Great Oaks Rehabilitation and Healthcare Center

    111 Chase St, Byhalia, MS 38611
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.30·(171)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      4.2
    • Meals

      3.0
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate and engaged nursing and CNA staff
    • Strong physical and occupational therapy program
    • Specialized wound-care and PEG-tube capabilities
    • Clean, well-maintained and updated facility spaces
    • Large therapy gym and ADL training suite
    • Active resident activities and social programming
    • Responsive admissions and family-facing administration
    • Supportive dietary leadership and hot-meal service
    • Successful short-term rehabilitation outcomes
    • Welcoming unit-level staff and positive social environment

    Cons

    • Inconsistent staffing levels and weekend coverage
    • Variable responsiveness to call lights and care requests
    • Gaps in clinical monitoring and timely escalation
    • Inconsistent communication with families and care teams
    • Hygiene and odor concerns in selected areas
    • Unreliable incontinence-care and bathing schedules
    • Medication administration and documentation issues
    • Weak personal-property and belongings management
    • Inconsistent meal quality and menu rotation
    • Shift-to-shift handoff and leadership oversight gaps

    Summary of reviews

    Great Oaks Rehabilitation and Healthcare Center elicits strongly mixed impressions. Many families and patients describe attentive, compassionate direct-care staff, a robust therapy department, and pleasant facility spaces that support rehabilitation. Positive comments concentrate on individual caregivers, the therapy gym and ADL suite, wound-care capabilities, and an admissions team that can provide a smooth transition. Multiple accounts recount successful short-term rehab outcomes and engaged dietary leadership that delivers hot meals.

    Counterbalancing those positives, a substantial number of accounts raise operational concerns that affect safety and dignity. Common themes include inconsistent staffing (notably reduced weekend coverage), variable responsiveness to call lights and care requests, and documented lapses in clinical monitoring and escalation that in some cases required emergency hospital transfer. Families also describe gaps in communication and inconsistent reporting of status changes, which complicate care coordination and discharge planning.

    Care-process issues appear in several domains. Hygiene and odor concerns in particular common areas and resident rooms are noted alongside inconsistent incontinence-care and bathing schedules. Reviews also raise concerns about medication administration practices and documentation, delayed wound or pressure-injury attention, and uneven follow-through on physician orders. Property-management lapses such as lost or delayed return of personal items were reported, which contributes to family frustration.

    The dining and activity programs receive mixed feedback: some reviewers praise hot, satisfying meals and an active events calendar, while others describe repetitive menu items and inconsistent meal quality. The facility environment is frequently described as clean and well-maintained, with modern amenities and a welcoming atmosphere, though a subset of accounts describe localized sanitation and odor problems that require attention.

    Management and leadership impressions are polarizing. Several families highlight visible, engaged administrators and responsive social work and therapy teams; others describe broken promises, appointment changes without consent, inconsistent shift leadership, and at least one allegation of privacy breach. These divergent views create a pattern of highly variable experience depending on unit, shift, and individual staff assignment.

    Taken together, the pattern suggests a facility with clear strengths in therapy, many dedicated caregivers, and generally attractive physical resources, but with recurring operational weaknesses that affect continuity of care and family confidence. Prospective residents and families should weigh the strong rehabilitation services and positive staff relationships against documented variability in staffing, communication, hygiene protocols, and clinical escalation. When considering placement, ask specific questions about weekend staffing ratios, handoff procedures, medication administration practices, incontinence and bathing schedules, and how the facility communicates clinical changes to families. If possible, meet the therapy team and unit nursing leadership and review the most recent state survey and corrective-action history to understand how ongoing issues are being addressed.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Great Oaks Rehabilitation and Healthcare Center is located at 111 Chase St, Byhalia, MS, 38611.

    About Great Oaks Rehabilitation and Healthcare Center

    Great Oaks Rehabilitation and Healthcare Center, managed by Francis Kirley since July 2018, is a 60-bed for-profit facility affiliated with Nexion Health. The center keeps an average of 49 residents each day. Great Oaks focuses on rehabilitation, skilled nursing, and long-term care, aiming to give each resident a comfortable place that feels like home. Staffed by interdisciplinary care professionals, the facility offers care 24 hours a day, including services from licensed nurses on every shift and physician oversight. Caregivers average 4.30 nurse hours per resident per day, and staffing levels follow care requirements.

    Daily, residents have access to specialized rehabilitation services, including occupational and physical therapy from trained therapists. There's wound care, telemedicine, and healthcare services, as well as programs named after Great Oaks Rehabilitation and Healthcare Center. The facility says it wants to protect residents from abuse, neglect, and exploitation, and infection-control procedures are in place, though the center has had deficiencies in infection prevention and control.

