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Emerald Healthcare & Rehab of Dublin

606 Simmons St, Dublin, GA 31040 · For profit - Partnership · 126 certified beds · (478) 272-1666 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jul 2024Resident-funds citation (F0568)3 immediate-jeopardy citations$16,801 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jul 2024
  • it has a citation for mishandling residents’ money or property (F0568)
  • inspectors cited 3 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $16,801 in federal fines (most recent 2024-07-11)
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
112 Rowe St · (478) 272-5212 · Call to confirm hours
Pharmacy
Grocery
508 Bellevue Ave · (478) 275-0231 · Call to confirm hours
Park
317 Telfair St · (478) 272-4002 · Typically dawn to dusk
Place of worship

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 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 3 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 held steady at 1 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased24.6%15.3%15.4%worse
Long-stay residents who lose too much weight6.6%5.6%5.4%worse
Long-stay residents with a catheter left in their bladder2.1%0.9%0.9%worse
Long-stay residents with a urinary tract infection2.4%2.5%2.0%worse
Long-stay residents with depressive symptoms34.7%11.3%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.7%3.2%3.3%better
Long-stay residents whose ability to walk worsened22.1%15.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication27.5%20.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers2.6%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control11.9%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table27.7%19.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.2%2.6%1.4%worse
Short-stay residents given the seasonal flu vaccine40.0%78.4%79.4%worse
Short-stay residents rehospitalized after admission28.1%25.0%22.6%worse
Short-stay residents with an outpatient ER visit6.5%11.6%12.0%better
Long-stay hospitalizations per 1,000 resident days3.072.151.67worse
Long-stay outpatient ER visits per 1,000 resident days1.971.901.80typical

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

§ 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.

10.0%U.S. median 10.7%
Went back to hospital
0.22U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.0%CMS range 6.5–15.010.7%Oct 2022–Sep 2024no 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS 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 settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.0%CMS range 4.8–15.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.361.02Oct 2022–Sep 2024CMS 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

0.21
RN hours/ resident / day
1.31
LPN hours/ resident / day
1.85
Aide hours/ resident / day
3.37
Total nurse hours/ resident / day
0.14
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 126 beds and averages 63.5 residents a day — about 50% occupied, or roughly 62 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 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 2.86 hrs/resident/day on weekends vs 3.57 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.24 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

4
deficiencies at the latest standard inspection (2026-03-15)
7
at the previous standard inspection (2025-04-06)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

  • Immediate jeopardy · J2024-07-11 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 staff interviews and record review, the facility failed to notify the physician of a significant change in condition for one of seven sampled residents (R) (R1) related to respiratory distress and the need for further medical treatment. On [DATE], R1 exhibited shortness of breath, tripoding (leaning forward to maximize lung expansion), and a decreased oxygen saturation of 83 percent. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), and Corporate [NAME] President of Compliance and Regulatory Services were informed of the Immediate Jeopardy (IJ) on [DATE] at 4:18 pm. The noncompliance related to the IJ was identified to have existed on [DATE]. At the time of exit on [DATE], an acceptable Immediate Jeopardy Removal Plan had not been received; therefore, the Immediate Jeopardy…

    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
  • Immediate jeopardy · J2024-07-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the facility policy titled Freedom of Abuse, Neglect, and Exploitation; Abuse Prevention: Fast Alerts, the facility failed to protect the resident's right to be free from neglect by staff for one of seven sampled residents (R) (R1). Specifically, R1 had a significant change of condition while in respiratory distress and required further medical treatment. R1 expired less than four hours after being placed in his bed by staff. On 7/11/2024, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), and Corporate [NAME] President of Compliance and Regulatory Services were informed of the Immediate Jeopardy (IJ) on 7/11/2024 at 4:18 pm. The noncompliance related to the IJ was identified to have existed on 6/17/2024. At the time of exit on 7/11/2024, 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2024-07-11 · tag F0835 — failed to run the facility competently — isolated
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    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 staff interviews, record reviews, and review of the Administrator and Director of Nursing (DON) job descriptions titled Title: License Nursing Home Administrator and Title: Director of Nursing, the facility Administration failed to ensure that one of seven sampled residents (R) (R1) was free from neglect by staff when R1 was in respiratory distress asking for help. In addition, the facility Administration failed to provide oversight and monitoring of care and services to R1 for further medical treatment. This failure resulted in R1 expiring in his room alone and gripping the handrails. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), and Corporate [NAME] President of Compliance and Regulatory Services were informed of the Immediate Jeopardy (IJ) on [DATE] at 4:18 pm. 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-15 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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, and record review, the facility failed to ensure the resident's right to privacy during shower care for one of 29 sampled residents (R) (R36). This deficient practice had the potential to diminish the resident's quality of life and contribute to emotional distress and reduced trust in facility staff. Findings include:Record review of R36's electronic health record (EHR) revealed R36 was admitted on [DATE] with diagnoses including, but not limited to, discitis of the unspecified lumbar region, polyneuropathy, lumbar spinal fusion, and lumbar spinal stenosis without neurogenic claudication.Review of the Quarterly Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15 in Section C, indicating little to no cognitive impairment. Section GG documented that the resident required a walker for ambulation, supervision or touching assistance for bathing and showering, and touching assistance for most Activities of Daily…

