General Information: OXLEY PARK HEALTH AND REHABILITATION
Nursing home name OXLEY PARK HEALTH AND REHABILITATION
Address181 OXLEY DRIVE
LYONS, GA 30436
Phone number (912) 526-6336
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 144
Total number of residents 123
Perc of occupied beds 85
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: OXLEY PARK HEALTH AND REHABILITATION
Overall rating 3
3
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: OXLEY PARK HEALTH AND REHABILITATION
National AverageGeorgia AverageOXLEY PARK HEALTH AND REHABILITATION
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 123
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.8 hours 3.67 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.59 hours 1.81 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.53 hours 0.47 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.05 hours 1.34 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.21 hours 1.86 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.05 hours
Health Survey: OXLEY PARK HEALTH AND REHABILITATION
Heath Survey Summary on 2014-03-06
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2012-06-14
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2010-09-23
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: OXLEY PARK HEALTH AND REHABILITATION
Inspection Results: 09/23/2010
Corrected Deficiency Scope and Severity
11/07/2010 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
11/07/2010 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
11/07/2010 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
11/07/2010 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
11/07/2010 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
11/07/2010 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
11/07/2010 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Actual harm
11/07/2010 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
11/07/2010 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
11/07/2010 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
11/07/2010 Upon the death of a resident, convey the residents personal funds and an accounting of those funds to the appropriate party. Pattern/Potential for minimal harm
11/07/2010 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm

Fire Safety Survey: OXLEY PARK HEALTH AND REHABILITATION
Fire Safety Survey Summary on 2014-03-06
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-14
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-09-23
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: OXLEY PARK HEALTH AND REHABILITATION
Fire Safety Survey Results: 03/06/2014
Corrected Deficiency Severity
04/07/2014 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
04/07/2014 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
04/07/2014 An externally vented heating system. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/14/2012
Corrected Deficiency Severity
07/01/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
07/01/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
07/01/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
07/01/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/23/2010
Corrected Deficiency Severity
11/07/2010 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
11/07/2010 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
11/07/2010 A separate and independent backup electrical power source. Pattern/Minimal harm or potential for actual harm
11/07/2010 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: OXLEY PARK HEALTH AND REHABILITATION
Not available

Quality Measures: OXLEY PARK HEALTH AND REHABILITATION
Quality Measures National Average Georgia Average OXLEY PARK HEALTH AND REHABILITATION
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.6% 13.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 18.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 9.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 9.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 44.5% 56.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.2% 0.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.5% 5.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 9.3% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 2.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.0% 99.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.6% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 21.6% 13.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 26.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 1.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.7% 98.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.8% 96.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.3% 3.5%

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