    Residents can join amenities and activities, which are designed to support comfort and well-being throughout both short-term recovery and long-term stays. Admission is available at any time, day or night. The center seeks to give individualized care for every resident, whether they need skilled nursing, wound care, rehabilitation, or long-term support. The facility's mascot, Oakley the goose, is their official good luck charm. Great Oaks works to provide a safe, caring environment, using a team with plenty of experience aiming to help residents have the highest quality of life possible during their healing experience.

    People often ask...

    Great Oaks Rehabilitation and Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 19 photos of Great Oaks Rehabilitation and Healthcare Center on Mirador.

    The full address for this community is 111 Chase St, Byhalia, MS 38611.

    No, Great Oaks Rehabilitation and Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255311
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    80

    Reports

    48

    Citations

    39

    Complaints

    6

    Years

    01 Aug 2026Complaint
    Investigated the complaint and found no deficiencies.
    01 Aug 2026Complaint
    Found no deficiencies after a complaint investigation conducted on 2026-08-19. Determined to be in compliance with Medicare and Medicaid participation requirements.
    01 Jun 2026Revisit
    Found no deficiencies.
    01 Jun 2026Revisit
    Determined corrective measures were in place to address a deficient practice. Recommended returning to compliance.
    01 May 2026Inspection
    Found that MDS assessments were not completed and transmitted within CMS timeframes for Resident #30.
    • §483.20(f)Automated data processing requirement
    01 May 2026Inspection
    Found no deficiencies during the annual recertification survey and complaint investigation; determined compliance with minimum standards and licensure requirements.
    01 May 2026Inspection
    Found no deficiencies. Emergency preparedness requirements were met during the survey.
    01 Mar 2026Complaint
    Investigated a complaint and found no deficiencies cited.
    01 Mar 2026Complaint
    Found no deficiencies. The investigation concluded compliance with applicable standards.
    01 Dec 2025Revisit
    Determined no deficiencies and placed back in compliance after review of information provided.
    01 Dec 2025Revisit
    Determined that compliance was restored as of 12/26/2025.
    01 Nov 2025Complaint
    Identified a deficiency in medical records management due to an unentered therapy order, leading to an incomplete resident medical record.
    • 45.25.1Medical Records Management
    01 Nov 2025Complaint
    Investigated a complaint and found violations in notification of changes after hospital readmission, reporting alleged violations, investigating injuries, and maintaining medical records.
    • 483.10(g)(14)Notify of Changes.
    • 483.12(b)(5)(i)(A)(B)(c)(1)(4); 483.12(c)Reporting of Alleged Violations.
    • 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation.
    • 483.70(h); 483.20(f)(5)Resident Records - Identifiable Information
    01 Aug 2025Revisit
    Found no deficiencies cited after reviewing emergency preparedness measures. The review indicated compliance with applicable requirements.
    01 Aug 2025Revisit
    Determined compliance with the applicable minimum standards and recommended placing back in compliance.
    01 Aug 2025Revisit
    Concluded that the facility was back in compliance after a desk review. The agency recommended maintaining compliance.
    01 Jul 2025Complaint
    Investigated a complaint and found no deficiencies cited in this visit; however, deficiencies from the 6/25/25 survey left the provider out of compliance.
    01 Jul 2025Complaint
    Determined no deficiencies on this survey, but noted deficiencies from the 6/25/25 survey left it out of compliance.
    01 Jun 2025Inspection
    Identified multiple deficiencies including absence of informed consent discussion for psychotropic meds, inaccessible call lights, a damaged wheelchair, inaccurate discharge coding, hazardous materials in a resident's room, and an indwelling catheter without orders.
    • CFR 483.10(c)(1)(4)(5)Right to be informed/participate in treatment decisions
    • CFR 483.10(e)(3)Reasonable accommodations/needs and preferences
    • CFR 483.10(i)(7)Safe environment
    • CFR 483.20(g)-(j)Accuracy of Assessments
    • CFR 483.25(d)(1)-(2)Accidents; safe environment; supervision
    • CFR 483.25(e)(1)-(3)Incontinence; catheter management
    01 Jun 2025Inspection
    Investigated a set of deficiencies: lack of informed consent discussions for psychotropic medications, presence of hazardous materials left in resident rooms, and inappropriate management of a Foley catheter on admission.
    • 45.17.2 Residents' RightsResidents' Rights
    • 45.21.8 AccidentsAccidents
    • 45.21.11 Special needsSpecial needs
    01 Jun 2025Inspection
    Found that fire alarm system inspection documentation for 2025 was missing, and the last inspection occurred in 2024.
    • NFPA 72 Table 14.3.1; NFPA 72 section 14.4.5.3.2Fire alarm system inspection and testing documentation
