Buchanan Healthcare Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

45.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 46.1 residents a day — about 77% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.89 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.72 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.84 hrs/resident/day on weekends vs 2.91 on weekdays — 2% thinner on weekends. RN hours go from 0.26 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Dcited before2025-03-30 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and review of the facility policy titled, Wheelchair Cleaning and Maintenance Policy, the facility failed to ensure one resident's (R) (R18) wheelchair was maintained in a sanitary manner from 32 wheelchairs actively used by residents. Findings include: Review of the facility policy titled Wheelchair Cleaning and Maintenance Policy revealed under Purpose: to ensure resident wheelchairs are maintained in a clean and safe condition, in alignment with the facility's infection prevention and safety practices. Policy statement revealed: The facility is committed to ensuring all resident wheelchairs are clean, functional, and appropriate for continued use. Cleaning and maintenance practices are based on resident need, equipment condition, and clinical indication. Procedure revealed: General Cleaning - wheelchairs are cleaned as needed to address visible soiling or based on clinical observation. Review of R18's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-30 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to complete a Significant Change Assessment for two of eight residents (R) (R5 and R29) receiving hospice services after electing hospice services. The sample size was 21 residents. Findings include: 1. Record review revealed R5 was admitted to the facility on [DATE]. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented R5 was receiving hospice services. Further review of the MDS revealed no Significant Change Assessment. Review of the Physician Orders revealed R5 was admitted to hospice services on 11/30/2024. 2. Record review revealed R29 was admitted to the facility on [DATE]. Review of the MDS revealed no Significant Change Assessment was completed for R29. Review of the Physician's Orders revealed R29 was admitted to hospice services on 3/1/2025. Interview with MDS Coordinator BB on 3/30/2025 at 10:02 am revealed she did not complete a Significant Change Assessment for residents that were placed on hospice services.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-30 · tag F0693 — failed to provide proper feeding-tube care — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, record review, and review of the facility policies titled, Administering Medications through an Enteral Tube and 'facility name' Healthcare Policy, the facility failed to ensure that one of one resident (R) (R29) sampled received adequate hydration via the gastrostomy tube (G-tube-feeding tube). Findings include: Review of the facility policy titled Administering Medications through an Enteral Tube, revised November 2018 revealed under Preparation revealed: .1. Verify that there is a physician's medication order for this procedure. A further review revealed under Equipment and Supplies: .12. Administer medication by gravity flow. Review of the facility policy titled 'facility name' Healthcare Policy dated 2/18/2025 revealed: 'name of facility' will follow CMS (Centers for Medicare and Medicaid Services) Regulations and Nursing Standards of Practice for Wound Care/Care Plans/Accidents/Physician Orders/Restraints/Siderails/Oxygen Care and Administration/Medication Administration/Enteral Feeding (nutrition through tube inserted into abdomen into…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff and family interviews, and review of facility documents titled, Facility Assessment Tool 2024 and the PBJ (payroll-based journal) Staffing Data Report Quarter 1 2024 (October 1, 2023, through December 31, 2023), the facility failed to ensure that the facility had adequate nursing staff. The deficient practice had the potential to affect the care provided to the 49 residents that resided in the facility. Findings include: Review of The Facility Assessment Tool 2024 revealed the average daily census in the facility was 49 to 55 residents. The staffing plan included six to nine licensed nurses providing direct care, 10-16 nurses' aides, and two to four certified medication aides. Review of the PBJ Staffing Data Report Quarter 1 2024 (October 1, 2023, through December 31, 2023) revealed based on the data submitted, the facility triggered for a One-Star Staffing Rating (Failure to submit PBJ data by the deadline, more than 4 days in the quarter without RN (Registered Nurse) Staffing hours, failure to respond to, submit documentation for, or failure to pass a CMS audit…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and resident and staff interviews, the facility failed to serve meals that were palatable and attractive for one of 48 residents (R) (R248) who receive a regular diet from the kitchen. The facility census was 49 residents. Findings include: Meal test tray observation on 4/3/2024 at 12:38 p.m., the Activities Director (AD) was asked to perform a taste test on the lunch menu items. She stated the mashed potatoes were warm enough to eat but were bland without the gravy. She stated the collard greens tasted bland and were not seasoned. The AD reported the chicken did not look done, and she did not want to sample it. She stated because the chicken was pink inside, it indicated to her residents would not eat it. The greens had no real flavor, and the chicken