Folkston Park Care And Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

44.7% 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 26 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 92 beds and averages 63.8 residents a day — about 69% occupied, or roughly 28 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 3.02 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.62 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 2.71 hrs/resident/day on weekends vs 3.15 on weekdays — 14% thinner on weekends. RN hours go from 0.32 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. 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.

26 citations, most serious first. The 15 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2025-11-18 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to develop and implement a person-centered comprehensive care plan for one of five residents (R) (R1) receiving a pureed diet. Specifically, the facility failed to address the resident's diet, behaviors of wandering into other residents' rooms, and seeking non mechanically altered food items. This failure resulted in R1 choking and expiring on 10/25/2025. The facility's failure to develop and implement a person-centered comprehensive care plan caused or was likely to cause serious injury, harm, impairment, or death to a resident. An Immediate Jeopardy (IJ) was identified on 11/13/2025 and was determined to have existed on 10/25/2025. The Administrator and Regional Operations Manager were informed of the IJ on 11/13/2025. An acceptable Removal Plan was received on 11/17/2025. Based on the validation of the Removal Plan, the State Survey Agency determined that the corrective plans and the immediacy of the deficient practice were removed on…

  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
• Immediate jeopardy · Jcited before2025-11-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to provide adequate supervision to prevent an avoidable accident for one of five residents (R) (R1) on A Hall (the secured memory unit) with a pureed diet. Specifically, R1 was ordered a pureed texture, nectar consistency, with no rolls or bread. R1 was left unsupervised, resulting in him obtaining a non-mechanically altered food and subsequently choking. This failure resulted in R1 expiring on 10/25/2025.The facility's failure to provide adequate supervision to prevent an avoidable accident caused or was likely to cause serious injury, harm, impairment, or death to a resident. An Immediate Jeopardy (IJ) was identified on 11/13/2025 and was determined to have existed on 10/25/2025. The Administrator and Regional Operations Manager were informed of the IJ on 11/13/2025. An acceptable Removal Plan was received on 11/17/2025. Based on the validation of the Removal Plan, the State Survey Agency determined that the corrective plans and the immediacy 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-11-18 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to provide sufficient nursing staff to monitor one of 23 residents (R) (R1) on A Hall (the secured memory unit), resulting in R1 choking and expiring on 10/25/2025. Specifically, the facility failed to have sufficient nursing staff to provide nursing and related services, considering the number, acuity, and diagnoses of the facility's resident population. The facility's failure to provide sufficient nursing staff and related services caused or was likely to cause serious injury, harm, impairment, or death to a resident. An Immediate Jeopardy (IJ) was identified on 11/13/2025 and was determined to have existed on 10/25/2025. The Administrator and Regional Operations Manager were informed of the IJ on 11/13/2025. An acceptable Removal Plan was received on 11/17/2025. Based on the validation of the Removal Plan, the State Survey Agency determined that the corrective plans and the immediacy of the deficient practice were removed on 11/15/2025.Findings…

  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
• Immediate jeopardy · J2025-11-18 · 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

  Based on staff interviews, record reviews, and review of the facility's documents titled, Licensed Nursing Home Administrator and Director of Nursing (DON), the administration failed to provide sufficient nursing staff to monitor one of 23 residents (R1) on A Hall (the secured memory unit ). This resulted in an avoidable choking accident and the death of R1 on 10/25/2025. Specifically, Administration knew there was insufficient staffing on A Hall (secured memory unit) and failed to staff A Hall in manner that efficiently maintained the highest practicable physical, mental, and psychosocial well-being of each resident. The failure to take action caused R1 to be left unsupervised, resulting in his death. The facility's failure to provide sufficient nursing staff caused or was likely to cause serious injury, harm, impairment, or death to a resident. An Immediate Jeopardy (IJ) was identified on 11/13/2025 and was determined to have existed on 10/25/2025. The Administrator and Regional Operations Manager were informed of the IJ on 11/13/2025. An acceptable Removal Plan was received on…

  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
• Actual harm · Gcited before2023-01-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and the review of the policy titled, Fall Management Standard, the facility failed to ensure that Activities of Daily Living (ADL) care was provided by using appropriate techniques, to prevent accidents, for two residents (R#9 and R#35) of three residents reviewed for falls. Actual harm occurred on 11/24/2022, when a Certified Nursing Assistant (CNA), rolled R#9 away from her while providing ADL care. Subsequently, R#9 fell from the bed resulting in a right femur fracture. Findings include: 1. A review of the facility policy, Fall Management Standard dated of July 2021, under What Exactly is a Fall, bullet three states, When a resident is found on the floor, the facility is responsible for investigating the reason for this. They are also responsible for putting in place an intervention to keep this from happening again. Record review revealed R#9 admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, major depressive disorder, psychotic…

