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The Oaks Rehabilitation And Healthcare Center

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About The Oaks Rehabilitation And Healthcare Center

General Information

Legal Business NameRiley Healthcare, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 2000 (17 years)
Capacity82
Residents76
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Oaks Rehabilitation And Healthcare Center

The Oaks Rehabilitation And Healthcare Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Mississippi Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

August 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$120,587 fine
KSomeImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
KSomeImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
JFewImmediate JeopardyComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
JFewImmediate JeopardyComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

June 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.

May 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Oaks Rehabilitation And Healthcare Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
35min
1hr
ReportedExpected
RN
3hr 25min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.1%
90.9%
90.9%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.6%
92.3%
86.6%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
-
40.0%
48.6%
47.0%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
24.6%
24.5%
22.2%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
8.9%
21.4%
16.4%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
32.0%
29.8%
38.2%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
10.3%
9.5%
6.0%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
9.5%
5.0%
11.4%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
0.0%
9.1%
8.5%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
11.8%
7.7%
4.5%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
4.4%
4.6%
3.0%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
1.1%
1.5%
1.6%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
2.9%
4.6%
1.5%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

82.2%
78.3%
63.3%
88.6%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
79.5%
79.5%
79.5%
85.7%
Q1 2015Q2 2015Q3 2015MS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
36.4%
38.2%
34.5%
18.8%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
7.7%
6.5%
8.0%
2.9%
Q1 2015Q2 2015Q3 2015MS
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MS
With Pressure Ulcers That Are New or Worsened