01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-18 | 0 | 2025-09-18 | 5 |
| Cycle 2 | 2024-08-28 | 1 | 2024-08-28 | 5 |
| Cycle 3 | 2024-04-04 | 6 | 2024-04-04 | 8 |
CMS CCN 1650302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Oaknoll Retirement Residence
1 Oaknoll Ct · Iowa City, IA 52240 · Johnson County
Certified beds70CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-18 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-09-292025-09-18 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-022025-09-18 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-18 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-10-012025-09-18 · FIREK0914Severity F · widespread; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-252024-08-28 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2024-09-042024-08-28 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-08-292024-08-28 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-042024-08-28 · FIREK0362Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-28 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-28 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-042024-04-04 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-04-04 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · FIREK0341Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-04-04 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-04-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BENDER, THOMASIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2021
- DYKSTRA, ROGERIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2023
- GILBRETH, KRISTINIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 06/23/2024
- GOERDT, CHRISTOPHERIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2023
- HAAS, RETHAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 07/02/2024
- HALL, JEANNETTEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2021
- KABOLI, PETERIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2021
- MCKINSTRY, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2021
- MIMS, SUSANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2023
- NUSSER, CHARLIEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2025
- O'LEARY, RYANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2024
- PORTER, REBECCAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2020
- REESE, MARGARETIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2021
- RICHARDSON, SARAHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2023
- RICKETTS, ANNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 08/01/2019
- ROE, STEPHENIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 10/16/2016
- SANFORD, DARCYIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 07/08/2016
- SWANSON, ELIZABETHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 01/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.28per resident day
RN hours0.90per resident day
Weekend nurse hours5.12per resident day
Staff turnover27.9%CMS reported field
06 / LOCAL RECORDS
Open the Iowa City ledger →