  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 · D2025-11-18 · 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, record review, and review of the facility's policy titled, Medication Administration Guidelines, the facility failed to notify the provider and obtain an order to administer medication for one of three sampled residents (R) (R7). This failure placed the resident at risk not to receive the treatment and care in accordance with professional standards of practice.Findings include:Review of the facility's policy titled, Medication Administration Guidelines dated June 2022 under Guidelines revealed, To enforce and adhere to the Nurse Practice Act and DEA (Drug Enforcement Administration) requirement of safe practice of administering medications. Under the section titled Medication Administration revealed, Prior to administering medications, there must be a physician order prescribing the medication.Review of the most recent Quarterly Minimal Data Set (MDS) dated [DATE] for Section C (Cognitive Pattern) revealed that R7 had a Brief Interview for Mental Status (BIMS) score of one indicating…

  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 · D2025-11-18 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure 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 interviews, record review, and review of the facility's policy titled, Medication Administration Guidelines and Tube Feeding Management, the facility failed to ensure a medication error rate of less than five percent. There were three errors from 36 opportunities observed for a medication error rate of 8.33%. This deficient practice has the potential to place Residents (R) R2, R3, and R9 at risk of medical complications.Findings include:Review of the facility's policy titled, Medication Administration Guidelines dated June 2022 under Guidelines revealed, To enforce and adhere to the Nurse Practice Act and DEA (Drug Enforcement Administration) requirement of safe practice of administering medications. Under the section titled Medication Administration revealed, Prior to administering medications, there must be a physician order prescribing the medication.Some medications are NOT to be crushed. Facility to check with pharmacy before crushing medications.Review of the facility's policy titled Tube Feeding Management, dated January 2025 under the section…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 record review, the facility failed to ensure pureed therapeutic diets were properly prepared for one out of eight residents (R) (R4) receiving a therapeutic pureed diet. This deficient practice had the potential to cause medical complications and place the resident at risk for unmet nutritional needs.Findings include:Record review of R4's electronic health record (EHR) revealed R4 had diagnoses that included but not limited to Alzheimer, dementia, amnesia, transient ischemic attack (TIA), and dysphasia.Record review of R4's Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the following assessment for Section C (Cognitive Patterns) revealed, a Brief Interview of Mental Status (BIMS) score of 99 which indicated severe cognition impairment. Section K (Swallowing/Nutritional status) revealed that the resident received a mechanically altered diet (which required change in texture of food or liquid, puree food).Review of R4's Physician Order Form (POF)…

  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 · D2025-11-18 · 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 and record review the facility failed to accurately maintain medical records for one of three sampled residents (R) (R7). Specifically, the facility failed to ensure R7's allergies was updated. This failure has the potential to place resident at risk for an allergic reaction or clinical decline.Findings include:Review of the most recent Quarterly Minimal Data Set (MDS) dated [DATE] for Section C (Cognitive Pattern) revealed that R7 had a Brief Interview for Mental Status (BIMS) score of one indicating severe cognitive impairment. Section I (Active Diagnosis) revealed diagnoses that included but not limited to, congestive heart failure, hypertension, Alzheimer's disease, and metabolic encephalopathy.Review of the electronic medical record (EMR) on 10/30/2025 revealed that R7 had no known allergies however, review of the hospital discharge record dated 8/13/2025 revealed that R7 had allergies to codeine, dilaudid, morphine and lisinopril.During an interview on 11/13/2025 at 9:40 am 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-18 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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, interviews, and record review, and review of the facility's policy titled, Infection Control Preventionist, the facility failed to use gloves to handle pills to crush medication for two of seven sampled residents (R) (R2 and R3). This deficient practice had the potential to place residents at high risk for infection.Findings include:A review of the of the facility's policy titled, Infection Control Preventionist dated January 2025 under the Policy section revealed that the ICP [Infection Control Preventionist] is responsible for the center's activities aimed at preventing healthcare associated infections by ensuring that the sources of infections are isolated to limit the spread of infectious organisms. Under the Duties section revealed, The ICP conducts rounds, discusses and monitors infection prevention practices with staff members, collects infection data from departments, maintains records for each case of HAI, conducts outbreak investigations, trains staff members on incidents of infection and reports such incidents to the appropriate person/department,…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-07 · tag F0574 — widespread
  The resident has the right to receive notices in a format and a language he or she understands.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to provide information so that residents and/or visitors were aware of how to report complaints, abuse or neglect, to the state survey office. The facility census was 71 residents. Findings include: Tour and observation on 5/4/2025 during initial tour and screening of residents, and tour of the facility on 5/7/2025 at 2:00 pm on Hall 100, Hall 200, Hall 300, the front entrance area, common area, nurses station, and dining area of the facility revealed there were no signs posted with information on how residents could report complaints, abuse or neglect to the state agency (SA). Observation and interview on 5/7/2025 at 2:40 pm with the Administrator and the Team Coordinator for the state survey team during a walk-through, the Administrator confirmed there was no signage or Elder Abuse Act poster with information on how residents and/or visitors could report complaints. The Administrator revealed they did have signs up and they were next to the Ombudsman poster. The Administrator further revealed that the Ombudsman came…

