Oaknoll Retirement Residence
1 Oaknoll Ct, Iowa City, IA 52240 · Johnson County · 70 certified beds · avg 57 residents/day · certified since Nov 30, 1988
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (7)
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 |
|---|---|---|
| Aug 28, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 4, 2024 | E · Potential for harm, repeated | 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 4, 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.08 | 4.37 | 3.95 | top 2% in Iowa; top 4% in the U.S. |
| Registered Nurse hours | 1.04 | 0.85 | 0.69 | top 25% in Iowa; top 14% in the U.S. |
| Weekend total nurse staffing | 5.89 | 3.86 | 3.50 | top 1% in Iowa; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.67 | 0.51 | 0.48 | top 18% in Iowa; top 18% in the U.S. |
| Total nursing staff turnover (%) | 27.9 | 44.0 | 45.8 | top 12% in Iowa; top 11% in the U.S. |
| RN turnover (%) | 13.3 | 42.1 | 42.9 | top 11% in Iowa; top 7% 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 5.28, RN 0.90, weekend 5.12. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bender, Thomas | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2021 |
| Dykstra, Roger | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2023 |
| Gilbreth, Kristin | Individual | 5% or Greater Direct Ownership Interest | 5% | 06/23/2024 |
| Goerdt, Christopher | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2023 |
| Haas, Retha | Individual | 5% or Greater Direct Ownership Interest | 5% | 07/02/2024 |
| Hall, Jeannette | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2021 |
| Kaboli, Peter | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2021 |
| McKinstry, John | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2021 |
| Mims, Susan | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2023 |
| Nusser, Charlie | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2025 |
| O'Leary, Ryan | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2024 |
| Porter, Rebecca | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2020 |
| Reese, Margaret | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2021 |
| Richardson, Sarah | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2023 |
| Ricketts, Ann | Individual | 5% or Greater Direct Ownership Interest | 5% | 08/01/2019 |
| Roe, Stephen | Individual | 5% or Greater Direct Ownership Interest | 5% | 10/16/2016 |
| Sanford, Darcy | Individual | 5% or Greater Direct Ownership Interest | 5% | 07/08/2016 |
| Swanson, Elizabeth | Individual | 5% or Greater Direct Ownership Interest | 5% | 01/01/2022 |
| Vervaecke, Michael | Individual | 5% or Greater Direct Ownership Interest | 5% | 08/01/2022 |
| Wheeler, Taylor | Individual | 5% or Greater Direct Ownership Interest | 5% | 07/02/2025 |
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 you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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 |
|---|---|---|---|---|---|
| Briarwood Healthcare Center | 0.5 mi | Iowa City, IA | ★★★★★ | 4/5 | |
| Iowa City Rehab & Health Care | 4.0 mi | Iowa City, IA | ★☆☆☆☆ | 1/5 | |
| Lantern Park Specialty Care | 4.2 mi | Coralville, IA | ★★☆☆☆ | 2/5 | |
| Windmill Manor | 4.8 mi | Coralville, IA | ★☆☆☆☆ | 2/5 | |
| Crestview Specialty Care | 10.7 mi | West Branch, IA | ★☆☆☆☆ | 1/5 | |
| Solon Nursing Care Center | 11.0 mi | Solon, IA | ★★★★★ | 5/5 | |
| Lone Tree Health Care Center INC | 13.6 mi | Lone Tree, IA | ★★★★★ | 4/5 | |
| Pleasantview Home | 13.7 mi | Kalona, IA | ★★★☆☆ | 3/5 | |
| Simpson Memorial Home | 16.2 mi | West Liberty, IA | ★★★☆☆ | 4/5 | |
| Parkview Manor | 18.8 mi | Wellman, IA | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165030.