Chulio Hills Health And Rehab
1170 Chulio Road, Rome, GA 30161 · For profit - Limited Liability company · 100 certified beds · (706) 235-1132 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a high payroll-based staffing rating (4/5)
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2026
- it has a citation for mishandling residents’ money or property (F0570)
- it has 2 actual-harm citations
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $4,017 in federal fines (most recent 2024-08-04)
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.9% | 15.3% | 15.4% | better |
| Long-stay residents who lose too much weight | 9.2% | 5.6% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 2.9% | 0.9% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.7% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 5.8% | 11.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.6% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 15.1% | 15.2% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 27.5% | 20.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.7% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.9% | 5.6% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 25.1% | 15.8% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 19.1% | 19.9% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 2.6% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 96.3% | 78.4% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.3% | 25.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 15.5% | 11.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.19 | 2.15 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.45 | 1.90 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
47.9% 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 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 30.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 49 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 47.9%CMS range 34.5–63.6 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.8%CMS range 5.8–12.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 30.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 32.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 26.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 52.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 4.2–11.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.25 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 100 beds and averages 85.9 residents a day — about 86% occupied, or roughly 14 beds typically open. It runs fairly full. 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 4.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.13 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.08 hrs/resident/day on weekends vs 4.98 on weekdays — 18% thinner on weekends. RN hours go from 0.70 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 45% is about the same as 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.
22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · Gcited before2026-05-22 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 observations, staff and family interviews, record review, and review of the facility's policies titled, Notification of Changes, Change in Resident's Condition or Status, the facility's Senior Medical Systems Protocols, and New Facility Procedure, the facility failed to ensure timely physician and responsible party notification regarding a significant change in condition of resident (R) (R3) who had a decline in condition. Harm was identified to have occurred on 2/19/2026 when R3 was hospitalized due to a fall after a decline in condition. Findings included:A review of the electronic medical record (EMR) revealed that R3 was admitted to the facility on [DATE] with pertinent diagnoses including, but not limited to, cognitive communication deficits, generalized weakness, hypertension, myasthenia gravis, difficulty walking, impaired coordination, multiple orthopedic conditions (including prior hip and shoulder arthroplasties and a healed left humerus fracture), blindness in the left eye, and the need 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.
- Actual harm · G2026-05-22 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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, staff and family interviews, record review, and review of the facility's policies titled, Notification of Changes, Change in Resident's Condition or Status, the facility's Senior Medical Systems Protocols, and New Facility Procedure, the facility failed to ensure timely assessment, monitoring, escalation, and clinical management of a resident (R) (R3) who exhibited a progressive change in condition. Harm was identified to have occurred on [DATE], when R3 was hospitalized due to a fall after a decline in condition. Findings included:Review of the facility investigation documents revealed R3 sustained a fall on [DATE] (the facility-reported incident submitted to the State Survey Agency incorrectly documented the date of the fall as [DATE]). Documentation reflected that at approximately 10:20 pm, R3 was discovered on the bathroom floor in her assigned room following an unwitnessed fall. Licensed nursing staff immediately responded and initiated assessment. Due to visible facial injuries,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-22 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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's policy titled Abuse, Neglect and Exploitation, the facility failed to ensure a resident (R) (R2) remained free from sexual abuse. Findings included:A review of the electronic medical record (EMR) revealed R2 was admitted to the facility on [DATE] with pertinent diagnoses including but not limited to left-sided hemiplegia/hemiparesis following cerebral infarction, seizure disorder, dysphagia, cognitive communication deficit, and generalized muscle weakness and wasting.A review of R2's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 11, which indicated moderate cognitive impairment. Section GG, functional status, revealed R2 had upper and lower impairment on one side and required substantial maximum assistance with Activities of Daily Living (ADLs). Section E revealed that no behaviors were exhibited.A review of R2's care plan dated 4/14/2026 identified the resident as high risk…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-12-18 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility's policy titled, Cleaning and Disinfection of Environmental Surface, the facility failed to provide a safe, functional, sanitary, and comfortable environment throughout the facility on the 100, 200, and 300 Halls, the common area near the nurse station, and lobby, related to delay in repairing damaged ceilings tiles and dust-like vents.Findings include:The policy titled Cleaning and Disinfection of Environmental Surface revised date October 2018, revealed under number 10. Environmental surfaces will be disinfected (or cleaned) on a regular basis, when spills occur, and when these surfaces are visibly soiled. 