was not appetizing to look at. The AD was not sure if it tasted good because it was not done; the collard greens had no flavor; and the mashed potatoes tasted like they came from the box with no seasoning added. Observation and Interview on 4/3/2024 at 1:15 pm revealed R248 was not able to continue eating one…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, record review, and review of the facility policy titled, Safe Food Handling, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, kitchen shelves were not clean and sanitary; kitchen staff failed to discard food in the reach-in refrigerators and freezer by the use by date to include leftovers; kitchen staff failed to label/date opened food items in the reach-in refrigerator/freezer and dry storage area; kitchen staff failed to discard rotting vegetables in the dry storage area; dishwasher water was not reaching required temperatures; and kitchen staff failed to use a recipe when preparing pureed foods. The deficient practices had the potential to affect 48 of 49 residents receiving an oral diet. Findings include: Review of the facility policy titled Safe Food Handling with an effective date of 9/8/2021 revealed under Policy: To ensure food is safe. 8. Make sure all refrigerated items are labeled, dated, and covered with a use by date. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and staff interviews, the facility failed to ensure the dumpster area was properly maintained and free from debris. The deficient practice had the potential to attract pests and transfer microorganisms. Findings include: Observation on 4/4/2024 at 8:37 am revealed the dumpster, located outside the back entrance of the kitchen, contained trash bags filled to the top which prevented the lids from closing, food particles on the ground around the dumpster, and a stray cat wondering around the dumpster in search of food. Interview on 4/4/2024 at 8:45 am with the Certified Dietary Manager (CDM) revealed the Maintenance Director (MD) maintained the dumpster area. The CDM revealed the dumpster was blocked by a vehicle on 4/3/2024, when it was due to be emptied. It was confirmed by the CDM that the dumpster was full of trash bags and the lids would not close.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and record review, the facility failed to maintain effective pest control in the kitchen and in one of two food pantries. The deficient practice had the potential to affect all 48 residents receiving oral feedings. The facility census was 49 residents. Findings include: Observation and interview on 4/2/2024 at 10:05 am revealed a large plastic jug of molasses was observed on the top of a wooden shelf with black ants crawling around the top of the jug, along the shelf, and on the molasses. The Certified Dietary Manager (CDM) confirmed black ants were crawling on the shelf and other dry goods. Review of the Pest Control Contract revealed one visit in December 2023 on 12/28/2023. No recommendations. (Noted contract for biweekly regular service on statement.) January 2024 revealed two visits, on 1/25/2024 and 1/11/2024. No recommendations. February 2024 revealed one visit on 2/12/2024. No recommendations. (Noted contract for biweekly regular service on statement.) March 2024 revealed one visit on 3/26/2024. No recommendations. (Noted contract for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-04-04 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, and record review, the facility failed to provide a safe, clean, comfortable, homelike environment in 20 of 20 resident rooms on the East and [NAME] halls. Specifically, door frames were chipped and scuffed, one with rusted metal sticking out, and the doors had holes and peeling paint with chipped, rough wood exposed. Loose vinyl baseboards were also observed in several rooms. Findings include: 1. Observation on 4/2/2024 at 9:36 am of resident room doors in Rooms 17, 18, 19, and 20 revealed the room doors were painted brown and had chipped, scuffed paint. The doors also had chipped rough wood on the doors. Further observations revealed each doorframe to have scuffed and peeling paint. During an interview 4/4/2024 at 2:12 pm with Administrator revealed the facility did not have a policy related to maintenance concerns or safe, clean, comfortable, homelike environment. 2. Observation on 4/2/2024 at 10:15 am of resident rooms revealed that the door frame of the shared…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Observation on 4/2/2024 at 12:50 pm, the hot water in the sink located in R298's bedroom, room [ROOM NUMBER], was observed to be very hot to the touch. Based on observations, staff interview, and record review, the facility failed to keep the residents free of accident hazards as evidenced by water temperatures below 110 degrees Fahrenheit (F) in 10 of 20 resident rooms on two of two halls, and one doorway with a rusted piece of metal sticking out from the bottom of the door. The deficient practices had the potential to cause injury to residents residing in these rooms. Findings include: Observation on 4/2/2024 beginning at 9:30 am through 10:10 am, during the screening process, unsafe hot water temperatures were obtained using the Maintenance Director's (MD) digital thermometer ranging from 112.3 degrees F to 115.6 degrees F. Interview on 4/2/2024 at 10:30 am with MD revealed that after checking the hot water temperatures this morning, some adjustments were made to the thermostat. She stated that she regularly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to BLUE RIDGE HEALTHCARE — 3 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $810K paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA