Profile
Great Oaks Rehabilitation and Healthcare Center in Byhalia, MS is owned by a for-profit corporation, in Byhalia, MS, in zipcode 38611, is in the Southern states, Medicaid certified, Medicare certified, is at least partly owned directly by Nexion Health of Ohi Inc, had a deficiency in how to keep aisles, corridors, and exits free of obstruction in case of emergency, has a Resident Council, has automatic sprinklers in all required areas, improved or reached best on scores over the last two years (3 in total), doesn't have facility-reported incidents, substantiated complaints, fines, or payment denials, had a deficiency in fire safety, has a 5-star rating in both overall and health inspection, has a 1- or 2-star rating in each of quality measures, long-stay quality measures, and short-stay quality measures, has a 4- or 5-star rating in each of overall, health inspection, and staffing, is better than the nationwide mental-health averages in both long-stay residents who received an antipsychotic medication and long-stay residents who have depressive symptoms, is worse than the nationwide hospital-related averages in each of short-stay residents who had an outpatient emergency department visit, short-stay residents who were rehospitalized after a nursing home admission, outpatient emergency department visits per 1,000 long-stay resident days, and hospitalizations per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who made improvements in function, had an outpatient emergency department visit, and were rehospitalized after a nursing home admission, is better than the nationwide averages in short-stay residents who were assessed and appropriately given the pneumococcal vaccine and were assessed and appropriately given the seasonal influenza vaccine, is worse than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, and needed increased help with daily activities, and is better than the nationwide physical-health averages in long-stay residents who experienced one or more falls with major injury, were physically restrained, had a catheter inserted and left in their bladder, were low-risk and lost control of their bowels or bladder, and lose too much weight (5 total).
Numeric values:
- incentive bonus payments per $1M in claims ($345)
- total fines ($0)
- total fines per resident ($0.00)
- change in total fines over two years ($0)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (100%)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (100%)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (97.7%)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (95.2%)
- certified-bed occupancy rate (78.7%)
- short-stay residents who made improvements in function (64.2%)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (42.6%)
- low-risk long-stay residents who lose control of their bowels or bladder (40.8%)
- long-stay residents whose need for help with daily activities has increased (36.6%)
- short-stay residents who were rehospitalized after a nursing home admission (30.9%)
- long-stay residents whose ability to move independently worsened (27.0%)
- long-stay residents who received an antianxiety or hypnotic medication (25.0%)
- short-stay residents who had an outpatient emergency department visit (11.7%)
- high-risk long-stay residents with pressure ulcers (8.0%)
- long-stay residents who received an antipsychotic medication (6.8%)
- long-stay residents experiencing one or more falls with major injury (3.3%)
- long-stay residents with a urinary tract infection (2.6%)
- short-stay residents who newly received an antipsychotic medication (1.8%)
- long-stay residents who lose too much weight (0.9%)
- long-stay residents with a catheter inserted and left in their bladder (0.4%)
- long-stay residents who were physically restrained (0.0%)
- long-stay residents who have depressive symptoms (0.0%)
- change in health-inspection rating over two years (+1 star)
- change in overall rating over two years (0 stars)
- change in quality-measures rating over two years (-3 stars)
- change in residents in certified beds over two years (-6.4)
- change in staffing rating over two years (+1 star)
- health-inspection rating (5 stars)
- long-stay quality-measures rating (2 stars)
- overall rating (5 stars)
- quality-measures rating (2 stars)
- registered-nurse staffing rating (3 stars)
- RN staffing hours per resident per day (0.56)
- short-stay quality-measures rating (2 stars)
- staffing rating (4 stars)
- total nurse staffing hours per resident per day (4.62)
- change in facility-reported incidents or substantiated complaints over two years (-1)
- change in last-inspection-cycle health-deficiency score over two years (-12)
- change in last-inspection-cycle total health-inspection score over two years (-12)
- change in total last-inspection-cycle fire-safety deficiencies over two years (+1)
- change in total last-inspection-cycle health deficiencies over two years (-2)
- change in total weighted health survey score over two years (-7.7)
- count of administration deficiencies (0)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (0)
- count of environmental deficiencies (0)
- count of exit deficiencies (1)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (0)
- count of gas, vacuum, and electrical systems deficiencies (0)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (0)
- count of nursing and physician services deficiencies (0)
- count of nutrition and dietary deficiencies (0)
- count of pharmacy service deficiencies (0)
- count of quality of life and care deficiencies (0)
- count of resident assessment and care planning deficiencies (0)
- count of resident rights deficiencies (0)
- count of services deficiencies (0)
- count of smoke deficiencies (0)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (0)
- facility-reported incidents or substantiated complaints (0)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (0.0)
- fines (0)
- health deficiencies during the last inspection cycle (0)
- health deficiencies from complaint surveys during the last inspection cycle (0)
- health deficiencies from the standard survey during the last inspection cycle (0)
- health-deficiency score during the last inspection cycle (0)
- hospitalizations per 1,000 long-stay resident days (2.65)
- outpatient emergency department visits per 1,000 long-stay resident days (1.63)
- payment denials (0)
- substantiated complaints (0)
- total health-inspection score during the last inspection cycle (0)
- total number of fire-safety deficiencies (1)
- total number of health deficiencies (0)
- total penalties (0)
- total weighted health survey score during the last 3 inspection cycles (2.7)
- certified beds (60)
- change in RN staffing hours per resident per day (+0.2)
- change in total nurse staffing hours per resident per day (+0.6)
- LPN staffing hours per resident per day (1.34)
- Nurse Aide staffing hours per resident per day (2.72)
- residents in certified beds (47.2)
- years certified for Medicare/Medicaid (15.7)