pts worse	Numerator 59 · Denominator 386
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

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 · Adjusted 2.2 · Observed 1.2 · Expected 1.1 · Used in QM five-star
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 · Adjusted 1.2 · Observed 0.8 · Expected 1.1 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 96.3% · Q4 90.6% · 4Q avg 96.7%
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 · 4Q avg 100.0%
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 · Q1 5.5% · Q2 1.9% · Q3 3.7% · Q4 3.8% · 4Q avg 3.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 0.0% · Q2 2.6% · Q3 2.5% · Q4 5.1% · 4Q avg 2.5%
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 · Q1 6.8% · Q2 2.6% · Q3 14.0% · Q4 12.2% · 4Q avg 9.0%
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 · Q1 33.3% · Q2 30.0% · Q3 25.0% · 4Q avg 29.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 8.5% · Q2 11.3% · Q3 12.6% · Q4 15.1% · 4Q avg 11.7% · Used in QM five-star
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 · Q1 9.8% · Q2 10.8% · Q3 17.5% · Q4 20.0% · 4Q avg 14.4% · Used in QM five-star
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 · Q1 2.5% · Q2 2.5% · Q3 1.2% · Q4 1.5% · 4Q avg 1.9% · Used in QM five-star
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 · Q1 5.6% · Q2 5.7% · Q3 5.9% · Q4 2.0% · 4Q avg 4.8% · Used in QM five-star
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 · Q1 15.5% · Q2 27.3% · Q3 15.3% · Q4 23.3% · 4Q avg 20.3%
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 · Q1 13.5% · Q2 14.0% · Q3 7.9% · Q4 9.4% · 4Q avg 11.3% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 95.7% · Q4 90.0% · 4Q avg 95.8%
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 · Adjusted 6.2% · Observed 5.0% · Expected 9.1% · Used in QM five-star
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 · 4Q avg 0.0% · Used in QM five-star
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 · 4Q avg 87.5%
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 · Adjusted 13.4% · Observed 10.0% · Expected 17.8% · Used in QM five-star

Survey summary

Recent inspection cycles

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)

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