Townsend Park Health and Rehabilitation
196 North Dixie Avenue, Cartersville, GA 30120 · Non profit - Other · 124 certified beds · (770) 387-0662 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (36% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2023
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- about 24% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 19.6% | 15.3% | 15.4% | worse |
| Long-stay residents who lose too much weight | 8.9% | 5.6% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.1% | 0.9% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.5% | 2.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 7.9% | 11.3% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 5.5% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 15.8% | 15.2% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 22.1% | 20.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.4% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.1% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 13.3% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 33.0% | 19.9% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.6% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 54.8% | 78.4% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 29.3% | 25.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 5.3% | 11.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.38 | 2.15 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.87 | 1.90 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
55.1% 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 98 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 48.1% 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 52 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 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 55.1%CMS range 44.3–63.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.8%CMS range 6.0–13.0 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 48.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 48.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 42.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 87.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 96.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.4%CMS range 3.9–12.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.93 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 124 beds and averages 119.6 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above 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 3.20 hrs/resident/day on weekends vs 3.51 on weekdays — 9% thinner on weekends. RN hours go from 0.40 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 36% is below 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 before2026-05-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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, record review, and review of the facility policies titled, Hand Hygiene, and Transmission-Based Precautions (Contact, Enhanced Barrier Precautions, Droplet, Airborne), the facility failed to implement appropriate infection prevention and control practices for one of fourteen sampled residents (R) (R14). Specifically, staff failed to follow Enhanced Barrier Precautions (EBP) during high-contact perineal care for a resident with wounds. This deficient practice had the potential to increase the risk of infection transmission to residents and staff.Findings include:Observation made on 05/19/2026 at 10:24 AM for R14 revealed, Certified Nursing Assistant (CNA) CNA AA and CNA BB providing perineal care while wearing only gloves and not wearing gowns as required under EBP. Observation revealed the resident had a bowel movement and staff performed cleansing of the perineal area and buttocks, changed the resident's brief, and replaced the soiled draw sheet. After completion 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.
- Potential for harm · E2025-04-10 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews, the facility failed to ensure five Certified Nurse Aides (CNA) of five CNAs reviewed received their annual performance evaluation. Failing to ensure CNAs received their annual performance evaluations potentially could cause CNAs to not meet the requirements of their job description and potentially lead to poor resident care. Findings Include: Review of the facility's policy titled, dated 2019, .3.1 HR (Human Resources) Conditions of Employment: Standard of Conduct: Performance Evaluations, revealed, It is the intent of this organization to evaluate its [sic] associates on the performance of essential job functions .The goal of ongoing performance management is to support the associate in understanding the essential functions and responsibilities of the position .Managers are accountable for failure to providing [sic] ongoing performance management for their direct reports in their personal evaluation. Review of CNA 3's personnel file revealed there had not been an annual performance evaluation completed since their date of hire. Review of CNA…
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.
- Potential for harm · Dcited before2025-04-10 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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, staff interviews, and facility policy review, the facility failed to immediately report an injury of unknown origin for one of 28 sampled residents (Resident (R) 97). This failure decreased the facility's potential to protect R97 from a possible allegation of abuse and ensure a safe environment during the investigation of the cause of injury. Findings include: A review of the facility's policy titled Abuse Prohibition reviewed 12/27/24 indicated, Injuries of unknown origin should be thoroughly investigated to determine the cause. Discussion should be held with the Governing Body or Division Nurse if the cause cannot be identified prior to reporting. Once an injury or event is identified as suspicious and may constitute abuse, the center will follow the investigation procedures. Review of R97's Face Sheet located under the Profile tab of the electronic medical record (EMR) revealed she was admitted to the facility on [DATE] with diagnoses which included Alzheimer's, severe dementia with…
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.
- Potential for harm · D2025-04-10 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interview, and reviews of the facility's policy and procedures, the facility failed to ensure that the medication error rate was not five percent or greater, the medication error rate was 7.69 percent. Findings include: Review of the facility's policy titled, Pharmacy Services Medication Administration-General dated 2024, indicated, The joint responsibility of the center and the pharmacy is to facilitate accurate medication administration. Prior to medication administration the Nurse or Certified Medication Aide: . Reads the administration directions on the MAR [Medication Administration Record] and verifies correct medication, dose and direction for use. On 04/09/25, three Licensed Practical Nurses and two Certified Medication Aides (CMA) were observed administering medications on three of three halls. A total of 25 medication opportunities were observed. Two medications errors were observed. On 04/09/25 at 8:40 AM, CMA2 was observed administering the following medication to resident (R) 80: 1. Aspirin 81 mg po (by mouth) daily 2. Vitamin D3 1 capsule…
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.
- Potential for harm · Dcited before2025-04-10 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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, interviews, record review, and review of facility policy, the facility failed to ensure staff adhered to the guidelines for Enhanced Barrier Precautions for two of sixteen residents (Resident (R)44 and R81). Additionally, the staff member failed to sanitize a stand to lift equipment after using it on R44. This failure has the potential cross-contamination. Findings include: Review of facility's policy titled, Transmission Based Precautions (Contact, Enhanced Barrier Precautions, Droplet, Airborne) with a review date of 12/27/24, indicated, .Enhanced Barrier Precautions expand the use of PPE and refer to the use of gown and gloves during high-contact activities that provide opportunities for transfer of MDROs to staff hands and clothing. MDROs may be indirectly transferred from patient to patient during high contact activities. Nursing home patients with wounds and indwelling medical devices are especially at high risk of both acquisition and colonization of MDROs. The use of a gown and…
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.
- Potential for harm · F2023-04-27 · tag F0802 — failed to prepare enough nourishing food — widespreadProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, review of the facility's meal schedule, and review of the facility's policy titled, Meal Times, the facility failed to have sufficient dietary staff to assure food was prepared, served, and stored in a sanitary and safe manner. Kitchen cleaning schedules were not implemented due to a lack of sufficient staff to perform these duties, and food preparation, and service equipment was not cleaned and sanitized. Dietary staff failed to cover stored food and discard a stored food item with an expired use by date. Additionally, there was not sufficient dietary staff to ensure resident meals were served as scheduled. The lack of dietary staff had the potential to affect 64 of 64 residents who consumed food that was prepared from the kitchen. Findings include: Review of the facility's undated policy titled, Meal Times, revealed the resident's breakfast meal service was scheduled to begin at 7:15 a.m. and end at 8:15 a.m., resident lunch meal service was scheduled to begin at 12:15 p.m. and end at 1:15 p.m., and the resident evening meal service was to…
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.
- Potential for harm · F2023-04-27 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 observation, staff interviews, and review of the facility's policies titled, Cleaning and Sanitizing and Storage Areas, the facility failed to keep the kitchen's ovens, food preparation pans, manual can opener, shelves, knife rack, storage bin and kitchen carts clean and sanitized and failed to close stored food items and discard a bread product with an expired use by date. This had the potential to affect 64 residents who consumed food that was prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Cleaning and Sanitizing, dated 12/30/2022, revealed, It is the intent of this center to clean and sanitize utensils, dishware, pots and pans, workspace, and equipment to minimize the risk of food-borne illnesses. Guideline Cleaning schedules should be implemented and maintained for all areas of the kitchen. Work surfaces and equipment should be cleaned and sanitized as needed . Fixed equipment Items should be cleaned and sanitized appropriately. Review of the facility's policy titled, Storage Areas, dated 12/30/2022, revealed, It is the…
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.
- Potential for harm · E2023-04-27 · tag F0600 — failed to protect residents from abuse and neglect — patternProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, record review, and review of facility policy titled, Abuse Prohibition, the facility failed to ensure residents were free from physical abuse by another resident for one of one resident (R) 35 reviewed for resident-to-resident altercations and one supplemental resident R57. R35 was the victim of physical abuse perpetrated by R33 on three occasions and R57 was the victim of physical abuse perpetrated by R33 on one occasion. This deficient practice had the potential to affect the safety of all residents in the facility. Findings include: Review of the facility's policy titled, Abuse Prohibition, revised December 2022, revealed . It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse .This policy applies to anyone subjecting a patient to abuse including center staff, other patients .The center will identify, correct, and intervene in situations in which abuse .is more likely to occur. This will include an analysis of: The deployment of staff on each shift in sufficient numbers to meet the needs 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.
- Potential for harm · E2023-04-27 · tag F0698 — failed to provide proper dialysis care — patternProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, resident and staff interviews, record review, and review of the facility's policy titled, Dialysis and Nutrition Management, the facility failed to make meal scheduling adjustments for the provision of meals during the mornings for one of two residents (Resident (R) 48) reviewed for dialysis and who left the facility to receive dialysis treatments. The deficient practice had the potential to prevent the maintenance of adequate nutritional status, to the extent possible, to ensure R48 was able to maintain the highest practicable level of well-being. Findings include: Review of the facility's policy titled, Dialysis and Nutrition Management, dated 12/30/2022, revealed, It is the intent of this center to review and assess the nutritional aspects related to patients receiving dialysis services. Guideline . The center should provide a nutritional snack during dialysis center visits, as needed and desired . The center should provide meal-scheduling adjustments as needed. Review of R48's Face Sheet, provided by the facility, revealed R48 was admitted to the facility…
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.
- Potential for harm · Ecited before2023-04-27 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, resident and staff interviews, record review, and review of the facility's policy titled, ''Infection Control Recommendations,'' the facility failed to ensure infection control policies were followed for four of 22 sampled residents that included: the storage of a Yankaeur catheter used for suctioning for one resident (R1), the storage of nebulizer masks for two residents (Resident (R) 9 and R39), and the cleaning of a nebulizer mask after medication administration for one resident (R211). These deficient practices had the potential to spread infection. Findings Include: Review of a facility's policy titled, ''Infection Control Recommendations,'' updated June 2018, indicated, ''Nebulizers should be in a bag when not in use . Nebulizers should be rinsed with sterile water or sterile saline and air dried after each treatment . Suction Yankauers are to be discarded when soiled, and equipment should be bagged when not in use.'' 1. Review of R1's quarterly ''Minimum Data Set (MDS)'' assessment located in the resident's EMR under the ''Minimum Data Set'' tab with an…
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.
Show the remaining 5 citations
- Potential for harm · Dcited before2023-04-27 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review, and review of facility policy titled, Abuse Prohibition, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime for resident to resident physical and verbal abuse in accordance with section 1150B of the Social Security Act. The facility failed to report one allegation of physical and verbal abuse to the State Survey Agency (SSA) for one of one resident (Resident (R) 35) reviewed for abuse. These failures had the potential to contribute to further physical and verbal abuse and possible psychosocial harm for R35. Findings include: Review of the facility's policy titled Abuse Prohibition, revised December 2022, revealed All allegations of abuse or allegations involving serious bodily injury must be reported immediately but no later than 2 hours . ln addition: The administrator or designee will take immediate action to prevent further potential occurrences while the alleged occurrence is being investigated. The Administrator or designee will notify the Complaint Investigation…
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.
- Potential for harm · D2023-04-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
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 observation, resident and staff interviews, record review, and review of the facility's policy titled, ADL [Activities of Daily Living] Plan of Care, the facility failed to ensure residents received showers per the shower schedule for one of three residents (Resident (R) 58) reviewed for ADLs. Specifically, the facility failed to ensure that scheduled showers were completed for R58. Findings include: Review of the facility's policy titled, ADL Plan of Care, dated 12/30/2022, revealed . Guideline Resident's ADL needs are assessed on admission and are addressed on the baseline Care Plan and communicated to staff. Nursing develops the patient's ADL care plan and will communicate the level of assistance required for the patient. The ADL care plan will be updated in conjunction with the comprehensive care plan as required per regulatory and RAI [Resident Assessment Instrument] guidance and with changes in patient needs. Review of the admission Minimum Data Set [MDS] with an assessment reference date (ARD) 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.
- Potential for harm · D2023-04-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and review of the facility's policy titled, Weight and Nutrition Management, the facility failed to implement a planned intervention to prevent weight loss for one of four residents (Resident (R) 32) reviewed for nutritional status. The facility failed to serve R32 a nutritional shake with meals as ordered by the resident's physician. The deficient practice had the potential to prevent the maintenance of adequate nutritional status, to the extent possible, to ensure R32 was able to maintain the highest practicable level of well-being. Findings include: Review of the facility's policy titled, Weight and Nutrition Management, dated 12/30/2022, revealed, It is the intent of this center to review and assess nutritional aspects related to significant weight changes. Guideline . The center should discuss and document the risk for significant weight changes, nutritional issues, needs, and goals in the context of the patient's overall condition and plan of care through a collaborative interdisciplinary team (IDT) environment. The center…
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.
- Potential for harm · D2023-04-27 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, record review, and review of medication guidance titled, Instructions for Use Toujeo® Solostar® (insulin glargine injection) 1.5 mL single-patient-use prefilled pen, the facility failed to ensure proper injection technique was used for one of one sampled residenst (Resident (R) 14) reviewed for insulin during medication administration. This failure had the potential to result in the wrong dose of insulin being administered to the resident. Findings include: Review of the Toujeo guidance titled, Instructions for Use Toujeo® Solostar® (insulin glargine injection) 1.5 mL single-patient-use prefilled pen, undated, accessed on 4/27/2023 at https://www.toujeopro.com/dam/jcr:850417fb-a90f-4c51-84a0-897ea4831be8/Toujeo%20SoloStar%20Instructions%20for%20Use.pdf revealed. 2A Take a new needle and peel off the protective seal. 2B Keep the needle straight and screw it onto the pen until fixed. Do not overtighten. 2C Pull off the outer needle cap. Keep this for later. 2D Pull off the inner needle cap and throw away. Step 3: Do a safety test. Always do 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.
- Potential for harm · D2023-04-27 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure 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 observation, resident and staff interviews, tasting of foods served on a requested test tray, record review, review of Resident Council meeting minutes, and review of the facility's policy titled, Meal Service, the facility failed to serve food that was hot to three of 38 sampled residents (Resident (R) 61, R52, and R47) reviewed for food palatability. This had the potential to affect 64 residents who consumed food that was prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Meal Service, dated of 12/30/2022, revealed, It is the intent of the center to provide an enjoyable meal service in a safe, sanitary, and comfortable environment while focusing on patient centered care. Guideline . The center should provide meals and hydration that conserve nutritive value, flavor, and appearance, and that are palatable, attractive, and a safe and appetizing temperature. 1. Review of R61's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/04/2023, located in the resident's electronic medical record (EMR) under the…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to ETHICA HEALTH — 50 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.6 | -0.6 vs chain |
| Health inspection | 3 of 5 | 3.6 | -0.6 vs chain |
| Staffing | 3 of 5 | 3.1 | -0.1 vs chain |
| Quality measures | 3 of 5 | 2.8 | +0.2 vs chain |
The other 49 homes this chain runs (chain average 3.6★, per CMS)
Showing 40 of 49; lowest-rated first.
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| CABLE, PAUL | Individual | MANAGING CONTROL - GOVERNING BODY | since 03/14/2003 |
| DENNIS, KATHRYN | Individual | MANAGING CONTROL - GOVERNING BODY | since 11/17/2015 |
| LAMBERT, RENO | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
| NICHOLS, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY | since 11/19/2024 |
| ROLLINS, RONNIE | Individual | MANAGING CONTROL - GOVERNING BODY | since 03/14/2003 |
| WALL, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY | since 03/14/2003 |
| WARNOCK, RALPH | Individual | MANAGING CONTROL - GOVERNING BODY | since 06/23/2020 |
| CLINICAL SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2011 |
| BLAKE, WYATT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/16/2013 |
| BURGER, MAXIC | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 04/17/2025 |
| BURK, TRACI | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 03/20/2025 |
| SHEFFIELD, KIMBERLY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 04/17/2025 |
CMS files one row per role, so the 16 rows in the source record cover these 12 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.
1 organizational owner 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.
This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115461. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.