14. Horizontal surfaces will be wet dusted regularly using clean cloths moistened with EPA (Environmental Protection Agency)-registered hospital disinfectant.An observation conducted on 12/16/2025, at 9:33 am, during the initial tour, indicated the presence of dust-like accumulation on the ceiling vents and a broken sheetrock ceiling tile.On 12/18/2025, at 1:05 pm, an interview and observation were conducted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-18 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 observations, staff and resident interviews, record review, and review of the facility's policies titled Notification of Changes and Change in a Resident's Condition or Status, the facility failed to notify the responsible party and the Registered Dietician for one of 42 sampled residents (R)(R70) of significant changes in the resident's condition. This deficient practice had the potential to compromise the resident's nutritional management, overall care, and the responsible party's ability to participate in care planning and decision-making.Findings include:Review of the facility policy titled, Notification of Changes revised 1/1/2021, states The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician; and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification. Further review under the heading Circumstances requiring notification include: section 2. Significant change in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-18 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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, review of the Resident Assessment Instrument (RAI) Manual, and review of the facility policy titled Maintaining Minimum Data Set (MDS) Assessments, the facility failed to accurately complete the Quarterly MDS assessment by not including hospice services for one of twelve residents (R) (R7) on hospice.Findings include:Review of the policy titled, Maintaining Minimum Data Set (MDS) Assessments revised November 2019, revealed the policy addressed maintenance and retention of MDS records but did not include guidance to ensure accurate coding of services, including hospice services, on Quarterly MDS assessments.Review of the electronic medical record (EMR) revealed R7 was admitted into hospice services on 6/11/2025.Review of R7 quarterly MDS assessment dated [DATE] revealed that section O, Special Treatments, Procedures, and Programs, did not indicate hospice services.Interview on 12/16/2025 at 12:53 pm with MDS Registered Nurse (RN) LL revealed that hospice services 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.
- Potential for harm · D2025-12-18 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observations, staff and resident interviews, record review, and review of the facility's policy titled Comprehensive Care Plan, the facility failed to develop and implement comprehensive, person-centered care plan for one of 42 sampled residents (R) (R47). Specifically, the facility failed to develop and implement care plan interventions related to oxygen (O2) administration. This deficient practice had the potential to place the resident at risk for inadequate monitoring and improper oxygen administration, which could compromise the resident's health and safety.Findings include:Review of the facility's policy titled Comprehensive Care Plan, revised January 2021, revealed under the section 2, .All Care Assessment Areas (CAAs) triggered by the MDS will be considered in developing the plan of care.Record review of the Electronic Medical Record (EMR) revealed R47 was admitted with pertinent diagnoses including but not limited to Alzheimer's Disease, chronic obstructive pulmonary disease (COPD), respiratory…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Wound Management Program Pressure Ulcers, the facility failed to ensure that appropriate pressure ulcer prevention interventions were initiated, implemented, monitored, and documented for one of 15 residents (R) (R96) who were identified as being at risk for pressure injuries and who developed a pressure ulcer during the facility stay. This deficient practice had the potential to cause actual harm, including the development and worsening of pressure ulcers, delayed wound healing, increased risk for infection, pain, and decline in skin integrity.Findings include:Review of the policy titled, Wound Management Program Pressure Ulcers revised October 2023 states that: A resident that enters our facility without pressure ulcers will not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable. Review of section 4 states: Every resident will be assessed upon admission or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, record review, and a review of facility policy titled, Oxygen Concentrator, the facility failed to ensure that one resident (R) R89 was administered oxygen therapy in accordance with the physician's orders. Findings include:Review of facility policy titled Oxygen Administration, revised date 3/5/2024, revealed in section 4. Use of the Concentrator a. When oxygen is ordered for a resident, the nurse will be responsible for initiating use, labeling tubing to include initials and date, and ensure all orders for filter cleaning and humidification into the Computer Order Entry System (CPOE). m. Check the resident's oxygen saturations as ordered by physician. Troubleshoot the concentrator if saturation do not correlate with the resident's clinical presentation.A review of the clinical record for R19 revealed she was admitted to the facility with diagnoses including but not limited to multiple encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV),…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-18 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, a review of the facility policy titled, Specific Medication Administration Procedures, and a review of the manufacturer's instructions for steroid inhalers, the facility failed to maintain a medication error rate below five percent. An observed medication error rate of 5.71% was identified during 35 medication administration opportunities. Specifically, medication administration errors were observed during two of five medication passes, in which nursing staff failed to instruct residents to rinse and spit after administration of corticosteroid inhalers. This deficient practice has the potential to increase the risk of medication-related side effects.Findings include:Review of the facility's policy titled Specific Medication Administration Procedures, last reviewed on 4/1/2016, revealed the Policy section Q: For steroid inhalers, provide the resident with a cup of water and instruct him/her to rinse the mouth and spit the water back into the cup.Review of the manufacturer's instructions How to use your ELLIPTA inhaler it reads .Rinse your…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-18 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff and resident interviews, record review, and review of the facility's policy titled, Adaptive Equipment the facility failed to ensure one of eight residents (R) (R88) received a feeding adaptive equipment device at each meal. This failure had the potential to affect the nutritional independence of R88.Findings include:Review of facility policy, Adaptive Equipment last revised March 2024 documented in Procedures: . 3. The resident will be assessed as needed for appropriateness of the adaptive equipment and make changes as needed to help facilitate independence. Interview on 12/16/2025 at 10:28 am with R88 revealed that her feeding adaptive equipment was usually not on her tray, and that, due to her health/stroke, she has great difficulty eating without it.Observation on 12/16/2025 at 12:30 pm revealed no feeding adaptive equipment served on R88's tray. The menu card revealed in bold letters, Built-Up Utensil (1 Each) under Preferences. R88 indicated that she had to ask the CNA (Certified Nursing Assistant) to get it for her. She indicated the CNA did get…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-18 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interviews, record review, and review of the facility policies titled Infection Prevention and Control Program, and Handwashing/Hand Hygiene, the facility failed to maintain appropriate infection control practices. Specifically, a nurse was observed using a box of gloves during wound care and removing it from the resident's room for use with other residents, a staff member failed to adhere to Transmission-Based Precautions by not wearing appropriate PPE (Personal Protective Equipment) and did not perform hand hygiene when entering/exiting an isolation room, and the facility failed to ensure the Infection Prevention and Control Program policy was reviewed and updated annually. These failures had the potential to contribute to the transmission of infectious organisms among residents, staff, and visitors Findings include:Review of the facility's policy titled, Infection Prevention and Control Program, revised October 2018, section 11, Prevention of Infection, subsection a.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · F2024-08-04 · tag F0570 — widespreadAssure the security of all personal funds of residents deposited with the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review, and a review of the facility policy titled, Resident Trust Fund Accounting Policies and Procedures, the facility failed to maintain a Surety Bond in an adequate amount to cover the resident trust fund account balance for three of six months reviewed. This deficient practice had the potential to adversely affect the finances of 62 of 62 residents with trust fund accounts managed by the facility. Findings include: A review of the undated facility policy titled Resident Trust Fund Accounting Policies and Procedures revealed, .Policy: The facility must purchase a Surety Bond to assure the security of all personal funds of residents deposited with the facility. A review of the facility's Surety Bond revealed that the Billing Term Effective was April 1, 2022, to April 1, 2025, in the amount of $80,000.00. A review of the last six months of bank statements for the Resident Trust Account for Chulio Hills revealed that three of the six months' statements documented an ending balance in excess of $80,000.00. The ending balance for February 2024 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-08-04 · tag F0801 — widespreadEmploy 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 review of the facility policy titled, Management/Dietary Services Manager, the facility failed to ensure that the staff designated as Dietary Manager (DM) was certified in dietary or food service management or had a similar food service management certification or degree. The facility census was 77 with 71 residents receiving an oral diet. Findings include: Review of the facility policy titled Management/Dietary Services Manager dated March 2024 revealed under Procedure: The Dietary Service Manager is responsible for obtaining and maintaining current Serve Safe Food Handler certification and CEU's (continuing education unit) required for the Certified Dietary Managers (CDM) certification once obtained. The Dietary Services Manager will follow the CMS (Centers for Medicare/Medicaid Services) guidelines for obtaining CDM certification per the CMS regulations. Review of the DM's employee file revealed she was hired as a dietary cook on 9/28/2012 and promoted to Dietary Manager on 7/13/2023. Interview on 8/2/2024 at 9:25 am with the DM revealed that she 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.
