Silver Oak Nursing And Rehabilitation Center Llc
Silver Oak Nursing and Rehabilitation Center LLC in Marion, IA — inspection on October 23, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
times to count and that it made her uncomfortable.
During an interview on 10/22/25 at 10:30 AM Resident #8 reported that Staff D had come into her room without knocking or without waiting for her to answer his knock many times.
She provided examples that included asking him to get out while she finished dressing, asking him to come back in 10 minutes when she heard him open the door and call out while she was in the bathroom, and opening the door when she was trying to get in bed.
She did not think he was trying to hurt her, but she didn't feel like he thought about her privacy while he was doing his job.
She stated residents at resident council had reported the same concerns.
During an interview with the facility's Corporate Nurse on 10/22/25 at 12:19 PM she confirmed that the incident with Resident #2 and the concerns brought forward by Resident #8 were not the first time Staff D had entered resident rooms without knocking.At 12:22 PM on 10/22/25 the Administrator stated Staff D had been educated and re-educated regarding the correct way to enter a resident room.
This included teach back training where she demonstrated her expectations to him and he then performed the task. At 12:47 PM the Administrator provided disciplinary action reports dated 8/12/25 and 9/9/25 for Staff D regarding similar incidents.
Training records provided did not include documentation of all staff training regarding dignity and privacy.On 10/22/25 at 1:22 PM Staff D confirmed he entered Resident #2's room during cares and stated he took full responsibility for that. He reported that he knocked and said who he was, didn't hear them, and then opened the door. He said his voice was soft and they might not have heard him.
When asked if he waited for a response to open the door he said no.
When asked if there were incidents where he entered a resident's room without waiting for a response he said no.A policy titled Resident Rights revised 3/4/25 indicated residents had the right to personal privacy which included medical treatment, visits, and personal care.
Facility ID: