Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oak Crest during CMS and state inspections, most recent first.
The facility failed to label a multi-dose vial of tuberculin solution with the date it was opened, and did not ensure controlled medications were double locked. A registered nurse confirmed the vial was half-used and unlabeled, while the DON acknowledged the need for proper labeling. Additionally, the narcotics box was found unlocked due to a lid issue, with the DON emphasizing the importance of a double lock system for narcotics.
A box of lemon and cream cakes was improperly stored on the floor of a walk-in freezer for over an hour, contrary to the facility's policy requiring food to be stored six inches off the floor. The Kitchen Manager and Director of Food and Nutrition acknowledged the error, noting the importance of proper storage to prevent contamination and ensure airflow.
The facility failed to establish a Legionella prevention program, with the maintenance director unaware of such a program. Additionally, a resident with an indwelling catheter and wounds did not receive Enhanced Barrier Precautions (EBP), as required by their care plan. The CNA was observed providing care without a gown, and the necessary EBP signs and gowns were absent from the resident's room. The DON and an LPN acknowledged the need for EBP to prevent infection spread, but these precautions were not implemented.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure proper labeling and storage of medications, which could potentially affect all residents. During an inspection of the medication room, a multi-dose vial of tuberculin solution was found opened and half-used without any labeling indicating the date it was opened. This was confirmed by a registered nurse present at the time. The Director of Nurses acknowledged that the vial should have been labeled with the date, time, and initials of the nurse who opened it to ensure it is not used past its expiration date. The facility's policy requires opened multi-dose bottles to have a date opened sticker and to be replaced if they expire in 24 hours or less. Additionally, the facility failed to ensure controlled medications were double locked. During a review of the medication cart, the narcotics box was found unlocked, containing medication cards for two residents. The registered nurse stated that the lid often catches on the medication cards, preventing it from locking properly. The Director of Nurses confirmed that narcotics need to be under a double lock system at all times due to their high risk of misuse. The facility's policy states that the medication room, narcotics box, and treatment cupboard should never be left unlocked when unattended, and keys should be in the possession of authorized personnel at all times.
Improper Food Storage in Walk-in Freezer
Penalty
Summary
The facility failed to adhere to proper food storage protocols, as observed during a survey. A box of lemon and cream cakes was found stored on the floor of the walk-in freezer for over an hour. The Kitchen Manager confirmed that no food delivery had occurred that day, indicating the cakes were not temporarily placed there due to a delivery. The Director of Food and Nutrition acknowledged that food should be stored at least six inches off the floor to prevent contamination and ensure proper airflow, and admitted that the cakes were only momentarily on the floor, which she defined as five minutes. However, the cakes remained on the floor for a significantly longer period, violating the facility's policy on food storage.
Failure to Implement Legionella Program and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to establish a Legionella prevention and mitigation program, as evidenced by the maintenance director's admission of not having such a program in place. The Director of Nursing acknowledged the susceptibility of elderly residents to Legionnaires' disease but was uncertain about the consequences of a resident contracting the infection. The absence of a Legionella program poses a potential risk to all residents, as Legionella bacteria can thrive in water systems with little to no flow, and the disease is contracted by inhaling mist containing the bacteria. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for a resident with an indwelling catheter and wounds. The resident's care plan required EBP, but there were no signs or gowns available in the resident's room, and a CNA was observed providing care without wearing a gown. The Director of Nursing and an LPN acknowledged the necessity of EBP for residents with indwelling catheters and wounds to prevent infection spread, but the required precautions were not in place, indicating a lapse in infection control practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dekalb
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethany Rehab & Hcc | 0.2 mi | — | 20 | 0 |
| Dekalb County Rehab & Nursing | 2.4 mi | — | 0 | 0 |
| Aperion Care Dekalb | 3.7 mi | — | 5 | 0 |
| Prairie Crossing Lvg & Rehab | 15.6 mi | — | 0 | 0 |
| La Bella Of Rochelle | 17 mi | — | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.