Oak Manor Healthcare & Rehabilitation Center
3500 Oak Manor Lane, Largo, FL 33774 · Pinellas County · 180 certified beds · avg 130 residents/day · certified since Jul 26, 1971
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 25, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jan 25, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 18, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 22, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 22, 2021 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Oct 22, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 7, 2020 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 4 | 0 | E |
| 2021 | 3 | 0 | D |
| 2023 | 1 | 0 | E |
| 2024 | 4 | 0 | F |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $4,017.
| Date | Type | Amount / length |
|---|---|---|
| Jan 25, 2024 | Fine | $4,017 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.93 | 4.03 | 3.95 | top 45% in Florida; top 42% in the U.S. |
| Registered Nurse hours | 0.47 | 0.76 | 0.69 | bottom 19% in Florida; bottom 33% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.68 | 3.50 | top 49% in Florida; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.53 | 0.48 | bottom 5% in Florida; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 37.6 | 41.4 | 45.8 | top 39% in Florida; top 30% in the U.S. |
| RN turnover (%) | 30.0 | 46.0 | 42.9 | top 21% in Florida; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.56, RN 0.43, weekend 3.22. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Graham, Brad | Individual | 5% or Greater Direct Ownership Interest | 20% | 09/15/2022 |
| Hollenbeck, Daniel | Individual | 5% or Greater Direct Ownership Interest | 20% | 09/25/2022 |
| Rockefeller, Kevin | Individual | 5% or Greater Direct Ownership Interest | 60% | 09/15/2022 |
| Graham, Brad | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/15/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Palm Garden of Pinellas | 2.6 mi | Largo, FL | ★☆☆☆☆ | 1/5 | |
| Wrights Healthcare and Rehabilitation Center | 2.7 mi | Seminole, FL | ★★★★☆ | 3/5 | |
| Belleair Health Care Center | 3.3 mi | Clearwater, FL | ★★★★☆ | 4/5 | |
| Morton Plant Rehabilitation Center | 4.1 mi | Belleair, FL | ★★★★★ | 3/5 | |
| Aviata at Bryan Dairy | 4.3 mi | Largo, FL | ★☆☆☆☆ | 1/5 | abuse |
| Sabal Palms Health & Rehabilitation | 4.5 mi | Largo, FL | ★★☆☆☆ | 2/5 | |
| Freedom Square Health Care Center | 4.5 mi | Seminole, FL | ★★★☆☆ | 3/5 | |
| Palm Garden of Largo | 4.6 mi | Largo, FL | ★★☆☆☆ | 1/5 | abuse |
| Oaks of Clearwater, the | 4.8 mi | Clearwater, FL | ★★☆☆☆ | 2/5 | |
| Gulfside Health and Rehabilitation Center | 4.9 mi | Clearwater, FL | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105248.