C71

GREAT OAKS REHABILITATION AND HEALTHCARE CENTER

Grade C 71/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Corporation

Total Fines

$13,520

Last Survey

N/A

111 CHASE STREET, BYHALIA, MS 38611
6628383670

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.56h
LPN
1.72h
CNA
2.38h
Total
4.65h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NEXION HEALTH OF OHI INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2018

100%

NEXION HEALTH LEASING, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

NEXION HEALTH, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

BOLT, BRETTON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

KIRLEY, FRANCIS

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

KIRLEY, FRANCIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2018

KIRLEY, FRANCIS

IndividualCORPORATE DIRECTORSince Mar 2018

LEE, BRIAN

IndividualCORPORATE DIRECTORSince Mar 2018

OSWALD, JOHN

IndividualCORPORATE DIRECTORSince Mar 2022

REID, JOHN

IndividualCORPORATE DIRECTORSince Dec 2018

RINER, MEERA

IndividualCORPORATE DIRECTORSince Mar 2018

KIRLEY, FRANCIS

IndividualCORPORATE OFFICERSince Mar 2018

LEE, BRIAN

IndividualCORPORATE OFFICERSince Mar 2018

PIERCE, DANIEL

IndividualCORPORATE OFFICERSince Mar 2021

RINER, MEERA

IndividualCORPORATE OFFICERSince Mar 2018

Penalties & Fines (1)

$13,520total fines
DateTypeDescriptionAmount
May 22, 2025Fine$13,520

Health Inspection Deficiencies (24)

November 6, 2025Health4 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Dec 26, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 26, 2025
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 26, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 26, 2025
June 25, 2025Health6 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jul 21, 2025
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jul 21, 2025
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 21, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 21, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 21, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jul 21, 2025
May 22, 2025Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 11, 2025
October 1, 2024Health2 deficiencies
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 7, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Nov 7, 2024
May 15, 2024Health1 deficiency
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jun 14, 2024
January 4, 2024Health7 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Feb 2, 2024
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 2, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 2, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Feb 2, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 2, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 2, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 2, 2024
November 16, 2022Health3 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 29, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 29, 2022
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 29, 2022

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Frequently Asked Questions

What is the CareGrader rating for GREAT OAKS REHABILITATION AND HEALTHCARE CENTER?

GREAT OAKS REHABILITATION AND HEALTHCARE CENTER in BYHALIA, Mississippi has a CareGrader grade of C (Average), with a composite score of 70.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GREAT OAKS REHABILITATION AND HEALTHCARE CENTER?

GREAT OAKS REHABILITATION AND HEALTHCARE CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GREAT OAKS REHABILITATION AND HEALTHCARE CENTER have?

GREAT OAKS REHABILITATION AND HEALTHCARE CENTER has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has GREAT OAKS REHABILITATION AND HEALTHCARE CENTER been fined?

Yes. GREAT OAKS REHABILITATION AND HEALTHCARE CENTER has $13,520 in total fines from CMS enforcement actions across 1 penalty.

How many beds does GREAT OAKS REHABILITATION AND HEALTHCARE CENTER have?

GREAT OAKS REHABILITATION AND HEALTHCARE CENTER has 60 certified beds with approximately 49 current residents (82% occupancy). The facility is located at 111 CHASE STREET, BYHALIA, Mississippi 38611. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.