    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 · D2026-03-15 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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, resident and staff interviews, and record review, the facility failed to ensure one of 29 sampled residents (R) (R40) did not have unauthorized and unsecured medications at the bedside. This failure had the potential to result in medication errors, improper use, and adverse drug events for the residents. Findings include:Review of R40's Electronic Health Records (EHR) revealed R46 was admitted on [DATE] with diagnoses that included, but were not limited to, bipolar disorder, chronic obstructive pulmonary disease, chronic systolic heart (congestive) failure, and suicidal ideations.Review of R40's Quarterly Minimum Data Set (MDS) assessment dated [DATE] for Section C (Cognitive Patterns) revealed, a Brief Interview of Mental Status (BIMS) score of six which indicated severe cognitive impairment, and Section GG (Functional Abilities and Goals) revealed, impairment on one side to the upper and lower extremities, required substantial/maximal assistance with activities of daily living…

    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 · D2026-03-15 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 staff interviews, record reviews, and review of the facility's Advance Directives policy, the facility failed to ensure residents/representatives/guardians were informed of and provided written notice of the right to accept or decline medical and surgical treatments and their right to formulate an advance directive for two of two sampled residents (R) reviewed (R9 and R42). Findings include:Review of the facility policy titled Advance Directives dated September 2022, revealed under Determining Existence of Advance Directives2. The resident or representative is provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so.Review of R9 and R42's medical records revealed no documented evidence or signed statement of acknowledgment, the resident and his/her representative were informed or received written information advising of their right to accept or decline medical and surgical treatments 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-15 · 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's policy titled Quality of Life - Homelike Environment, the facility failed to maintain a safe, clean, and comfortable environment for residents on two of five halls. Specifically, tripping hazards in front of resident toilets, drawers with chipped and missing paint, and uneven, bulging baseboard tiles along the walls of the shower room on one hall. These conditions created an environment that was not safe or homelike and had the potential to negatively affect residents' safety, dignity, and overall quality of life. Findings include: Review of the facility policy Quality of Life-Homelike Environment undated, revealed 2. The facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include A. cleanliness and order C. Inviting colors and décor. Observations on 03/13/2026 at 8:16 AM and 03/14/2026 at 8:30 AM in room [ROOM NUMBER]…

    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 · F2025-04-06 · tag F0770 — failed to provide lab services — widespread
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    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 staff interview, record review, and review of the Centers for Disease Control and Prevention (CDC) website and Clinical Laboratory Improvement Amendments of 1988(CLIA) regulations, the facility failed to ensure a current Centers for Medicare & Medicaid Services (CMS) CLIA Certificate of Waiver. The facility census was 56. Findings include: Review of the CDC CLIA website revealed The CLIA of 1988 regulations apply to all United States (US) facilities or sites that test human specimens for health or disease assessment. Review of the CLIA of 1988 regulations revealed .Certification of Laboratories . (b) Certificate Requirement: No person may solicit or accept materials derived from the human body for laboratory for laboratory examination or other procedure unless there is effect for the laboratory a certificate issued by the Secretary under this section applicable to the category of examinations or procedures which includes such examinations or procedure. Review of the facility-provided CLIA waiver…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-04-06 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews and facility document review, the facility failed to employ a qualified dietitian. This deficient practice had the potential to place the 56 residents residing in the facility at risk of unmet nutritional needs and a diminished quality of life. Findings include: A job description for the Registered Dietitian was requested and was not provided. Review of the facility-provided document titled Dietary Manager included, Job Summary: The primary purpose of the Dietary Manager position is to assist the Dietitian in planning, organizing, developing, and directing the overall operation of the Dietary Department. An interview on 4/4/2025 at 8:30 am with the Dietary Manager (DM) revealed the facility did not have a Registered Dietitian (RD). She stated that the facility has been without an RD for the past two months. She stated that she communicated with the Minimum Data Set (MDS) nurse about residents' diets. In an interview on 4/4/2025 at 8:52 am, the Administrator revealed the former RD was offering support until an RD was hired. In an interview on 4/5/2025 at…

