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Complaint Investigation

The Oaks Rehabilitation And Healthcare Center

April 4, 2025 · Meridian, MS · 3716 Highway 39 North
Citations 3
CMS Rating 1/5
Beds 82
Provider ID 255261
Healthcare Facility
The Oaks Rehabilitation And Healthcare Center
Meridian, MS  ·  View full profile →
Inspection Summary

THE OAKS REHABILITATION AND HEALTHCARE CENTER in MERIDIAN, MS — inspection on April 4, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
Immediate human rights., including the right to be free from abuse, neglect, mistreatment, exploitation and or Few resident. Violation of this standard will subject employees to disciplinary action, including dismissal, provided affected

According to CNA #3, CNA #1 then stated, This is how you deal with crazy (expletive) like you. CNA #3 recalled telling CNA #1, You can't treat and talk to her like that, and stated she attempted to leave the room to locate the nurse but did not see her nearby.

Not wanting to leave the resident alone with CNA #1, CNA #3 returned to the room and offered to finish providing care.

She stated that CNA #1 appeared to ignore her and refused to leave the room. CNA #1 continued providing care, cleaned the blood from the resident's face using the resident's gown, finished dressing her, and transferred her to the chair before exiting the room. CNA #3 stated that she did not report the incident to the nurse, Director of Nursing (DON), or Administrator until 03/17/25 because she feared retaliation from other staff.

She confirmed she had previously received training and in-services regarding abuse, neglect, and the requirement to report such incidents.

On 04/02/25 at 11:15 AM, during an interview with CNA #2, she stated she was in Resident #2's room providing care to the roommate when she overheard CNA #1 say to Resident #2, If you (expletive) in the bed like you did yesterday, I'm going to beat your (expletive). CNA #2 stated she immediately told CNA #1 that she could not speak to a resident in that manner, to which CNA #1 replied, I bet it works. CNA #2 explained she did not report the incident at the time because she was afraid of retaliation from staff, stating that people had recently been losing their jobs and there were concerns about false allegations being made through the compliance hotline. CNA #2 confirmed she had received prior training and in-service education on abuse, neglect, and reporting requirements.

On 04/02/25 at 11:30 AM, during an interview with CNA #4, she stated that she occasionally worked on the same hall as CNA #1 and observed CNA #1 speaking to residents in an aggressive and assertive manner. CNA #4 expressed concern about the tone and way CNA #1 communicated with residents but stated she was told by other staff members that that's just her personality and not to take it seriously. CNA #4 explained that, based on those comments, she did not report the behavior to the Director of Nursing (DON), believing it was not considered a serious issue by other staff.

On 04/02/25 at 11:45 AM, during an interview with CNA #5, he stated that he worked alongside CNA #1 on the same hall and often heard her speak to residents in an angry tone of voice. CNA #5 stated he initially believed it was just part of her personality and admitted he did not pay much attention to her behavior at the time.

255261

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 255261 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Oaks Rehabilitation and Healthcare Center 3716 Highway 39 North Meridian, MS 39301

During an interview with CNA #1 on 4/02/25 at 12:01 PM, she denied physically abusing Resident #1 and verbally abusing Resident #2. CNA #1 stated she believed the accusations were fabricated by another CNA because she was not part of the clique among staff at the facility.

She further stated she had never worked with CNA #3 on the hall and that CNA #3's primary responsibility was providing showers.

255261

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 255261 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Oaks Rehabilitation and Healthcare Center 3716 Highway 39 North Meridian, MS 39301

Investigation The Abuse Coordinator or his/her designee shall investigate all reports or allegations of abuse, neglect, misappropriation and exploitation .Review of Report: Report the results of all investigation to the Executive Director or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident .

Resident #1

A record review of the Admission Record revealed the facility admitted Resident #1 on 3/08/2013 with current diagnoses including Parkinson's Disease and Dementia.

255261

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 255261 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Oaks Rehabilitation and Healthcare Center 3716 Highway 39 North Meridian, MS 39301

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MERIDIAN, MS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE OAKS REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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