Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Oakdale Care Center during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in food storage and distribution, affecting all residents. Observations revealed undated and unlabeled food items, dirty kitchen equipment, and uncovered food and drinks on meal carts. Staff interviews confirmed that these practices were against facility policies.
A facility failed to provide written notification to a resident and their representative regarding a transfer to the hospital. The policy lacked a requirement for written notification, and staff interviews revealed inconsistencies in the notification process. The deficiency involved a resident transferred for medical evaluation and readmitted without documented written notification.
A facility failed to inform a resident and their representative of the bed hold policy in writing during a hospital transfer. Staff interviews revealed inconsistencies in the notification process, with no documentation of written communication provided as required.
A facility failed to complete a comprehensive discharge summary for a resident who was discharged home. The resident's medical record lacked documentation of a discharge summary or recapitulation. The Administrator confirmed that the discharge summary should have been completed, with social services responsible for discharge planning. The Social Services Designee admitted to missing the completion of the discharge summary and acknowledged responsibility for the oversight.
The facility failed to properly manage urinary catheter drainage bags and tubing for two residents, leading to deficiencies in care. A resident's catheter bag was observed touching the floor and being raised above bladder level, while another resident's catheter bag and tubing were frequently on the floor and visible without a privacy cover. Staff interviews confirmed these practices were against facility policy.
The facility did not post the required daily nurse staffing information, including total staff numbers and hours worked by licensed and unlicensed nursing staff, in a prominent location. Observations showed the designated whiteboard was either incomplete or blank over several days. Interviews with the DON and Administrator confirmed the oversight, revealing a failure to update the board with necessary details.
The facility failed to properly store and handle Lantus insulin pens, as two pens were found in the medication cart 32 days after opening, exceeding the manufacturer's 28-day discard recommendation. Staff interviews revealed inconsistencies in understanding the policy, with the Corporate RN emphasizing adherence to manufacturer instructions, while the ADON incorrectly stated a 30-day usage period. The Administrator expected compliance with the policy.
The facility failed to maintain a closed dumpster, leading to repeated observations of the lid being left open and debris scattered around the area. Staff interviews confirmed the expectation that the dumpster lid should be closed and the area kept clean, but these practices were not consistently followed.
The facility failed to follow proper infection control techniques during incontinent care for multiple residents, including not performing hand hygiene and improper glove use. Additionally, trash and biohazard materials were improperly stored, and a resident on contact precautions shared a bathroom with another resident, increasing infection risks.
Sanitation and Food Labeling Deficiencies
Penalty
Summary
The facility failed to maintain sanitary conditions in food storage and distribution, which could potentially affect all 55 residents. Observations on multiple days revealed several issues in the kitchen, including the absence of cleaning logs, debris under food preparation tables, and dirty cooking equipment. Additionally, 20 fluorescent lights in the kitchen were found without covers. The facility's policy required proper labeling of food items, but numerous food items in the refrigerator, freezer, and dry pantry were found undated and unlabeled, including bags of greens, lunch meat, pizza sticks, hot dogs, bread, and various pantry items. Further observations of meal carts in the facility showed uncovered food and drinks being distributed to residents. On different occasions, uncovered cakes, cookies, and drinks were noted on meal carts in various halls. Interviews with the Dietary Manager, Administrator, Assistant Director of Nursing, and a Certified Nursing Assistant confirmed that food and drinks should be covered, and all food items should be dated and labeled. However, these practices were not consistently followed, leading to the identified deficiencies.
Failure to Provide Written Notification for Resident Transfer
Penalty
Summary
The facility failed to provide written notification to a resident and their representative regarding a facility-initiated transfer to the hospital. The deficiency involved one resident who was transferred to the hospital for medical evaluation and subsequently readmitted to the facility. The facility's policy on emergency transfers did not include a requirement for written notification to the resident or their representative, which contributed to the oversight. Interviews with facility staff, including LPNs, the Assistant Director of Nursing, the Administrator, and the Social Services Designee, revealed inconsistencies in the process of notifying residents and their representatives about transfers. Staff members indicated that the charge nurse was responsible for completing the transfer/discharge form, and if the resident was unable to sign, the family or guardian was contacted by two nurses. However, there was no documentation of written notification being provided to the resident or their representative, as required.
Failure to Provide Written Bed Hold Notification
Penalty
Summary
The facility failed to inform a resident, their family, or legal representative of the bed hold policy in writing at the time of transfer to the hospital. This deficiency was identified for one resident out of a sample of 55. The resident was transferred to the hospital and later readmitted to the facility, but there was no documentation indicating that the bed hold policy was communicated in writing at the time of transfer. Interviews with facility staff, including LPNs, the Assistant Director of Nursing, the Administrator, and the Social Services Designee, revealed inconsistencies in the process of notifying residents or their representatives about the bed hold policy. Staff members described a procedure where the charge nurse or resident's nurse was responsible for completing the bed hold form, and if the resident was unable to sign, the family or guardian was to be contacted by two nurses. However, the process was not consistently followed, and there was no evidence of written notification being provided as required.
Failure to Complete Discharge Summary for Resident
Penalty
Summary
The facility failed to complete a comprehensive discharge summary for a resident who was discharged home. The facility's census was 55, and the deficiency was identified for one resident out of one discharged resident. Upon review of the resident's closed medical record, it was found that there was no documentation of a discharge summary or recapitulation. During interviews, the Administrator acknowledged that the discharge summary should have been completed and stated that social services were responsible for discharge planning, which should begin as soon as residents are admitted. The Social Services Designee admitted to missing the completion of the discharge summary and acknowledged responsibility for the oversight.