    01 Jun 2025Inspection
    Found deficiencies in fire alarm system testing/maintenance and in smoke barrier door operation.
    • NFPA 101 9.6.1.3; 9.6.1.5; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 101 19.3.7.6; 19.3.7.8; 19.3.7.9Subdivision of Building Spaces - Smoke Barrier Doors
    01 Jun 2025Revisit
    Verified compliance after corrective actions were implemented and sustained; recommended returning to compliance as of 06/11/2025.
    01 Jun 2025Revisit
    Concluded that compliance was restored.
    01 May 2025Complaint
    Investigated found that bed rails were removed without a safety assessment, resulting in a resident rolling out of bed and sustaining a head laceration requiring emergency care.
    • 42 CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    01 May 2025Complaint
    Investigated complaints about resident safety and supervision; found that bed rails were removed without safety assessment, resulting in a resident fall with head injury and ongoing safety concerns.
    • 45.21.8Accidents
    01 Mar 2025Complaint
    Found no deficiencies. The investigation determined compliance with applicable standards.
    01 Mar 2025Complaint
    Determined no deficiencies were cited after a complaint investigation.
    01 Nov 2024Revisit
    Determined that no deficiencies were found and that compliance was restored after a desk review.
    01 Nov 2024Revisit
    Verified the prior deficiency was addressed and compliance was restored.
    01 Oct 2024Complaint
    Investigated misappropriation of a resident's funds by a CNA; found a violation of residents' rights due to misuse of a resident's debit card and funds.
    • 45.17.2Residents' Rights
    01 Oct 2024Complaint
    Investigated complaints found misappropriation of a resident's funds and insufficient staffing, including delays in care. A staff member used a resident's debit card and funds, and staffing shortages affected multiple residents.
    • CFR 483.12Free from Misappropriation/Exploitation
    • CFR 483.35Sufficient Nursing Staff
    01 Jun 2024Revisit
    Found no deficiencies.
    01 Jun 2024Revisit
    Determined corrective actions were in place and recommended returning to compliance.
    01 May 2024Complaint
    Identified failure to notify the resident representative of a medication change for one resident when Hydrocortisone was discontinued due to a potential interaction with Desmopressin Acetate.
    • 483.10(g)(14)Notification of Changes
    01 May 2024Complaint
    Investigated a complaint and found no deficiencies.
    01 May 2024Revisit
    Determined that compliance was restored after review of information and actions taken.
    01 Feb 2024Revisit
    Recommended placement back into compliance after a desk review confirmed corrective actions were in place.
    01 Feb 2024Revisit
    Concluded that the facility was in compliance with the minimum standards and recommended placing it back in compliance.
    01 Feb 2024Revisit
    Determined compliance after a desk review and recommended reinstating compliance.
    01 Feb 2024Revisit
    Concluded the provider was placed back in compliance after a desk review.
    01 Jan 2024Complaint
    Found that timely incontinent care was not provided for a resident who had a bowel movement, resulting in a delay of about 90 minutes before care was delivered.
    • 45.21.2Activities of daily living
    01 Jan 2024Inspection
    Identified multiple deficiencies across resident rights, care planning, medication management, ADL care, MDS timing, drug storage, and infection control.
    • §483.10(c)(6)The right to request/refuse/discontinue treatment; formulate advance directives
    • §483.20(f)Encoding/Transmitting Resident Assessments
    • §483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • §483.21(b)(3)(i)Services Provided Meet Professional Standards
    • §483.24(a)(2)ADL Care Provided for Dependent Residents
    • §§483.45(g)-(h)Label/Store Drugs and Biologicals; Storage
    • §483.80(a)(1)-(f)Infection Prevention & Control
    01 Jan 2024Inspection
    The regulator identified deficiencies in daily living support, medication security, and infection control, including delays in incontinent care, unlocked medication carts with medications exposed, and improper hand hygiene and equipment storage during treatments.
    • 45.21.2 Activities of daily livingActivities of daily living
    • 45.24.2 Policies and proceduresPolicies and procedures
    • 48.58.1 Infection ControlInfection Control
    01 Jan 2024Complaint
    Identified failures to implement an ADL care plan and delays in incontinent care for a resident, risking hygiene issues and possible skin breakdown.
    • CFR 483.21(b)(1)(3)Comprehensive Care Plans
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    01 Jan 2024Inspection
    Found no deficiencies identified during the visit.
    01 Jan 2024Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Sept 2023Complaint
    Found no deficiencies.
    01 Sept 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Mar 2023Complaint
    Investigated a complaint and concluded no deficiencies were cited.
    01 Mar 2023Complaint
