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Nursing HomeMedicaid

Oxley Park Health and Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

181 Oxley Drive, Lyons, GA 30436144 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 39 Google reviews

5
4
3
2
1
Oxley Park Health and Rehabilitation Nursing Home in Lyons, GA — Street View
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What this means for your family

While many families report a positive experience with the therapy team and staff communication, there are serious, recurring allegations of neglect and poor hygiene. We strongly recommend conducting an unannounced visit during a weekend or evening shift to observe the actual level of care and responsiveness firsthand.

Google Reviews

Google Reviews

39 reviews on Google
Oxley Park Health and Rehabilitation receives highly polarized feedback, with many families praising the compassionate staff and effective communication during end-of-life care. However, serious concerns regarding neglect, hygiene, and inadequate wound care have been raised by other families, indicating significant inconsistencies in the quality of care provided.

Quality Themes

Tap a score for details
Food10.0Staff6.0Clean5.0Activities10.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Strong communication with families
  • Effective physical therapy services
  • Welcoming and clean environment

Concerns

  • Neglect and poor hygiene leading to severe health complications (mentioned by 2 reviewers)
  • Inadequate staffing levels and lack of responsiveness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02016(1)1.02018(1)4.82022(9)5.02023(1)4.82024(14)4.22025(13)4.82026(5)

Distribution · 44 analyzed

5
31
4
9
3
1
2
0
1
3

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to continuously improve the care experience here?
  • 2With 144 residents, how do you ensure that each individual receives consistent, personalized attention throughout the day to maintain high standards of hygiene and comfort?
  • 3Given the importance of physical therapy mentioned by many families, could you walk me through how your team coordinates these sessions to ensure residents stay active and engaged?
  • 4I see your CMS staffing rating is a 3/5; what specific protocols do you have in place to ensure staff remain responsive to resident needs, especially during peak hours or shift changes?
  • 5How does the facility manage medical oversight and emergency response to ensure residents are kept safe and healthy, particularly when addressing complex health needs?
  • 6What kind of daily social or recreational activities do you offer to help residents build connections and feel at home within the larger community?

Personalized based on this facility's data


Key Review Excerpts

The nurses were superb and always kept us informed. The management was there with us throughout the entire process.

Long-term resident's family · 2023★★★★★

During this short while she was not changed properly nor was her dressing being changed. She was bed bound, and therefore could not get out of the bed, and they would let her stay in her feces knowing she needed to be changed.

Long-term resident's family · 2018☆☆☆☆

The staff is very rude and very undereducated. They don’t do their jobs until you go in there raising hell about something.

Family member of current resident · 2025☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
12.1%
GA
10.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
19.5%
GA
20.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
GA
16.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.4%
GA
16.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
GA
95.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility9.9%
Worse than Avg
Here
9.9%
US
5.3%
GA
5.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.5%
Better than Avg
Here
92.5%
US
79.8%
GA
78.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.5%
Better than Avg
Here
84.5%
US
81.8%
GA
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.6%
Worse than Avg
Here
5.6%
US
1.6%
GA
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.1)
2 complaint-triggered

Oxley Park shows recurring problems with fire safety systems, with sprinkler and smoke barrier issues appearing across all three surveys from 2019 to 2025, suggesting persistent maintenance challenges. Recent deficiencies in January 2025 included care planning, infection control, and food safety issues, with two complaint-triggered violations indicating families have filed reports about care concerns. All violations have correction dates, but the pattern of repeated fire safety problems is concerning.

Mar 5, 2026Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 30, 2025Routine
7
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0371Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jan 30, 2025Complaint
2
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Aug 18, 2022Routine
4
0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0371Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oxley Park Health and Rehabilitation

Organization Type

nonprofit

Chain Affiliation

Chain Name

Ethica Health

Chain Size

50 facilities nationwide

Chain avg rating: 3.6/5 · Rank 16 of 48

Ownership & Management

Owners

Health Scholarships INC

Owner · Organization

Community Health Systems INC

Owner (parent company) · Organization

Sheffield, Kimberly

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Cable, PaulManaging Control - Governing BodyDennis, KathrynManaging Control - Governing BodyNichols, JosephManaging Control - Governing BodyPeavy, TiffanyManaging Control - Governing BodyRollins, RonnieManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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