The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Oakwood Healthcare Center are:
F-0689 · May 28, 2024 · Grade L — Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Status: Deficient, Provider has date of correction · correction date June 21, 2024
F-0689 · November 6, 2025 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date January 7, 2026
F-0686 · May 28, 2024 · Grade G — Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Status: Deficient, Provider has date of correction · correction date June 21, 2024
F-0689 · March 19, 2024 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 8, 2024
F-0600 · September 28, 2023 · Grade G — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 13, 2023
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Oakwood Healthcare Center, 16 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
19 citations between October 19, 2023 and April 2, 2026. The most serious was graded L — immediate jeopardy, affecting widespread across the facility. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 12 of these citations came out of complaint investigations. Correction record: 19 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · May 28, 2024 · Grade L — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0689 · November 6, 2025 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0686 · May 28, 2024 · Grade G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Freedom from abuse, neglect, and exploitation
9 citations between September 28, 2023 and July 2, 2026. The most serious was graded G (actual harm). 9 of these citations came out of complaint investigations. Correction record: 9 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · September 28, 2023 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · July 22, 2024 · Grade E — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0609 · July 2, 2026 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Fire, smoke, and emergency safety
15 citations between May 28, 2024 and August 22, 2025. The most serious was graded F (potential for more than minimal harm). Correction record: 15 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0347 · May 28, 2024 · Grade F — Properly provide smoke detection systems in areas open to corridors.
K-0345 · May 28, 2024 · Grade E — Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 · May 28, 2024 · Grade E — Inspect, test, and maintain automatic sprinkler systems.
Food, nutrition, and hydration
10 citations between September 20, 2023 and April 21, 2026. The most serious was graded F (potential for more than minimal harm). 4 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · May 28, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0804 · April 21, 2026 · Grade E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-0812 · April 21, 2026 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems
10 citations between May 28, 2024 and August 22, 2025. The most serious was graded F (potential for more than minimal harm). Correction record: 10 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · August 22, 2025 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0918 · February 20, 2025 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0921 · February 20, 2025 · Grade F — Ensure that testing and maintenance of electrical equipment is performed.
Administration and leadership
7 citations between January 3, 2024 and January 14, 2026. The most serious was graded F (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0835 · May 28, 2024 · Grade F — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0837 · May 28, 2024 · Grade F — Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F-0865 · May 28, 2024 · Grade F — Have a plan that describes the process for conducting QAPI and QAA activities.
Fire, smoke, and emergency safety
6 citations between May 28, 2024 and May 28, 2024. The most serious was graded F (potential for more than minimal harm). Correction record: 6 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0039 · May 28, 2024 · Grade F — Conduct testing and exercise requirements.
E-0004 · May 28, 2024 · Grade E — Develop and maintain an Emergency Preparedness Program (EP).
E-0013 · May 28, 2024 · Grade E — Develop Emergency Preparedness policies and procedures.
Infection prevention and control
4 citations between May 28, 2024 and August 22, 2025. The most serious was graded F (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · May 28, 2024 · Grade F — Provide and implement an infection prevention and control program.
F-0880 · August 22, 2025 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · May 14, 2025 · Grade E — Provide and implement an infection prevention and control program.
Egress
2 citations between May 28, 2024 and February 20, 2025. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0293 · May 28, 2024 · Grade F — Have properly located and lighted "Exit" signs.
K-0291 · February 20, 2025 · Grade D — Install emergency lighting that can last at least 1 1/2 hours.
Resident rights
13 citations between September 28, 2023 and February 20, 2026. The most serious was graded E (potential for more than minimal harm). 4 of these citations came out of complaint investigations. Correction record: 13 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0584 · February 20, 2026 · Grade E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0550 · August 22, 2025 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0565 · August 22, 2025 · Grade E — Honor the resident's right to organize and participate in resident/family groups in the facility.
Medication and pharmacy services
11 citations between April 23, 2024 and March 12, 2026. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 11 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0755 · March 12, 2026 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0761 · August 22, 2025 · Grade D — 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.
F-0755 · February 20, 2025 · Grade D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services
5 citations between May 28, 2024 and April 21, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0725 · April 21, 2026 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0728 · January 14, 2026 · Grade E — Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
F-0726 · August 22, 2025 · Grade E — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Physical environment and safety
4 citations between May 28, 2024 and November 6, 2025. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0908 · July 22, 2024 · Grade E — Keep all essential equipment working safely.