    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 · F2025-04-06 · tag F0850 — failed to provide social-work services — widespread
    Hire a qualified full-time social worker in a facility with more than 120 beds.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews and record review, the facility failed to employ a qualified Social Service Worker on a full-time basis to provide services for the residents in the facility. The facility was licensed for 126 beds. Findings include: Review of the facility's licensure revealed that the facility was licensed for 126 beds. Review of the facility personnel files revealed there was no Social Services Worker employed by the facility to provide consultation or oversight of the facility's resident population. In an interview on 4/5/2025 at 9:28 am, the Human Resources Director revealed that the last day the previous Social Services Director worked at the facility was on February 28, 2025, and there had not been any person working in the capacity of the Social Worker in the facility since that day. In an interview on 4/5/2025 at 1:28 pm, the Administrator revealed that she was aware the facility had not employed a qualified Social Service Worker since February 28, 2025. In an interview on 4/5/2025 at 1:45 pm, the Building Manager revealed that he was unaware that the facility did…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-04-06 · tag F0947 — failed to train nurse aides adequately — widespread
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews and review of the facility-provided document titled CNA/STNA (Certified Nursing Assistant/State Tested Nursing Assistant), the facility failed to provide the required in-service training for the CNAs employed by the facility. This deficient practice had the potential to adversely affect the 56 residents residing in the facility. Findings include: Review of the facility-provided document titled, CNA/STNA, dated 11/2023, revealed the Specific Educational/Vocational Requirements section included, Must attend a minimum of 12 continuing education programs provided by the center in order to maintain certification. During an interview on 4/4/2025 at 2:30 pm, the Human Resource Director (HRD) revealed that the Director of Nursing (DON) was responsible for submitting CNA in-service hours to the State Agency to determine compliance. She further stated the DON had not submitted the 2024 in-service hours. During an interview on 4/5/2025 at 10:15 am, the HRD stated she had contacted the State Agency, and the 2024 CNA training hours had not been received by the agency.…

    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 · D2025-04-06 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 resident and staff interviews, record review, and review of the facility policy titled, Bed Hold, the facility failed to provide the resident or representative with written information that included the duration of the bed hold policy and the reserve payment amount at the time of transfer to an acute care hospital for one of three residents (R) (R30) reviewed. This failure had the potential to place R30 at risk of denial of re-admission and loss of their room following hospitalization. Findings include: Review of the facility policy titled, Bed Hold, dated 12/1/2014, revealed the Policy section included, All residents are given the option of reserving their bed when leaving the facility with the intent to return. A Bed Hold Authorization Form should be completed and signed by the resident/responsible party each time a resident leaves the facility. The Procedure section included, . 2. Bed Hold Policy and Bed Hold Authorization Form: All residents/responsible parties are given a copy of the State Specific…

    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 · Dcited before2025-04-06 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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, resident and staff interviews, record review, and review of the facility policy titled, Oxygen, Administration-Nasal Canula, the facility failed to follow a physician order for oxygen (O2) therapy for one of 11 residents (R) (R1) receiving O2 therapy. The deficient practice had the potential to place R1 at risk of medical complications and unmet needs. Findings include: Review of the facility policy titled, Oxygen, Administration-Nasal Canula, dated October 2023, revealed the Procedure section included, 1. Check the resident's clinical record for the physician's order. 5. Turn the flow meter to the ordered flow rate. Review of R1's electronic medical record (EMR) revealed diagnoses including, but not limited to, acute and chronic respiratory failure, unspecified asthma, other specified chronic obstructive pulmonary disease (COPD), and pneumonia. Review of R1's admission Minimum Data Set (MDS) assessment dated [DATE] revealed Section C (Cognitive Patterns) documented a Brief Interview 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · D2025-04-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff and resident interviews, and record reviews, the facility failed to ensure respiratory equipment was maintained in a sanitary manner for one of 11 residents (R) (R25) receiving oxygen (O2) therapy. This deficient practice had the potential to place R25 at risk of respiratory complications and a diminished quality of life. Findings include: Review of R25's electronic health record (EHR) revealed diagnoses including, but not limited to, respiratory failure, unspecified with hypoxia, chronic obstructive pulmonary disease (COPD), emphysema, systolic (congestive) and diastolic (congestive) heart failure, obstructive sleep apnea, acute respiratory failure, and acute and chronic respiratory failure with hypoxia Review of R25's Annual Minimum Data Set (MDS) assessment, dated 1/9/2025, revealed Section C (Cognitive Patterns) documented a Brief Interview of Mental Status (BIMS) of 15 (indicating little to no cognitive impairment). Section GG (Functional Abilities and Goals) documented R25 was dependent on staff for mobility. Section J (Health Conditions)…

