Oak Grove Manor

Nursing Home · Mansfield, OH

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number365837

Contact & location

1670 Crider RD
Mansfield, OH 44903
Richland County
Phone
(419) 589-6222
ZIP code
44903 – all care providers

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Facility details

Certified beds
75
Residents per day
71.6 (95% occupied)
Ownership
For profit - Limited Liability company
Legal name
Oak Grove Manor Operating Company LLC
Chain
Lionstone Care (24 facilities, avg 2.5★)
Medicare certified since
May 6, 1991
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.4
Quality measures★★★★★ 4/5
State avg 4.4
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.32 (state 3.69 · U.S. 3.86)
Registered nurses (RN)
0.42 (state 0.64 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.95 · U.S. 0.86)
Nurse aides
2.06 (state 2.09 · U.S. 2.32)
Weekend total
2.79 (state 3.28 · U.S. 3.42)
Nursing staff turnover
68.1 (state 48.7 · U.S. 45.8)%
RN turnover
88.2 (state 43.9 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
July 1, 2025
Health deficiencies (last cycle)
13.0 (state 10.7 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
64 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-09-25 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-17
2025-09-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-17
2025-07-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Have policies on smoking.
F0926 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-25
2025-07-01 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-07-25
2025-07-01 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-07-25
2025-07-01 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2025-07-25
2024-12-23 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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-10-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-11-22
2024-10-29 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-11-22
2024-10-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-22
2024-07-31 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-08-22
2024-07-31 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-22
2024-07-31 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-22
2024-07-31 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-22
2024-05-16 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-05-16 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-07
2024-02-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-02-24
2024-02-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-02-24
2024-02-06 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2024-02-06 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2024-02-06 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2024-02-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2024-02-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2023-12-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2023-11-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-11-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-09-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-06
2023-08-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-01
2023-08-01 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-01
2022-11-15 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-07
2022-11-15 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.
F0761 · Pharmacy Service Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-07
2022-11-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-07
2022-11-15 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $15,593 in fines.

DateTypeAmount
2023-12-27Fine$15,593

Ownership & management

NameRoleSince
Lionstone HZ Opco Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Kazarnovsky, Solomon (individual)5%+ Indirect Ownership Interest · 50%
Stein, Abba (individual)5%+ Indirect Ownership Interest · 50%
Cusner, Adam (individual)Administrator · NOT APPLICABLE
Degyansky, Jeffrey (individual)Administrator · NOT APPLICABLE
Goldish, Eliezer (individual)Administrator · NOT APPLICABLE
Cusner, Adam (individual)Corporate Officer · NOT APPLICABLE
Degyansky, Jeffrey (individual)Corporate Officer · NOT APPLICABLE
Goldish, Eliezer (individual)Corporate Officer · NOT APPLICABLE
Kazarnovsky, Solomon (individual)Corporate Officer · NOT APPLICABLE
Stein, Abba (individual)Corporate Officer · NOT APPLICABLE
Cusner, Adam (individual)Operational/managerial Control · NOT APPLICABLE
Degyansky, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Goldish, Eliezer (individual)Operational/managerial Control · NOT APPLICABLE
Stein, Abba (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Oak Grove Manor?

Oak Grove Manor has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.

How many beds does Oak Grove Manor have?

It has 75 certified beds and cares for about 72 residents per day.

Has Oak Grove Manor been fined?

Yes. CMS lists 1 penalty totaling $15,593 in the last three years.

Who owns Oak Grove Manor?

It is part of Lionstone Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Oak Grove Manor?

(419) 589-6222. The facility is located at 1670 Crider RD, Mansfield, OH 44903.

Other nursing homes in Mansfield

Compare all nursing homes in Mansfield, OH →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.