Federal inspection record · CMS data as of October 1, 2026
Oxley Park Health And Rehabilitation
181 Oxley Drive, Lyons, GA · (912) 526-6336
- Certified beds
- 144
- Residents per day
- 92
- Ownership
- Non-Profit
- Chain
- Ethica Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1989
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Oxley Park Health And Rehabilitation carries 29 inspection points. That is fewer than 58% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2026-03-05
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-01-30
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-08-18
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 49 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 49 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.1 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.0 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 93.2% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 98.8% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.7 pts better | 0.0% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts worse | 10.2% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse | 24.2% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.1 pts better | 14.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 10.4% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 13.8% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.4% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 3.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts better | 13.4% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 8.6% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts worse | 71.5% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts worse | 16.4% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4 pts worse | 6.4% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts worse | 71.1% | 78.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.8 pts worse | 34.2% | 24.4% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cable, Paul | Managing Control - Governing Body · Individual | 0% | 49 facilities |
| Clinical Services Inc | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Clinical Services Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Community Health Systems Inc | Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Dennis, Kathryn | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Health Scholarships Inc | Direct Ownership Interest · Organization | 0% | 28 facilities |
| Horton, Zasha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morris, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morris, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nichols, Joseph | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Patel, Maulikkumar | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Patel, Maulikkumar | Adp Of The SNF · Individual | 0% | 17 facilities |
| Peavy, Tiffany | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Peavy, Tiffany | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Rollins, Ronnie | Managing Control - Governing Body · Individual | 0% | 50 facilities |
| Sheffield, Kimberly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 47 facilities |
| Wall, Joseph | Managing Control - Governing Body · Individual | 0% | 51 facilities |
| Warnock, Ralph | Managing Control - Governing Body · Individual | 0% | 50 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have properly sized and located compartments to protect residents from smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have properly sized and located compartments to protect residents from smoke.
Gas, Vacuum, and Electrical Systems3E
- D
Ensure proper usage of power strips and extension cords.
- E
Have power receptacles that are properly grounded.
- D
Ensure proper usage of power strips and extension cords.
Egress2F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
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