    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 · D2024-07-11 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    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 staff interviews, record review, and review of the facility documents titled Resident Fund Management Service and Burial Account, the facility failed to ensure that one of seven sampled residents (R) (R2's) burial account funds were not used to pay the care cost balance. This deficient practice had the potential to affect all residents who had a trust funds account with the facility. Findings include: A review of the Resident Fund Management Service document, dated [DATE], revealed that the Resident Fund Account was a transferring account (automatic transfer of care cost payments due the facility) with a $70.00 monthly allowance amount. A review of the Burial Account document revealed that it was a deposit-only account for money to be used for burial expenses only and was revocable (it may be closed prior to death). A review of the Resident Statement Landscape revealed that R2 had a trust fund account for care costs and a burial account. Further review revealed on [DATE], R2's trust fund account balance…

    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 · Dcited before2024-07-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 staff interviews and record review, the facility failed to ensure vital signs were obtained as ordered for two of seven sampled residents (R) (R1 and R3). This deficient practice had the potential to negatively affect R1 and R3's physical health and well-being. Findings include: 1. A review of R1's medical records revealed admission to the facility on 2/11/2016, with a readmission date of 9/5/2021. Diagnoses included but were not limited to hypertension and type 2 diabetes mellitus. A review of the Order Summary for R1 revealed an order dated 5/4/2023 with a start date of 5/8/2024 for vital signs to be obtained every Monday, every day shift. A review of the Weight and Vitals Summary revealed no vital signs were documented on any dates in May 2024. Two entries of vital signs were recorded for June 2024, dated 6/1/2024 and 6/3/2025. There was no evidence of vital signs recorded for 6/10/2024 and 6/17/2024. 2. A review of R3's medical records revealed admission to the facility on [DATE] with a readmission…

    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 · D2024-07-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 staff interviews, record reviews, and review of the facility policy titled Clinical Documentation, the facility failed to ensure clinical records contained complete and accurate documentation for one of seven sampled residents (R) (R1). Findings include: A review of the facility's policy titled Clinical Documentation, dated [DATE], revealed the section titled Clinical Documentation Overview stated, Facility nursing staff documents the provision of nursing care according to nursing standards and regulatory requirement. Documentation tools are designed to demonstrate the clinical care provided to the resident and to ensure the appropriate information is available to all interdisciplinary team members regarding treatment interventions and responses. Frequency of nursing documentation is based on resident clinical status, clinical need and regulatory requirements. Components of the nursing documentation proves include but are not limited to documentation in progress notes that reflect the ongoing clinical…

    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 · E2024-05-01 · tag F0727 — failed to provide required RN coverage — pattern
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, record review, and review of the facility policy titled Clinical Staffing Standard, the facility failed to ensure that a Registered Nurse (RN) other than the Director of Nursing (DON) was assigned to direct nursing care of the residents for 27 of the 28 days reviewed. The facility census was 77 residents. This failure had the potential to negatively impact all residents residing at the facility. Findings include: A review of the facility policy titled Clinical Staffing Standard, dated October 2023, revealed the Procedure section documented 4. Staffing will include a Registered Nurse 8 hours a day. A review of the Facility Two Week Staffing Grid dated 3/19/2024 through 4/1/2024 and 4/2/2024 through 4/15/2024 revealed that an RN was assigned to direct nursing care for eight or more hours each day. Twenty-four of the 28 days documented an RN for eight hours per day, three days documented an RN for eight and one-half hours per day, and one day documented an RN for 23 hours per day. However, the facility was unable to provide timesheets for an RN who provided…

