Oakwood Heights Village
10 Vo Tech Drive, Oil City, PA 16301 · Venango County · 106 certified beds · avg 85 residents/day · certified since Jan 30, 1981
Abuse citation flag (CMS)
Part of chain: ABRAHAM SMILOW (7 facilities, chain avg rating 1.4★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 22, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 4, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 22, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 8, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Feb 26, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 28, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 |
|---|---|---|
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Feb 6, 2026 | E · Potential for harm, repeated | 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 6, 2026 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Feb 6, 2026 | 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 6, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 6, 2026 | C · Minimal risk, facility-wide | The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. |
| Feb 6, 2026 | C · Minimal risk, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Feb 6, 2026 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 22, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 22, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 26, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 26, 2025 | 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. |
| Feb 26, 2025 | 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. |
| Dec 31, 2024 | 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 |
| Aug 16, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 29, 2024 | D · Potential for harm, one-off | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | E |
| 2025 | 8 | 3 | G ▲ |
| 2026 | 14 | 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)
1 fine totaling $14,015.
| Date | Type | Amount / length |
|---|---|---|
| Feb 26, 2025 | Fine | $14,015 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.63 | 3.94 | 3.95 | bottom 49% in Pennsylvania; bottom 43% in the U.S. |
| Registered Nurse hours | 0.67 | 0.80 | 0.69 | top 47% in Pennsylvania; top 40% in the U.S. |
| Weekend total nurse staffing | 3.24 | 3.58 | 3.50 | bottom 45% in Pennsylvania; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.56 | 0.48 | top 43% in Pennsylvania; top 34% in the U.S. |
| Total nursing staff turnover (%) | 60.2 | 44.5 | 45.8 | bottom 11% in Pennsylvania; bottom 16% in the U.S. |
| RN turnover (%) | 64.7 | 39.9 | 42.9 | bottom 11% in Pennsylvania; bottom 16% 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 0.65, weekend 3.18. Staffing rating: 2/5.
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: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Oakwood Heights SNF Opco Holdco Company LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/15/2023 |
| Oakwood Heights SNF Propco Holdco Company LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/15/2023 |
| Smilow, Abraham | Individual | 5% or Greater Indirect Ownership Interest | 95% | 08/15/2023 |
| Cain, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2024 |
| Cain, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Cain, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Lads Avenue Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Oakwood Heights Propco Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Oakwood Heights SNF Propco Holdco Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Rohrbach, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/15/2023 |
| Rohrbach, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2023 |
| Rohrbach, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Smilow, Abraham | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/15/2023 |
| Smilow, Abraham | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2023 |
| Smilow, Abraham | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2023 |
| T3 Real Estate Initiatives LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
| Travitsky, Baruch | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "How are residents' personal funds handled here, and what records can families review?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How often does each resident's doctor visit and review their care in person?"
- "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 |
|---|---|---|---|---|---|
| Oil City Nursing and Rehab | 2.8 mi | Oil City, PA | ★★★★★ | 5/5 | |
| UPMC Northwest Transitional Care Unit | 3.1 mi | Seneca, PA | ★★★★★ | 5/5 | |
| Caring Place, the | 7.7 mi | Franklin, PA | ★★★☆☆ | 3/5 | |
| Sugar Creek Care Center | 10.4 mi | Franklin, PA | ★★☆☆☆ | 3/5 | |
| Titusville Nursing and Rehab | 14.7 mi | Titusville, PA | ★★★★☆ | 4/5 | |
| Shippenville Nursing and Rehab | 18.6 mi | Shippenville, PA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395502.