Great Oaks Rehabilitation and Healthcare Center

Nursing Home · Byhalia, MS

CMS overall rating 2/5 For profit - Corporation

CMS certification number255311

Contact & location

111 Chase Street
Byhalia, MS 38611
Marshall County
Phone
(662) 838-3670
ZIP code
38611 – all care providers

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Facility details

Certified beds
60
Residents per day
47.0 (78% occupied)
Ownership
For profit - Corporation
Legal name
Nexion Health at Byhalia INC
Chain
Nexion Health (51 facilities, avg 2.2★)
Medicare certified since
February 24, 2005
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.8
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.8
Quality measures★★★★★ 1/5
State avg 2.2
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.32 (state 4.18 · U.S. 3.86)
Registered nurses (RN)
0.40 (state 0.64 · U.S. 0.69)
Licensed practical nurses
1.61 (state 1.11 · U.S. 0.86)
Nurse aides
2.31 (state 2.43 · U.S. 2.32)
Weekend total
3.78 (state 3.51 · U.S. 3.42)
Nursing staff turnover
64.3 (state 45.7 · U.S. 45.8)%
RN turnover
57.1 (state 38.4 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 20, 2026
Health deficiencies (last cycle)
5.0 (state 6.7 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
22 health · 2 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-20 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2025-11-06 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-11-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-11-06 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-11-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2025-06-25 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-25 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-25 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-25 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-25 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-05-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-11
2024-10-01 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-07
2024-10-01 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-07
2024-05-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-14
2024-01-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02
2024-01-04 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-02

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,788 in fines.

DateTypeAmount
2025-05-22Fine$8,788

Ownership & management

NameRoleSince
Nexion Health of Ohi INC (organization)5%+ Direct Ownership Interest · 100%
Bolt, Bretton (individual)5%+ Indirect Ownership Interest
Kirley, Francis (individual)5%+ Indirect Ownership Interest
Nexion Health Leasing, INC. (organization)5%+ Indirect Ownership Interest
Nexion Health, INC. (organization)5%+ Indirect Ownership Interest
Kirley, Francis (individual)Corporate Director · NOT APPLICABLE
Lee, Brian (individual)Corporate Director · NOT APPLICABLE
Oswald, John (individual)Corporate Director · NOT APPLICABLE
Reid, John (individual)Corporate Director · NOT APPLICABLE
Riner, Meera (individual)Corporate Director · NOT APPLICABLE
Kirley, Francis (individual)Corporate Officer · NOT APPLICABLE
Lee, Brian (individual)Corporate Officer · NOT APPLICABLE
Pierce, Daniel (individual)Corporate Officer · NOT APPLICABLE
Riner, Meera (individual)Corporate Officer · NOT APPLICABLE
Kirley, Francis (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Great Oaks Rehabilitation and Healthcare Center?

Great Oaks Rehabilitation and Healthcare Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.8-star average in Mississippi.

How many beds does Great Oaks Rehabilitation and Healthcare Center have?

It has 60 certified beds and cares for about 47 residents per day.

Has Great Oaks Rehabilitation and Healthcare Center been fined?

Yes. CMS lists 1 penalty totaling $8,788 in the last three years.

Who owns Great Oaks Rehabilitation and Healthcare Center?

It is part of Nexion Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Great Oaks Rehabilitation and Healthcare Center?

(662) 838-3670. The facility is located at 111 Chase Street, Byhalia, MS 38611.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.