    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 · D2024-05-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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

    Based on observation, staff interviews, and review of the facility document titled CNA/STNA (Certified Nursing Assistant/State Tested Nursing Assistant), the facility failed to ensure that one resident (R) (R11) of 16 sampled residents was provided perineal care. This failure placed R11 at risk for unmet needs and a diminished quality of life. Findings include: A review of the facility document titled CNA/STNA, dated November 2023, revealed the Responsibilities section stated, Provide resident care in a manner conducive to safety and comfort. Resident care includes but is not limited to assist resident with or performs Activities of Daily Living (ADL). A review of the Significant Change Minimum Data Set (MDS) Assessment, dated 2/6/2024, revealed section GG (Functional Abilities and Goals) documented that R11 required partial/moderate assistance with toileting and was dependent for personal hygiene, section H (Bladder and Bowel) documented R11 was always incontinent of bladder and bowel, section I (Active Diagnoses) included Alzheimer's disease, dementia, and anxiety, section O…

    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 · F2024-02-22 · 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, and review of the facility policies titled Cleaning and Sanitizing Dietary Areas and Equipment, and Deep Fryer Cleaning, the facility failed to ensure that the kitchen equipment was kept clean and sanitary and failed to ensure pureed food was prepared in a manner to prevent foodborne illness. These deficient practices had the potential to place 11 of 11 residents who received a pureed diet, and all residents who received an oral diet at risk of contracting a foodborne illness. The census was 81 residents. Findings include: A review of the undated facility policy titled Cleaning and Sanitizing Dietary Areas and Equipment, revealed a Policy statement: All kitchen areas and equipment shall be maintained in a sanitary manner and be free of buildup food, grease, or other soil. The facility will provide sanitary food service that meets state and federal regulations. A review of the undated facility policy titled Deep Fryer Cleaning, revealed a Policy statement: Deep fryer will be cleaned on a regular basis as recommended by the manufacturer. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · Ccited before2024-05-01 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and review of the facility-provided document titled Licensed Nursing Home Administrator, the facility failed to ensure that a Licensed Administrator was present in the facility to oversee daily operations and management on four of four days observed. The facility census was 77 residents. Findings include: A review of the facility-provided document titled Licensed Nursing Home Administrator, dated 1/14/2018, revealed the section titled Job Summary documented, The primary purpose of the Nursing Home Administrator position is to oversee the day-to-day operation of the facility and to review organizational performance. The section titled Leadership and Management documented Ensure administrative oversight of the survey process. Observations on 4/17/2024, 4/22/2024, 4/23/2024, and 4/24/2024 revealed that the facility did not have a Licensed Administrator in the facility. A review of a facility-provided document titled Worksite Employee Separation Form, dated 4/10/2024, revealed the most recent Licensed Administrator's last day worked was 4/8/2024.…

    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.

    Administration 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$16,801 in federal fines across 2 penalties. 1 Medicare payment denial on record.

  • $6,500 — penalty dated 2024-07-11
  • $10,301 — penalty dated 2024-07-11
  • Medicare payment denial — starting 2024-07-17 for 34 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to REGIONAL HEALTH PROPERTIES — 5 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 →

RatingThis homeChain avg
Overall 1 of 51.4-0.4 vs chain
Health inspection 1 of 51.6-0.6 vs chain
Staffing 1 of 51.8-0.8 vs chain
Quality measures 2 of 52.2-0.2 vs chain
The other 4 homes this chain runs (chain average 1.4★, per CMS)

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 / managerTypeRoleSince
RHP OPERATIONS HOLDINGS, LLCOrganizationDIRECT OWNERSHIP INTERESTsince 04/01/2025
REGIONAL HEALTH PROPERTIES INCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2025
MORRISON, BRENTIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; ADP OF THE SNFsince 04/01/2025
GRIFFIN, CHERYLIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2025
PEACOCK, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2025

CMS files one row per role, so the 9 rows in the source record cover these 5 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.

2 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.

$5.9M
Net patient revenuemost recent cost report
-11.6%
Operating marginrevenue minus expenses
$400K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 90%Medicare 6%Other / private 4%

About 90% 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 $400K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

$240per resident / day
operating cost
$7,309per month
≈ monthly operating cost
$216per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Georgia
$8,821/mo
Nursing home (semi-private)
$9,429/mo
Nursing home (private)
$5,300/mo
Assisted living

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 115376. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-15, 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.

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