GREAT OAKS REHABILITATION AND HEALTHCARE CENTER
111 CHASE STREET, BYHALIA, MS 38611 · CCN 255311
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 49.6
- Phone
- 6628383670
Inspection history vs Mississippi & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Mississippi avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-25 | 11 | 6.7 | 9.5 | +4.3 worse |
| 2 | 2024-01-04 | 10 | 6.0 | 9.8 | +4.0 worse |
| 3 | 2022-11-16 | 3 | 4.7 | 9.3 | -1.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.20 | 60.7% |
| RN staffing (reported) | 0.50 | 25.0% |
| Total nurse staffing (adjusted) | 4.65 | — |
Fines & penalties
- Total fines
- $13,520
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (24)1 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-06 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-06 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-11-06 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-06 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- DF0584Honor 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.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-25 · Health · corrected 2025-07-21
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-22 · Health · corrected 2025-06-11
Actual harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-10-01 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-01 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-15 · Health · corrected 2024-06-14
Potential for more than minimal harm
- DF0578Honor 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.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0761Ensure 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.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-01-04 · Health · corrected 2024-02-02
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-11-16 · Health · corrected 2022-12-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-16 · Health · corrected 2022-12-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-11-16 · Health · corrected 2022-12-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NEXION HEALTH OF OHI INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-03-29 |
| NEXION HEALTH LEASING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-03-29 |
| NEXION HEALTH, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-03-29 |
| BOLT, BRETTON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-03-29 |
| KIRLEY, FRANCIS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-03-29 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-07-01 |
| KIRLEY, FRANCIS | Individual | CORPORATE DIRECTOR | — | 2018-03-29 |
| LEE, BRIAN | Individual | CORPORATE DIRECTOR | — | 2018-03-29 |
| OSWALD, JOHN | Individual | CORPORATE DIRECTOR | — | 2022-03-24 |
| REID, JOHN | Individual | CORPORATE DIRECTOR | — | 2018-12-18 |
| RINER, MEERA | Individual | CORPORATE DIRECTOR | — | 2018-03-29 |
| KIRLEY, FRANCIS | Individual | CORPORATE OFFICER | — | 2018-03-29 |
| LEE, BRIAN | Individual | CORPORATE OFFICER | — | 2018-03-29 |
| PIERCE, DANIEL | Individual | CORPORATE OFFICER | — | 2021-03-16 |
| RINER, MEERA | Individual | CORPORATE OFFICER | — | 2018-03-29 |
Other facilities in BYHALIA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.