OXFORD HEALTH & REHAB CENTER

Nursing Home Inspector

1301 BELK BOULEVARD
OXFORD, MS 38655
Lafayette County
Phone: 662-234-7821
Provider Number: 255269
Last Inspection: 07/20/2017

About the Nursing Home

Number of Beds: 180
Number of Residents: 163
Beds Available: 17
Percent Occupancy: 91%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

6

Facility
6

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
17

2016
47

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

7/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/20/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/20/2017
 

5/19/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 6/28/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 6/28/2016
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 6/28/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/28/2016
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 6/28/2016
 

6/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Widespread : Potential 4 8/3/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 8/3/2015
 
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 8/3/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 8/3/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/3/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/3/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/3/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 8/3/2015
 
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Minimal 3 8/3/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 8/3/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/3/2015
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 8/3/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/3/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

3/10/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 4/19/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 4/14/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/14/2017
 

4/10/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 5/13/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 5/13/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 5/13/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 163 163.00 77.87
Registered Nurses 0.64 0.64 0.78
Licensed Practical / Vocational Nurses 1.00 1.00 0.98
Certified Nursing Assistants 2.44 2.44 2.33
Total Staff Hours 4.08 4.08 4.09

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MS State Avg%
of high risk long-stay residents with pressure ulcers 7 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 94 96
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 2 2 7
of long-stay residents who received an antianxiety or hypnotic medication 15 15 26
of long-stay residents who received an antipsychotic medication 17 17 19
of long-stay residents who self-report moderate to severe pain 3 3 8
of long-stay residents who were physically restrained 0 0 1
of long-stay residents whose ability to move independently worsened 13 13 18
of long-stay residents whose need for help with daily activities has increased 20 20 16
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 2 2 4
of low risk long-stay residents who lose control of their bowels or bladder 62 62 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 93 87
of short-stay residents who had an outpatient emergency department visit 13 13 14
of short-stay residents who made improvements in function 52 52 62
of short-stay residents who newly received an antipsychotic medication 6 6 2
of short-stay residents who self-report moderate to severe pain 9 9 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 92 84
of short-stay residents who were rehospitalized after a nursing home admission 24 24 24
of short-stay residents who were successfully discharged to the community 46 46 41
of short-stay residents with pressure ulcers that are new or worsened 0 0 0