    Found no deficiencies. The survey determined compliance with minimal standards of operation for institutions for the aged or infirm.
    01 Jan 2023Revisit
    Concluded corrective actions were in place and recommended that the provider be placed back in compliance effective 12/29/22.
    01 Jan 2023Revisit
    Determined compliance with minimum standards and recommended returning to compliance.
    01 Jan 2023Revisit
    Determined back in compliance after reviewing information from the annual survey. Recommended placing back in compliance effective 12/29/22.
    01 Jan 2023Revisit
    Placed back in compliance after a desk review; no deficiencies cited.
    01 Dec 2022Complaint
    Investigated a complaint alleging resident neglect related to pressure ulcers; found no substantiation for that allegation and no deficiencies cited in this action, but ongoing noncompliance remains from deficiencies cited in a prior survey.
    01 Dec 2022Complaint
    Investigated a complaint alleging neglect related to pressure ulcers; found no deficiencies cited in this visit, but noted ongoing noncompliance from a prior survey.
    01 Nov 2022Inspection
    Investigated a complaint and found deficiencies in data encoding/transmission, oxygen-use signage, and infection control practices, indicating risks to residents.
    • §483.20(f)(1)-(4)Encoding/Transmitting Resident Assessments
    • §483.25(i)Respiratory/Tracheostomy Care and Suctioning
    • §483.80(a)Infection Prevention & Control
    01 Nov 2022Inspection
    Investigated a transfer-related accident hazard due to improper use of a mechanical lift and found missing oxygen-use room signage for residents on oxygen.
    • 45.21.8Accidents
    • 45.21.11Special needs
    01 Nov 2022Complaint
    Investigated a reported abuse/neglect allegation and a lift-related accident; found failures to report timely and to ensure safe transfer during a lift, potentially affecting a resident.
    • 483.12(c)Reporting of Alleged Violations
    • 483.25(d)Free of Accident Hazards/Supervision/Devices
    01 Nov 2022Inspection
    Found no deficiencies in emergency preparedness during the survey.
    01 Nov 2022Inspection
    Found no deficiencies.
    01 Jun 2021Complaint
    Investigated a complaint alleging quality of care and pressure ulcers. Concluded there was no evidence of noncompliance with participation requirements.
    01 Jun 2021Complaint
    Investigated a complaint about quality of care and pressure ulcers and found no deficiencies.
    01 Apr 2021Infection Control
    Found no deficiencies related to infection control during the COVID-19 focused survey.
    01 Apr 2021Infection Control
    Concluded no deficiencies were found in the COVID-19 focused emergency preparedness review and confirmed compliance with applicable requirements.
    01 Nov 2020Infection Control
    Found compliance with infection control requirements during a focused COVID-19 survey.
    01 Nov 2020Infection Control
    Determined compliance with COVID-19 focused emergency preparedness requirements during a survey.
    01 Nov 2020Infection Control
    Found no deficiencies in infection control practices. Compliance with infection control regulations was verified.
    01 Nov 2020Infection Control
    Confirmed compliance with emergency preparedness requirements during a Covid-19 focused review; no deficiencies were cited.
    01 Oct 2020Infection Control
    Investigated a reported verbal abuse incident and found a deficiency for failing to protect a resident from verbal abuse by an employee.
    • 42 CFR §483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    01 Oct 2020Complaint
    Investigated a verbal abuse incident toward a resident and cited a violation of abuse prevention rules.
    • 42 CFR §483.12Freedom from Abuse, Neglect, and Exploitation
    01 Oct 2020Infection Control
    Concluded that infection control requirements were met during a focused survey.
    01 Jul 2020Infection Control
    Found incomplete COVID-19 reporting to NHSN during a seven-day period.
    • §483.80(g)COVID-19 reporting
    01 Jul 2020Infection Control
    Found no deficiencies. Confirmed compliance with emergency preparedness requirements.
    01 Jul 2020Infection Control
    Determined no deficiencies were found in infection control practices related to Covid-19.
    01 Jun 2020Infection Control
    Found no deficiencies related to infection control; compliance with covid-19 infection control practices was confirmed.
    01 Jun 2020Infection Control
    Found no deficiencies related to infection control practices during a COVID-19 focused review.
    01 Jan 2020Inspection
    Found a deficiency in maintaining exit egress; the courtyard exit lacked an all-weather surface leading to the public way.
    • 42 CFR 483.70(a)Means of Egress - General
    01 Jan 2020Inspection
    Found no deficiencies and determined compliance with Medicare/Medicaid participation requirements.

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    Mirador Living is not affiliated with the owner or operator(s) of Great Oaks Rehabilitation and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Great Oaks Rehabilitation and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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