nursing home in Byhalia, MS
Great Oaks Rehabilitation and Healthcare Center
111 Chase Street, Byhalia, MS 38611 · (662) 838-3670
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Great Oaks Rehabilitation and Healthcare Center at a glance
Great Oaks Rehabilitation and Healthcare Center is a 60-bed for-profit nursing home in Byhalia, Mississippi (Marshall County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Mississippi average of 2.7.
Residents receive about 4.3 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (May 20, 2026) found 5 health citations. The Mississippi average is 6.9.
Federal regulators fined it 1 time in the past three years, totaling $8,788.
Nursing staff turnover is 64.3% per year (state average 45.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nexion Health
- Medicare-certified since
- February 24, 2005
- Resident/family council
- Resident
- County
- Marshall County
- CMS Certification Number
- 255311
Ratings
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.8 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.2 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.32 hrs | 4.18 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.43 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.78 hrs | 3.50 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 64.3% | 45.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 38.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 32 | 61.2 | 80.6 | Better |
Penalties
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,788 | $17,231 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 87 | 107 | |
| Average residents per day | 47 | 74 | 86 | |
| Occupancy | 78.3% | 85.7% | 80.9% |
Long-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.1% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.2% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.5% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.2% | 20.5% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 38.8% | 19.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 1.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 43.1% | 23.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.9% | 20.7% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 97% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.3% | 2.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 98.7% | 84.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected June 26, 2026 |
| November 6, 2025 Complaint | 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 · Tag F0580 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 6, 2025 Complaint | 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 · Tag F0842 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 6, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 6, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 26, 2025 |
| June 25, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 21, 2025 |
| June 25, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 25, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected July 21, 2025 |
| May 22, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 11, 2025 |
| October 1, 2024 Complaint | 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 · Tag F0725 | E Potential harm, pattern | Corrected November 7, 2024 |
| October 1, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected November 7, 2024 |
| May 15, 2024 Complaint | 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 · Tag F0580 | D Potential harm, isolated | Corrected June 14, 2024 |
| January 4, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 2, 2024 |
| January 4, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 4, 2024 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 4, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 4, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 4, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 4, 2024 Standard | 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 · Tag F0578 | D Potential harm, isolated | Corrected February 2, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,788 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $8,788 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NEXION HEALTH OF OHI INC Organization | 5% or greater direct ownership interest | 100% | 03/29/2018 |
| BOLT, BRETTON Individual | 5% or greater indirect ownership interest | — | 03/29/2018 |
| KIRLEY, FRANCIS Individual | 5% or greater indirect ownership interest | — | 03/29/2018 |
| NEXION HEALTH, INC. Organization | 5% or greater indirect ownership interest | — | 03/29/2018 |
| NEXION HEALTH LEASING, INC. Organization | 5% or greater indirect ownership interest | — | 03/29/2018 |
| KIRLEY, FRANCIS Individual | corporate director | NOT APPLICABLE | 03/29/2018 |
| LEE, BRIAN Individual | corporate director | NOT APPLICABLE | 03/29/2018 |
| OSWALD, JOHN Individual | corporate director | NOT APPLICABLE | 03/24/2022 |
| REID, JOHN Individual | corporate director | NOT APPLICABLE | 12/18/2018 |
| RINER, MEERA Individual | corporate director | NOT APPLICABLE | 03/29/2018 |
| KIRLEY, FRANCIS Individual | corporate officer | NOT APPLICABLE | 03/29/2018 |
| LEE, BRIAN Individual | corporate officer | NOT APPLICABLE | 03/29/2018 |
| PIERCE, DANIEL Individual | corporate officer | NOT APPLICABLE | 03/16/2021 |
| RINER, MEERA Individual | corporate officer | NOT APPLICABLE | 03/29/2018 |
| KIRLEY, FRANCIS Individual | operational/managerial control | NOT APPLICABLE | 07/01/2018 |
Other nursing homes near Great Oaks Rehabilitation and Healthcare Center
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★★★★★3AverageCollierville Nursing and Rehabilitation, LLC
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For-profit · 114 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★2Below averageKirby Pines Manor
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- CMS high performer
★★★★★5Much above averageThe Village at Germantown
7930 Walking Horse Circle, Germantown, TN 38138 · 15.3 mi
Non-profit · 55 beds
★★★★★3AverageSignature Healthcare of Primacy
6025 Primacy Parkway, Memphis, TN 38119 · 16.8 mi
For-profit · 120 beds · Part of Signature Healthcare
★★★★★5Much above averageIris Cove Health & Rehabilitation
6733 Quince Road, Memphis, TN 38119 · 16.8 mi
For-profit · 188 beds · Part of Lyon Healthcare
★★★★★2Below average
Frequently asked questions
What is Great Oaks Rehabilitation and Healthcare Center's rating?
Great Oaks Rehabilitation and Healthcare Center has 2 out of 5 stars on the CMS overall star rating. The average for Mississippi nursing homes is 2.7 stars.
How many inspection citations did Great Oaks Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 5 citations, compared with a Mississippi average of 6.9. Every citation is listed on this page with its severity.
Does Great Oaks Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Great Oaks Rehabilitation and Healthcare Center?
It is for profit - corporation and part of Nexion Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Great Oaks Rehabilitation and Healthcare Center and how do I contact it?
Great Oaks Rehabilitation and Healthcare Center is at 111 Chase Street, Byhalia, MS 38611. Phone: (662) 838-3670.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.