Berrien Oaks Nursing and Rehab Center

Name: Berrien Oaks Nursing and Rehab Center
Address: 405 LAUREL STREET, Nashville, GA, 31639, US
Telephone: 2295437335

405 Laurel Street, Nashville, GA 31639 · Berrien County · 108 certified beds · avg 95 residents/day · certified since May 1, 1987

Part of chain: ELIYAHU MIRLIS (13 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.68

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
May 14, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
May 14, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 14, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 18, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Apr 17, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 1, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 1, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 1, 2024	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2024	4	F
2025	6	E
2026	5	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Georgia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.68	3.54	3.95	bottom 7% in Georgia; bottom 6% in the U.S.
Registered Nurse hours	0.39	0.50	0.69	bottom 41% in Georgia; bottom 20% in the U.S.
Weekend total nurse staffing	2.36	3.09	3.50	bottom 10% in Georgia; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.35	0.48	bottom 41% in Georgia; bottom 22% in the U.S.
Total nursing staff turnover (%)	73.2	46.0	45.8	bottom 3% in Georgia; bottom 4% in the U.S.
RN turnover (%)	83.3	44.5	42.9	bottom 5% in Georgia; bottom 4% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.93, RN 0.42, weekend 2.58. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Inzelbuch, Azriel	Individual	5% or Greater Direct Ownership Interest	30%	07/01/2024
Mirlis, Eliyahu	Individual	5% or Greater Direct Ownership Interest	70%	07/01/2024
Broome, Christopher	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2024
Nash, William	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Southwell Health and Rehabilitation	12.9 mi	Adel, GA	★★★★★	4/5
SGMC Health Villa	14.4 mi	Lakeland, GA	★★★★☆	4/5

Compare this facility with the 2 closest →

All facilities in Nashville →

Facility data as of CMS processing date 2026-08-01. CCN 115343.

The Care File

Visit checklist — Berrien Oaks Nursing and Rehab Center

405 Laurel Street, Nashville, GA 31639 · 2295437335

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 115343 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)