Great Oaks Rehabilitation And Healthcare Center has received an F grade based on CMS data, with a score of 31/100 — placing it among the lowest-rated nursing facilities in Mississippi. Families considering this Byhalia facility should carefully review its inspection history and quality metrics.
Great Oaks Rehabilitation And Healthcare Center provides above-average staffing with 4.20 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 24 deficiencies at Great Oaks Rehabilitation And Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.20 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.55 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.15 | 2.4 | Below Average |
| Weekend Total Nursing | 3.47 | 3.8 | Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Nov 5, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Nov 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Nov 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarNov 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Jun 24, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.3% | 4.5% | Worse |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 12.9% | 14.5% | Better |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 21.2% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 21.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,520
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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