Great Oaks Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 151 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (11 vs median 6)
- High staff turnover (61%)
Bottom 25% in MS · Below recommended RN staffing · Above recommended total nurse staffing · Worst in NEXION HEALTH chain · $13,520 in fines
What this means for your family
Great Oaks has a strong reputation for physical therapy and a clean environment, making it a potential choice for short-term rehab. However, families should be extremely cautious regarding care for residents with dementia or high-dependency needs, as multiple reports cite neglect and poor weekend staffing. We recommend visiting during off-hours and asking specifically about their weekend nurse-to-patient ratios.
Google Reviews
Google Reviews
151 reviews analyzed“Great Oaks Rehabilitation and Healthcare Center receives polarized feedback, with many reviewers praising the facility's cleanliness, friendly staff, and effective rehabilitation therapy. However, a significant number of families report serious concerns regarding neglect, poor communication, and inadequate care for residents with dementia or complex medical needs, particularly during weekends and off-hours.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Effective physical therapy department
- Welcoming and professional administrative staff
- Friendly and attentive weekday nursing staff
Concerns
- Neglect and slow response times for basic needs (mentioned by 9 reviewers)
- Inadequate care or staffing on weekends (mentioned by 3 reviewers)
- Poor communication with family members (mentioned by 4 reviewers)
- Medication management and over-medication issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've heard wonderful things about how clean and well-maintained the facility is; could you show me around the common areas?
- 2Since the weekday nursing staff is often praised for being so attentive, how does the level of care and responsiveness change during the weekends?
- 3What specific protocols do you have in place to ensure medication is managed accurately and administered on schedule?
- 4How does the administrative team ensure that family members are kept updated and included in important care discussions?
- 5Could you tell me more about the physical therapy department and how you help residents work toward their mobility goals?
- 6What kind of daily activities or social engagement programs are available to keep residents active and connected?
Personalized based on this facility's data
Key Review Excerpts
“The terrific staff at Great Oaks took stellar care of me and assisted my recovery. When I came home at the end of July, I was in a wheelchair, but I was able to take a few steps with a walker.”
“The weekday staff was great especially Loretta. The weekend staff was mostly agency, so they just didn’t care. My mother had mild dementia & got up out of bed early one morning. She fell, hitting her head extremely hard.”
“The facility left my father who can normally get up and go to the bathroom on his own but because he was there for rehab and needed help learning to walk the staff left him in urine and didn’t see to his needs even though he pushed the button.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing multiple complaints about abuse reporting, resident communication, and safety issues. The most frequent problems involve resident rights violations, care planning failures, and safety hazards, with some issues like accident prevention and family notification recurring across multiple surveys. While all deficiencies show correction dates, the pattern of complaint-driven investigations suggests ongoing quality concerns that families should carefully evaluate during visits.
Nov 6, 2025Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 25, 2025Routine8
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
May 22, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 1, 2024Complaint2
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
May 15, 2024Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jan 4, 2024Routine5
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
May 22, 2025
$13,520
Ownership & Operations
Who Operates This Facility
Great Oaks Rehabilitation and Healthcare Center
for profit
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.3/5 · Rank 46 of 51 (Worst)
Ownership & Management
Owners
Nexion Health of Ohi INC
Owner · Organization
Nexion Health Leasing, INC.
Owner (parent company) · Organization
Nexion Health, INC.
Owner (parent company) · Organization
Bolt, Bretton
Owner (parent company)
Kirley, Francis
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
151 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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