- Potential for harm · F2024-08-04 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of facility policies titled, Food Brought by Visitors and Food Storage Guidelines, the facility failed to ensure dietary staff labeled and dated open food items in the dry storage area; failed to prevent/remove ice build-up on top of opened food to prevent contamination in the walk-in freezer; failed to label and date resident foods items the resident nourishment room and; failed to demonstrate the proper procedure to sanitize dishware in the three compartment sink to prevent food borne illness. The facility census was 77 with 71 residents receiving an oral diet. Findings include: Review of the facility policy titled Food Brought by Visitors revealed: Food items are covered, dated with the date the food was brought to the facility and a discard date if applicable, and labeled with the resident's name. Review of the facility policy titled Food Storage Guidelines revealed: non-perishable food will have the following dates available: Delivery date and once opened, will have the open date. 1. Observation on 8/2/2024 at 8:55 am of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-04 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff interviews, and review of the facility policy titled, Medication Orders, the facility failed to ensure a stop date was implemented, not to exceed 14 days for psychotropic medications for four of nine residents (R) (R31, R56, R59, and R40) reviewed for unnecessary medications. Findings include: A review of the facility policy titled Medication Orders effective date November 28, 2017, revealed under Procedures: .E. PRN [as needed] orders for psychotropic drugs are limited to 14 days. If the attending prescribing practitioner believes it was appropriate for a PRN order to be extended beyond 14 days, he or she should document the rationale in the resident's medical record and indicate the duration of the PRN order. 1. A review of the Medical Doctor's (MD) orders for R31 dated 6/22/2024 revealed an order for 1 mg (milligram) of lorazepam by mouth every four hours as needed for anxiety. The order had an indefinite end date. A review of the Medication Administration Record (MAR) revealed that R31 was administered 1 mg of lorazepam by mouth on 6/30/2024 at 7:33…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-04 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Resident Assessment - Coordination with PASARR Program, the facility failed to refer one of 35 sampled residents (R) (R33) for a preadmission screening and resident review (PASARR) level two. The deficient practice had the potential to place the resident at risk for medical complications, unmet needs, and a diminished quality of life. Findings include: Review of the facility policy titled Resident Assessment - Coordination with PASARR Program copyright date 2021, revealed the Policy was The facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to insure that individual with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. The sub-section titled Policy Explanation and Compliance Guidelines revealed under number nine any resident who exhibits a newly…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-04 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and review of the facility policy titled, Medication Storage In The Facility, the facility failed to ensure one of three medication carts was locked and secured when left unattended by the nurse. This deficient practice created the potential for residents, unauthorized staff, and visitors to have access to medications and biologicals stored on the medication cart. The facility census was 77 residents. Findings include: A review of the facility policy titled Medication Storage In The Facility, dated 4/1/2016, revealed the Policy stated, Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. The Procedures section included, . B. Only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications are allowed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility policies titled, Enhanced Barrier Precautions and Bed Baths, the facility failed to utilize proper infection control techniques while providing care to one of 35 sampled residents (R) (R75) on Enhanced Barrier Precautions (EBP). The deficient practice had the potential for staff to spread infection to other residents in the facility. Findings included: A review of the undated facility policy titled Bed Baths under Policy Explanation and Compliance Guidelines revealed: staff should change the basin water, obtain a clean washcloth, perform hand hygiene and don (put on) new gloves after washing and before rinsing the resident. Additionally, cleaning would begin at the face and work over the body, with the groin and buttocks cleaned last. A review of the facility policy titled Enhanced Barrier Precautions dated 4/1/2024 revealed under Policy Explnation and Compliance Guidelines: .3. b. PPE for enhanced barrier precautions is only necessary when performing high-contact care activities . 4. High-contact resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-26 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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