F-0908 · May 28, 2024 · Grade E — Keep all essential equipment working safely.
F-0908 · November 6, 2025 · Grade D — Keep all essential equipment working safely.
Miscellaneous
4 citations between May 28, 2024 and August 22, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0712 · May 28, 2024 · Grade E — Have simulated fire drills held at unexpected times.
K-0711 · August 22, 2025 · Grade D — Provide a written emergency evacuation plan.
K-0741 · August 22, 2025 · Grade D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Assessments and care planning
10 citations between September 28, 2023 and December 1, 2025. The most serious was graded D (potential for more than minimal harm). 8 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0656 · December 1, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0656 · November 6, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0656 · May 1, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Construction
3 citations between May 28, 2024 and August 22, 2025. The most serious was graded D (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0161 · August 22, 2025 · Grade D — Use approved construction type or materials.
K-0161 · February 20, 2025 · Grade D — Use approved construction type or materials.
K-0161 · May 28, 2024 · Grade D — Use approved construction type or materials.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Oakwood Healthcare Center appears in CMS data on 34 survey dates between September 20, 2023 and July 2, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
July 2, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 21, 2026
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
April 2, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 26, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 12, 2026
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
February 20, 2026
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
January 14, 2026
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
December 16, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
December 1, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
November 6, 2025
Complaint health survey — 3 citations, worst grade G (actual harm)
August 22, 2025
Standard health survey — 8 citations, worst grade E (potential for more than minimal harm)
August 22, 2025
Fire-safety survey — 12 citations, worst grade F (potential for more than minimal harm)
July 2, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 14, 2025
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
May 1, 2025
Complaint health survey — 5 citations, worst grade D (potential for more than minimal harm)
February 20, 2025
Standard health survey — 10 citations, worst grade E (potential for more than minimal harm)
February 20, 2025
Fire-safety survey — 12 citations, worst grade F (potential for more than minimal harm)
February 12, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
February 10, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 15, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 8, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
July 22, 2024
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
May 28, 2024
Standard health survey — 26 citations, worst grade L (immediate jeopardy)
May 28, 2024
Fire-safety survey — 16 citations, worst grade F (potential for more than minimal harm)
May 20, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 7, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
April 23, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 19, 2024
Complaint health survey — 1 citation, worst grade G (actual harm)
February 5, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 3, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
November 30, 2023
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
October 19, 2023
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
September 28, 2023
Complaint health survey — 4 citations, worst grade G (actual harm)
September 20, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
Penalties imposed
November 6, 2025 — Fine of $17,529
November 6, 2025 — Payment denial · Medicare/Medicaid payments denied for 83 days from December 5, 2025
March 19, 2024 — Fine of $44,207
March 19, 2024 — Payment denial · Medicare/Medicaid payments denied for 125 days from April 13, 2024
September 20, 2023 — Fine of $15,210
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Oakwood Healthcare Center has 2 denial periods on record totalling 208 days.
How Oakwood Healthcare Center compares with peer homes
Raw citation counts mean more in context. The table below compares Oakwood Healthcare Center with the median reviewed facility in Butte County (6 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Oakwood Healthcare Center sits above 100% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Butte Co. median
California median
Health citations on record
92
82
74
Citations from complaint investigations
48
39
27
Citations at actual-harm level or worse
5
3
2
Immediate-jeopardy citations
1
1
0
Total fines in CMS penalty records
$76,946
$60,810
$43,467
Penalty records (fines + payment denials)
5
4
2
What families should ask Oakwood Healthcare Center
- Ask why CMS flags Oakwood Healthcare Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on May 28, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on September 28, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the food, nutrition, and hydration citations — most recently F-0812 on May 28, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the administration and leadership citations — most recently F-0835 on May 28, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 3 totalling $76,946, the most recent dated November 6, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Oakwood Healthcare Center first document the change?
- Were recent complaint-related citations at Oakwood Healthcare Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
055656
Legal business name
CHICO HEALTHCARE & WELLNESS CENTRE LP
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
February 15, 1967
Chain name
CORPORATE INTERFACE SERVICES
Certified beds
99
Average residents per day
66.9
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
1 star
Reported nurse staffing hours per resident day
Not listed
Total nursing staff turnover
Not listed
Public records are a starting point, not a conclusion
This profile of Oakwood Healthcare Center uses official CMS provider data as a research starting point. It does not state that Oakwood Healthcare Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Oakwood Healthcare Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.