  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 · F2025-05-07 · 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 policy titled, Food Handling Procedures, the facility failed to maintain the cleanliness of the facility minimizing the risk of food-borne illness and to promote safe food handling practices. The deficient practice had the potential to place residents who received an oral diet from the kitchen at risk of foodborne illnesses. Findings include: Review of the facility policy titled Food Handling Procedures with a review date of 4/14/2025 revealed under Subject: HAZARD ANALYSIS AND CRITICALCONTROL POINT (HACCP) FOR FOOD PREPERATION: Is a process control system that identifies critical points in the production and service of food items to prevent food safety and sanitation hazards. Under Procedures: . identify critical control points at which procedures may result in a food safety hazard An observation on 5/4/2025 at 9:56 am of the two-door stand-up refrigerator inside the kitchen revealed a clear plastic container labeled breakfast meat with a used by date of 4/5/2025 and a box of bell peppers with a use by date of…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-07 · 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 resident and staff interviews and record review, the facility failed to protect and maintain the rights and dignity of three of 34 sampled residents (R) (RA, RB, and RC). Specifically, the facility failed to ensure that facility staff nurse, Licensed Practical Nurse (LPN) (LPN CC) treated RA, RB, and RC with dignity and respect in a manner and environment that promoted, maintained, or enhanced their quality of life. The deficient practice had the potential for negative psychosocial outcomes related to fear of retaliation if staff found out that residents reported the nurse. Findings included: Review of the LTCO (Long Term Care Ombudsman) report dated 4/17/2025 reported findings: Staff interaction with residents: Some staff work hard and are good with the residents, but the feedback I get more often is that they are sorely understaffed, and that residents' needs are not being met. On weekends and nights, there have been reports both inside and outside of the facility that staff are either nonexistent,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-07 · tag F0567 — failed to protect residents' money held by the home — isolated
  Honor the resident's right to manage his or her financial affairs.
  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's policy titled, Resident Funds: Residents have access to their funds 24 hours a day, 7 days a week, 365 days a year, the facility failed to assure that residents with trust funds were able to get access to requested funds. The deficient practice affected three of 74 residents (R) (R276, R29 and R11) with trust funds. Findings include: Review of the facility's policy titled Resident Funds: Residents have access to their funds 24 hours a day, 7 days a week, 365 days a year revealed under Policy: Resident funds are maintained in accordance with the guidelines of the state, the management of the funds of the resident is the responsibility of the Administrator, Controller, Central Business Office, and the Resident Trust Account Custodian (bank teller). This policy has been established to ensure compliance with maintaining a complete and accurate accounting of resident funds. Under Procedure: Residents have access to their funds 24 hours a day, 7 days a week, 365 days a year. Interview on 5/4/2025 at 11:17 am with R29…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-07 · 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 review, and review of the facility's policy titled, Advance Directive, the facility failed to provide residents and/or their representative with written information regarding the right to accept or refuse medical or surgical treatment for four of 34 sampled residents (R) (R38, R49, R34, and R32). Findings include: Review of policy titled Advanced Directives dated January 2025 revealed under Policy: The facility must inform and provide written information to all adult residents concerning the right to accept or refuse medical or surgical treatment and formulate an advanced directive. Under Process: Upon admission/readmission, the facility Social Services Director will inform and educate the resident, or POA (Power of Attorney) in writing about the right to refuse medical and surgical treatment and their right to an advance directive. Review of the sample residents revealed four residents' Advanced Directive did not have evidence that options or written information about the right…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to BEACON HEALTH MANAGEMENT — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

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.

About 84% 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 $305K 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

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