Dyersburg, TN

Oakwood Community Living Center

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1636 Woodlawn, Dyersburg, TN

(731) 285-6400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

40

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Community Eldercare Services

Operator or chain grouping

Approved since

1994-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars

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

0.46

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.90

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,914

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Performance 70.83% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.95

Baseline 3.42 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 1.59

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.18%	10.72% 1.5 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 22.86% · Lower 95% interval 8.13%
Discharge to community	42.75%	50.57% 7.8 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 31.11% · Lower 95% interval 30.26%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	41.38%	95.27% 53.9 pts worse	Numerator 12 · Denominator 29
Falls with major injury	3.45%	0.77% 2.7 pts worse	Numerator 1 · Denominator 29
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.45%	2.29% 1.2 pts worse	Numerator 1 · Denominator 29 · Adjusted rate 3.08%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 21 · 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 67
Staff flu vaccination coverage	10.34%	42% 31.7 pts worse	Numerator 9 · Denominator 87
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · 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	83.5%	89.9% 6.4 pts worse	93.4% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 87.5% · Q3 77.1% · Q4 71.4% · 4Q avg 83.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.4%	94.5% 3.1 pts worse	95.5% 4.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4%
Percentage of long-stay residents experiencing one or more falls with major injury	6.0%	3.6% 2.4 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 6.2% · Q3 5.7% · Q4 2.9% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	11.8% 11.8 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	10.2%	6.2% 4 pts worse	5.4% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 15.6% · Q3 9.1% · Q4 9.1% · 4Q avg 10.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	46.1%	32.2% 13.9 pts worse	19.6% 26.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.7% · Q2 43.8% · Q3 48.5% · Q4 45.5% · 4Q avg 46.1%
Percentage of long-stay residents who received an antipsychotic medication	19.3%	18.1% 1.2 pts worse	16.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 19.2% · Q3 21.2% · Q4 21.4% · 4Q avg 19.3% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	26.2%	19.9% 6.3 pts worse	16.3% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.2%	15.3% 10.9 pts worse	14.9% 11.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 26.9% · Q3 22.2% · Q4 26.9% · 4Q avg 26.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.9% 1.1 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.3%	20.2% 2.1 pts worse	19.8% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 17.4% · Q3 12.1% · Q4 36.7% · 4Q avg 22.3%
Percentage of long-stay residents with pressure ulcers	12.7%	5.4% 7.3 pts worse	5.1% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 15.5% · Q3 8.0% · Q4 12.7% · 4Q avg 12.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	26.9%	79.6% 52.7 pts worse	81.7% 54.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 27.1% · Q3 26.1% · Q4 21.9% · 4Q avg 26.9%
Percentage of short-stay residents who had an outpatient emergency department visit	27.6%	11.2% 16.4 pts worse	12.0% 15.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 28.0% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.6% 0.4 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	24.5%	79.8% 55.3 pts worse	79.7% 55.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 24.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.1%	22.2% 10.9 pts worse	23.9% 9.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.1% · Observed 32.0% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-18 · Fire 2021-06-23

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2021-06-23 · Fire 2019-10-16

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-10-16 · Fire 2018-11-28

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2021-06-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-07-19

D · Potential for more than minimal harm 2019-10-16

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-11-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-18

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-11-18

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-11-18

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-12-01

E · Potential for more than minimal harm 2021-06-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-23

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-23

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2021-07-19

F · Potential for more than minimal harm 2019-10-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-11-22

E · Potential for more than minimal harm 2019-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-16

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-11-22

Penalties and ownership