Cycle 1
Health 2025-01-19 · Fire 2025-01-19
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Savannah, GA
Oaks Health Ctr At The Marshes Of Skidaway Island
1-star overall rating with 2-star inspections with $8,788 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
95 Skidaway Island Park Road, Savannah, GA
(912) 598-5030
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
23
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-06-28
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 47% · national 46%
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 6.2% |
| Discharge to community | 51.65% |
50.57%
1.1 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 53.13% · Lower 95% interval 37.12% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 20 · Denominator 20 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 20 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 20 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 62 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 62 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 50.0% |
91.2%
41.2 pts worse
|
93.4%
43.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 50.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.1% |
3.2%
7.9 pts worse
|
3.3%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
9.6%
6.6 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.4% |
20.7%
3.3 pts better
|
19.6%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.4% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.3% |
16.2%
11.9 pts better
|
14.9%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.4% |
1.1%
6.3 pts worse
|
1.0%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.3% |
2.5%
5.8 pts worse
|
1.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.1% |
16.1%
18 pts worse
|
19.8%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.1% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
6.2%
1.8 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.6% |
80.4%
37.8 pts worse
|
81.7%
39.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.1% · Q2 65.2% · Q3 32.1% · Q4 21.4% · 4Q avg 42.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
12.2%
0.6 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 9.5% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
2.2%
0.7 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.3% |
78.2%
0.1 pts better
|
79.7%
1.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.5% |
24.2%
10.7 pts better
|
23.9%
10.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 9.5% · Expected 16.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-24 · Fire 2023-09-24
0 health deficiencies
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-07-07 · Fire 2022-07-07
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-19
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-13
E · Potential for more than minimal harm
2025-01-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-13
E · Potential for more than minimal harm
2025-01-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-13
D · Potential for more than minimal harm
2025-01-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-13
D · Potential for more than minimal harm
2025-01-19
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-02-13
D · Potential for more than minimal harm
2023-09-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-25
Inspection history
Recent health citations
G · Actual harm
2025-01-19
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-13
G · Actual harm
2025-01-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-13
F · Potential for more than minimal harm
2025-01-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-13
D · Potential for more than minimal harm
2025-01-19
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-13
D · Potential for more than minimal harm
2025-01-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-13
E · Potential for more than minimal harm
2022-07-07
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-08-12
D · Potential for more than minimal harm
2022-07-07
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-08-12
D · Potential for more than minimal harm
2022-07-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-12
Penalties and ownership
What sits behind the stars
$4,394
2025-01-19
Fine
Fine · fine $4,394
Fine
$4,394
2025-01-19
Fine
Fine · fine $4,394
Fine
Ownership
Skidaway Health And Living Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Cohen, Adam
Corporate Officer · Individual
Darden, William
Corporate Director · Individual
Dudasko, Eric
Operational/Managerial Control · Individual
Helms, Susan
Corporate Director · Individual
Helms, Susan
Corporate Officer · Individual
Keightley, Rebecca
Corporate Director · Individual
Lamar, Sarah
Corporate Director · Individual
Lanier, Molly
Corporate Director · Individual
Larson, Eric
Corporate Director · Individual
Lastner, Virginia
Corporate Director · Individual
Life Care Services LLC
Operational/Managerial Control · Organization
Mcdonald, Louise
Corporate Director · Individual
Montgomery, Hannah
Operational/Managerial Control · Individual
Patel, Maulikkumar
Operational/Managerial Control · Individual
Ruben, Jesse
Corporate Director · Individual
Savannah Economic Development Authority
5% Or Greater Mortgage Interest · Organization
Souls, Thomas
Corporate Director · Individual
Urness, Kent
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Riverview Health & Rehab Ctr
Savannah, GA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $92,794 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Pruitthealth - Savannah
Savannah, GA
2-star overall rating with 2-star inspections with $4,963 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Azalealand Nursing Home
Savannah, GA
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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