Based on record review, observations, interviews, and review of the facility policy titled, Catheter Management - Indwelling Urinary Catheters, the facility failed to ensure an indwelling urinary catheter had a privacy cover for one resident (R)(R#22), of eight residents who had an indwelling urinary catheter. Findings include: A review of the facility policy, titled, Catheter Management-Indwelling Urinary Catheters, dated 10/1/20, revealed, Procedure: 13. Staff will be trained to report urinary leakage, kinks, issues with leg strap placement, correct placement of the drainage bag (below bladder) and any dignity issues related to foley catheter use. A review of the Transfer/Discharge Report revealed the facility admitted R#22 with diagnoses of persistent vegetative state and pressure ulcer to the left buttock. A review of the annual Minimum Data Set (MDS) for R#22, dated 4/7/22, revealed a Brief Interview for Mental Status (BIMS) could not be completed as the resident was rarely/never understood. According to the Staff Assessment for Mental Status, R#22's cognitive skills for 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.
- Potential for harm · Dcited before2022-05-26 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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, interviews, and review of the facility policy titled, admission Criteria, the facility failed to make a referral for re-evaluation after a serious mental illness was newly diagnosed for one resident (R) (R#18), of fifteen residents reviewed for pre-admission screening and resident review (PASRR). Findings include: A review of the facility policy titled, admission Criteria, revised 11/17 , revealed, 7. Nursing and medical needs of individuals with mental disorders or intellectual disabilities will be determined by coordination with Medicaid Pre-admission Screening and Resident Review program (PASARR) [sic] to the extent practicable. A review of the Transfer/Discharge Report revealed the facility admitted Resident (R) #18 on 11/26/19. A review of the Medical Diagnosis list revealed R#18 was admitted with no mental illness diagnosis. Further review of the Medical Diagnosis list indicated a diagnosis of bipolar disorder was added on 12/10/19 . A review of R#18's significant change Minimum…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-26 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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, interviews, and review of the facility policy titled, admission Criteria, the facility failed to include serious mental illness diagnoses on the Level I Pre-admission Screening and Resident Review (PASRR) completed prior to admission for one resident (R) (R#13), of fifteen residents reviewed for PASRR. Findings include: A review of the facility policy titled, admission Criteria, revised 11/17 , revealed, 7. Nursing and medical needs of individuals with mental disorders or intellectual disabilities will be determined by coordination with Medicaid Pre-admission Screening and Resident Review program (PASARR) [sic] to the extent practicable. 8. Potential residents with mental disorders or intellectual disabilities will only be admitted if the State mental health agency has determined (through the preadmission screening program) that the individual has a physical or mental condition that requires the level of services provided by the facility. A review of the clinical record revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$4,017 in federal fines across 1 penalty.
- $4,017 — penalty dated 2024-08-04
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 RELIABLE HEALTH CARE MANAGEMENT — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 2.8 | -1.8 vs chain |
| Health inspection | 1 of 5 | 3.0 | -2.0 vs chain |
| Staffing | 4 of 5 | 2.7 | +1.3 vs chain |
| Quality measures | 2 of 5 | 2.3 | -0.3 vs chain |
The other 5 homes this chain runs (chain average 2.8★, 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 / manager | Type | Role | Since |
|---|---|---|---|
| SELECT HEALTH CARE INC | Organization | DIRECT OWNERSHIP INTEREST | since 12/16/2025 |
| MORRIS, JANICE | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/18/2025 |
| HEHN, ANGELENA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/06/2001 |
| MCGILL, BRANDY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/09/2009 |
| MORROW, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/08/2021 |
| WILLIAMS, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/01/2021 |
| RELIABLE HEALTH CARE MANAGEMENT LLC | Organization | ADP OF THE SNF | since 01/01/2000 |
CMS files one row per role, so the 15 rows in the source record cover these 7 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.
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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115287. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-18, 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.