Improper Catheter Care and Management
Penalty
Summary
The facility failed to ensure proper management of urinary catheter drainage bags and tubing for two residents, leading to deficiencies in care. For Resident #9, observations revealed that the catheter drainage bag was improperly positioned, touching the wheelchair wheel and the floor. Additionally, a Certified Nursing Assistant (CNA) was observed lifting the catheter drainage bag above the level of the resident's bladder, causing urine to flow back towards the bladder. This action contradicts the facility's policy, which mandates that catheter tubing and drainage bags be kept off the floor and not raised above the bladder level. Resident #21 also experienced improper catheter care. Observations showed that the catheter drainage bag and tubing frequently touched the floor and were visible without a privacy cover, both in the resident's room and in common areas. The catheter drainage bag was seen dragging on the floor as the resident moved in a wheelchair, and the tubing was exposed to other residents, family members, and staff. These observations indicate a failure to maintain the dignity and hygiene standards required for catheter care. Interviews with staff, including a CNA, an LPN, the Director of Nursing (DON), and the Administrator, confirmed that the catheter drainage bags and tubing should not touch the floor or be raised above the bladder level. Despite this understanding, the facility did not ensure compliance with these standards, resulting in the observed deficiencies in catheter care for the residents involved.
Failure to Post Required Nurse Staffing Information
Penalty
Summary
The facility failed to comply with the requirement to post daily nurse staffing information in a prominent location accessible to residents and visitors. The facility's policy, dated July 2014, mandates that staffing information, including the total number of staff and actual hours worked by both licensed and unlicensed nursing staff, be posted at the start of each shift. However, observations on multiple days revealed that the whiteboard behind the nurse's station, designated for this purpose, was either incomplete or blank. Specifically, the board did not include the total number of staff or the actual hours worked by unlicensed nursing staff directly responsible for resident care. Interviews with the Director of Nursing (DON) and the Administrator confirmed the oversight. The DON acknowledged that the whiteboard was intended for posting the required staffing information but admitted that it did not include unlicensed nursing staff. The Administrator further explained that the board should be updated daily with the date, census, and nursing staff details, including unlicensed staff, but this was not being done. This failure to post the required information was observed over several days, indicating a systemic issue in maintaining compliance with the staffing information posting requirement.
Improper Storage and Handling of Insulin Pens
Penalty
Summary
The facility failed to store medications in a safe and effective manner, specifically regarding the handling of Lantus insulin pens. During an observation, two Lantus pens were found in the nurse medication cart with an opened date of 32 days prior, exceeding the manufacturer's recommended discard period of 28 days after opening. Interviews with facility staff revealed inconsistencies in understanding and implementing the policy for insulin pen expiration. The Corporate RN stated that the facility's policy was to follow the manufacturer's instructions, while the LPN acknowledged the need to date and discard insulin pens within the designated time frame. The ADON incorrectly stated that Lantus was good for 30 days once opened, and the Administrator expected nurses to adhere to the policy regarding insulin pen usage.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to ensure that a dumpster was closed at all times and maintained to keep pests out and garbage contained. Observations over several days showed the dumpster lid was repeatedly left open, with trash bags protruding above the top of the dumpster and debris scattered around the area. Specific observations included the dumpster lid being open at various times, and a twenty-foot radius of debris, including gloves, masks, plastic, paper, and plastic silverware, was noted on the ground. Additionally, a black trash bag containing kitchen trash was found on the ground between two recycling dumpsters. Interviews with the Dietary Manager, Maintenance Director, and Administrator confirmed that the dumpster lid should be closed after discarding trash, and staff were responsible for maintaining cleanliness around the dumpster area.
Infection Control Deficiencies in Resident Care and Waste Management
Penalty
Summary
The facility failed to adhere to proper infection control techniques during incontinent care for several residents, including Residents #9, #21, #48, and #205, as well as one resident outside the sample. Observations revealed that staff did not perform hand hygiene before and after providing care, did not change gloves between dirty and clean tasks, and placed soiled items on inappropriate surfaces such as the floor or bedside tables without barriers. These actions were contrary to the facility's policies on handwashing, perineal care, and catheter care, which emphasize the importance of hand hygiene and proper handling of soiled materials to prevent infections. Additionally, the facility failed to properly store and dispose of trash and regulated medical waste. Observations showed that trash barrels were overflowing, and biohazard materials were improperly stored in areas like the emergency eye wash station room and the soiled utility room. Housekeeping staff were observed handling trash without changing gloves or performing hand hygiene, further contributing to the risk of infection spread. The facility lacked a specific policy for infection control practices related to trash and medical waste storage and disposal. Resident #205, who was on contact precautions for ESBL and MRSA, was observed sharing a bathroom with another resident, which is against infection control protocols. Staff did not follow proper PPE protocols when providing care to this resident, and the shared bathroom situation posed a risk of spreading infections. Interviews with staff, including the ADON and DON, confirmed that the resident should not have been sharing a bathroom and that proper PPE should have been used during care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 20 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Poplar Bluff
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manor, The | 1.7 mi | — | 0 | 0 |
| Aspire Senior Living Poplar Bluff | 1.7 mi | — | 2 | 0 |
| Cedargate Health Care Center | 2.3 mi | — | 0 | 0 |
| Westwood Hills Health & Rehabilitation Center | 4.7 mi | — | 6 | 0 |
| Puxico Nursing And Rehabilitation Center | 17.7 mi | — | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Oakdale Care Center.
100% money-back within 48 hours.
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.