Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Oakland Manor Nursing And Rehabilitation Center Ll during CMS and state inspections, most recent first.
The facility failed to maintain a pest-free environment, with standing water and cobwebs found under the steam table in the kitchen, and gnats observed in both the kitchen and hallway near resident rooms. The Dietary Manager could not explain the presence of gnats, which violates the 2017 FDA Food Code requiring premises to be free of pests.
The facility failed to notify the State Long Term Care Ombudsman of the discharges of two residents. One resident was discharged in July and another in September, but neither was included in the monthly discharge reports sent to the Ombudsman. The facility's policy requires such notifications, and the omission was acknowledged as an oversight by the Nursing Home Administrator.
The facility failed to provide a resident or their representative with written notification of the bed hold policy prior to a hospital transfer. The social worker admitted that the policy was not given, and there was no documentation in the resident's file. The facility's policy requires such a notice at the time of transfer, but it was missed in this case.
A facility failed to complete a discharge summary for a resident upon their discharge, as required by their policy. The resident's electronic medical record lacked the necessary documentation, which is essential for ensuring coordinated care and a safe transition. Both the RN/MDS responsible and the Nursing Home Administrator acknowledged the oversight.
A resident requiring substantial assistance for bathing received only one shower since admission, despite being scheduled for showers twice a week. The facility's policy requires assisting residents with bathing, but the lack of documentation and adherence to the schedule resulted in unmet care needs.
A resident with diagnoses of diabetes, malnutrition, anxiety, and depression did not have weekly weights recorded as ordered, following their admission to the facility. Despite the resident's report of weight loss and insufficient food, staff did not acknowledge the issue. The facility's policy required weekly weight monitoring for newly admitted residents, which was not adhered to.
The facility did not post the required nurse staffing information, preventing residents from knowing the staff available for care. Observations showed the staffing sheet was either inaccessible or missing, and staff confirmed residents could not view it. The NHA acknowledged the deficiency.
Pest Control Deficiency in Kitchen and Hallway
Penalty
Summary
The facility failed to maintain a pest-free environment, as observed during a survey. During a tour of the kitchen serving area, standing water and cobwebs were found under the steam table, and several gnats were observed near the standing water and flying around the kitchen. The Dietary Manager explained that the water was from filling the wells of the steam table but did not provide an explanation for the presence of gnats. Additionally, several gnats were observed flying in the hallway near the resident rooms. According to the 2017 FDA Food Code section 6-501.111, the premises should be maintained free of insects, rodents, and other pests, and conditions that allow for pest harborage should be eliminated. This deficiency had the potential to affect all residents in the facility.
Failure to Notify Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to provide written notification of discharge to the State Long Term Care Ombudsman for two residents, identified as R15 and R17, who were reviewed for discharge. Resident R15 was admitted to the facility and discharged on 7/31/24, but was not included in the facility's discharge report sent to the Ombudsman for July 2024. Similarly, Resident R17 was admitted and discharged on 9/2/24, yet was not listed in the September 2024 discharge report sent to the Ombudsman. During an interview, Social Worker C acknowledged that R17 should have been on the list for the Ombudsman. The facility's policy, implemented on 11/1/22, requires that the Social Services Director or designee provide copies of transfer/discharge notices to the Ombudsman, including a monthly list of residents. The Nursing Home Administrator admitted that the omission of the discharge list to the Ombudsman was an oversight.
Failure to Provide Bed Hold Policy Notification
Penalty
Summary
The facility failed to provide written notification of the bed hold policy to a resident or their representative prior to a hospital transfer. This deficiency was identified for one resident, who was admitted to the facility and later discharged to the hospital. During an interview, the social worker admitted that the bed hold policy was not given to the resident or their representative upon discharge, and there was no documentation of such a notice in the resident's file. The facility's policy requires that a written notice specifying the duration of the bed hold policy be provided at the time of transfer, and a signed and dated copy should be kept in the resident's file. The Nursing Home Administrator acknowledged that the bed hold policy was supposed to be given upon discharge but was missed in this instance.
Failure to Complete Discharge Summary for Resident
Penalty
Summary
The facility failed to complete a discharge summary for one resident, identified as R17, upon their discharge. R17 was admitted to the facility and discharged on the same date, as noted in the MDS assessment dated 9/2/24. A review of R17's electronic medical record revealed the absence of a discharge summary or recapitulation of stay. The facility's policy, implemented on 11/1/22, mandates that a discharge summary be provided upon a resident's discharge, detailing the resident's course of treatment and plan of care after discharge. This summary is essential for ensuring coordinated care and a safe transition to another setting. During interviews, both the RN/MDS responsible for discharge summaries and the Nursing Home Administrator acknowledged that the discharge summary for R17 was not completed, indicating a lapse in following the facility's discharge policy.
Failure to Assist Resident with Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident received assistance with showering, resulting in unmet care needs. The resident, who was admitted with diagnoses including diabetes mellitus, hypertension, and arthritis, required substantial assistance for bathing as indicated in the Minimum Data Set (MDS) assessment. Despite being scheduled for showers twice a week, the resident reported having only one shower since admission. This was corroborated by the Electronic Medical Record (EMR), which showed only one recorded shower. The facility's policy mandates assisting residents with bathing to maintain hygiene, but the lack of documentation and adherence to the shower schedule led to this deficiency.
Failure to Monitor Resident's Weight as Ordered
Penalty
Summary
The facility failed to ensure weekly weights were completed for a resident reviewed for nutritional needs, resulting in the potential for missed weight fluctuations. The resident, who had active diagnoses including diabetes mellitus, malnutrition, anxiety disorder, and depression, was admitted to the facility with a doctor's order for weekly weights. Despite this order, only an admission weight was recorded, and no subsequent weights were completed. The resident expressed concerns about not receiving enough food or snacks and reported losing weight, which was not acknowledged by the staff. The facility's policy required weekly weight monitoring for newly admitted residents for four weeks, which was not followed in this case.
Failure to Post Nurse Staffing Information
Penalty
Summary
The facility failed to post the required nurse staffing information, which resulted in residents being unable to determine the number of staff available to provide care. This deficiency was observed during a survey when the daily nursing staffing sheet for a previous day was found near the entrance to a wing of the facility, where residents did not have direct access. On a subsequent day, the staffing sheet was not available for residents to review at all. Interviews with staff, including an RN/MDS and a CNA, confirmed that the staffing information was not accessible to residents, as they did not frequent the area where the sheet was posted. The Nursing Home Administrator acknowledged the absence of the required staffing information for resident viewing.
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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 Pontiac
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency At Waterford | 3.2 mi | — | 2 | 0 |
| Pomeroy Living Rochester Skilled Rehabilitation | 4 mi | — | 0 | 0 |
| Lourdes Rehabilitation And Healthcare Center | 4.4 mi | — | 0 | 0 |
| Woodward Hills Health And Rehabilitation Center | 5 mi | — | 19 | 0 |
| The Villa At Silverbell Estates | 5.3 mi | — | 2 | 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.