Deficiency Index

The Oaks Rehabilitation and Healthcare Center

Meridian, Mississippi · CCN 255261

31 surveys since 2010, 24 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
120
Surveys
31
Harm or worse
24
Immediate jeopardy
21
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy21

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file21/31

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
82
Ownership
For profit - Limited Liability company
Chain
AVARDIS HEALTH
County
Lauderdale · rural
Medicare-certified since
2000

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 26 for-profit facilities of 66–99 beds in Mississippi.

Last survey on record

May 7, 2026

186 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.433.73
Registered-nurse hours per resident day0.51—
Annual nurse turnover60.2%51.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$32,432 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ514.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2470.6%E38.8%F12.9%
No harm, potential for minimalA—B—C12.9%
CMS’s current file: 34 of the 120 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at The Oaks Rehabilitation and Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Apr 4, 2025

    Based on interviews, record review, the facility's investigation, and facility policy review, the facility failed to ensure residents' right to be free from physical and verbal abuse when Certified Nurse Aide (CNA) 1 was reported by two staff members (CNA #2 and CNA #3) to have physically abused Resident #1 on 3/7/25 at 6:45 AM and verbally abused Resident #2 date/time unknown, both vulnerable residents, and the facility did not take immediate protective action for two (2) of four (4) sampled residents. Additionally, the Administrator was not informed of the allegation until 3/17/25, at which time CNA #1 was suspended. This left residents vulnerable for ten (10) days after the abuse was initially witnessed by staff. […]

  • Immediate jeopardy, isolatedF607Apr 4, 2025

    Based on interviews, record review, and facility policy review, the facility failed to implement its abuse policy, allowing an abusive act to occur without staff intervening or prompt reporting for two (2) of four (4) sampled residents. Resident #1 was physically abused on 3/7/25 by Certified Nurse Aide (CNA) #1 which was witnessed by CNA #3 and Resident #2 was verbally abused by CNA #1 and was witnessed by CNA #2. CNA #1 and CNA #2 did not intervene to prevent the violation of the residents' rights to be free from abuse. The facility's failure to intervene and immediately report to the Administrator placed Resident #1, Resident #2 and other residents at risk for similar abuse including the risk for serious harm, injury, impairment, or death. […]

  • Immediate jeopardy, isolatedF609Apr 4, 2025

    Based on interviews, record review, the facility's investigation and facility policy review, the facility failed to report abuse within the required two (2) hour timeframe (Resident #1 and #2) and failed to submit a completed investigation for an allegation of abuse (Resident #3) to the State Agency (SA) within five (5) working days for (3) of four (4) sampled residents. Resident #1 was physically abused on 3/7/25 by Certified Nurse Aide (CNA) 1 which was witnessed by CNA #3 and Resident #2 was verbally abused by CNA #1 and was witnessed by CNA #2. CNA #1 and CNA #2 did not immediately report the abuse, until 3/17/25, which was ten (10) days after the first instance of abuse was witnessed. […]

  • Immediate jeopardy, isolatedF578Mar 28, 2024

    Based on interviews, record review, and facility policy review, the facility failed to honor a resident's right to refuse treatment when Resident #1, who was a hospice patient and had a signed Do Not Resuscitate (DNR) Physician's Order, received cardiopulmonary resuscitation (CPR) by facility staff for one (1) of four (4) residents reviewed. Resident #1 Resident #1's medical record had conflicting information regarding the code status of the resident and caused Resident #1 to receive CPR by facility staff for 25 minutes, which was against his wishes and the Physician's Order. The situation was determined to be an Immediate Jeopardy (IJ) which began on [DATE] when the facility received a signed DNR Physician's Order. […]

  • Immediate jeopardy, isolatedF656Mar 28, 2024

    Based on interviews, record review, and facility policy review, the facility failed to develop comprehensive care plan interventions regarding Advanced Directives for one (1) of four (4) residents reviewed. Resident #1 The facility's failure to develop comprehensive care plan interventions caused Resident #1 to receive cardiopulmonary resuscitation (CPR) by facility staff which was against his wishes and the Physician's Order. Resident #1 received CPR for 25 minutes. The situation was determined to be an Immediate Jeopardy (IJ) which began on [DATE]. […]

Read 39 findings in full →The most serious and the most recent: 39 of 120 on record.

Every survey on record

FindingsAt actual harm or above

  • May 7, 2026Complaint3 findings
  • Nov 19, 2025Complaint1 finding
  • Jun 26, 2025Standard and complaint7 findings
  • Apr 4, 2025Complaint4 findings · 3 harm
  • Feb 26, 2025Complaint3 findings
  • Mar 28, 2024Complaint2 findings · 2 harm
  • Jan 19, 2024Standard5 findings
  • Nov 28, 2023Complaint1 finding
Show the 23 earlier surveys
  • Aug 16, 2023Complaint2 findings
  • Jun 23, 2022Standard6 findings
  • Apr 21, 2022Complaint3 findings
  • May 7, 2021Complaint2 findings · 2 harm
  • May 23, 2019Standard10 findings
  • Jun 12, 2018Standard4 findings
  • Jan 24, 2018Complaint1 finding
  • Feb 10, 2017Standard2 findings
  • Sep 14, 2016Complaint2 findings · 2 harm
  • Jan 8, 2016Standard9 findings
  • Feb 27, 2015Standard5 findings
  • Oct 4, 2014Complaint6 findings · 6 harm
  • Aug 20, 2014Complaint7 findings · 6 harm
  • Jun 10, 2014Complaint3 findings · 1 harm
  • May 22, 2014Standard2 findings
  • Oct 14, 2013—1 finding
  • Jun 13, 2013—9 findings
  • May 25, 2012—5 findings · 1 harm
  • Apr 27, 2012—5 findings · 1 harm
  • Jun 28, 2011—1 finding
  • May 6, 2011—6 findings
  • Feb 1, 2011—1 finding
  • Nov 17, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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