Providence Healthcare

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.

43.9% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.3% 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 30 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% 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 110 beds and averages 74.6 residents a day — about 68% occupied, or roughly 35 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 2.74 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.18 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.56 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 2.49 hrs/resident/day on weekends vs 2.84 on weekdays — 12% thinner on weekends. RN hours go from 0.20 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%.

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

Inspection trend

Deficiencies are 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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2026-03-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interviews, and review of the facility policy titled Freedom of Abuse - Abuse Prevention Fast Alert and the Certified Nursing Assistant (CNA) job description, the facility failed to assess and provide wound care in a timely manner to one resident (R) (R9) reviewed for wound care. On 2/21/2026, actual harm occurred when CNA BB neglected to provide (R9) adequate incontinent care, resulting in R9 developing a blister on the left upper thigh. R9 required a debridement to remove necrotic tissue on 3/5/2026. The sample size was 9.Findings include: Review of the policy titled Freedom of Abuse Abuse Prevention Fast Alert dated 1/2025 revealed. Policy: The purpose of this written Freedom of Abuse, Neglect, and Exploitation; Abuse Prevention Standard is to outline the preventive and action steps taken to reduce the potential for abuse, mistreatment, and neglect of residents. Neglect: Failure of a facility, its employees, or service providers to provide goods and services to 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-03-25 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of the facility policy titled Freedom Of Abuse Abuse Prevention Fast Alert the facility failed to ensure an allegations of neglect was reported to the State Survey Agency (SSA) within the required time frame for one Resident (R) (R9) of nine sampled residents. Resident (R9) verbally and via text reported to the facility that one Certified Nursing Assistant (CNA) BB neglected to provide her (R9) adequate incontinent care. As a result, R9 developed a blister on the left upper thigh. Due to the delay in care the blister progressed to an open wound.Findings include: Review of the policy titled Freedom Of Abuse Abuse Prevention Fast Alert dated 1/2025. Policy: The purpose of this written Freedom of Abuse, Neglect, and Exploitation; Abuse Prevention Standard is to outline the preventive and action steps taken to reduce the potential for abuse, mistreatment, and neglect of residents. Reporting/Investigation/Response Policy: Any complaint, allegation, observation, 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-03-25 · 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 observation, record review, interviews, and review of the facility policy titled RAI Care Planning Management the facility failed to implement the care plan interventions for a newly develop pressure ulcer for one (1) Resident (R) (R9) out of nine (9) care plans reviewed. Findings include: Review of the policy titled RAI Care Planning Management, revised date of 8/2017. Standard: It is the practice of this facility to conduct a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity. If modifications, deletions, or additions are necessary, changes should be made at the time of occurrence. Review of the admission Record for R9 revealed she was admitted to the facility on [DATE], and a diagnosis of, but not limited to, disorder of the skin and subcutaneous tissue and lymphedema. Review of the resident's most recent Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed that a Brief Interview for Mental Status (BIMS) was assessed as 15, which…

  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 · D2026-03-25 · tag F0606 — failed to not employ staff found guilty of abuse — isolated
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, review of the facility policy titled Freedom Of Abuse Abuse Prevention Fast Alert the facility failed to ensure Georgia Criminal History Check System (GCHEXS) Fingerprint check was conducted for one (1) Certified Nursing Assistant (CNA) of ten employee files selected for review. The facility census was eighty residents.Review of the policy titled Freedom of Abuse Abuse Prevention Fast Alert dated 1/2025. revealed Pre-Employment Screening: When a potential new employee is considered for hire, take the following steps to ensure the applicant is suitable for hire. 3. Criminal Background Checks are required; all employment candidates are required to authorize the facility to conduct a background check for conviction of crimes. The Human Resource Manager's job description was requested but not provided. During a record review of the employee files with the Human Resources Manager (HRM), there was no documentation that a fingerprint records check was conducted on CNA BB. An interview on 3/24/2026 at 2:15 p.m. with the HRM stated that she is…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-24 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, staff interviews, record reviews, and review of the facility policies titled Management of Laundry and Infection Control Manual, the facility failed to ensure that laundry staff followed infection control processes while performing laundry services and failed to ensure the laundry room was maintained in a sanitary condition. In addition, the facility failed to ensure that Enhanced Barrier Precautions (EBP) were followed for one of two residents with a gastrostomy tube (G-Tube) [a tube surgically inserted through the abdomen into the stomach used to deliver nutrition, fluids, and medications]. These deficient practices had the potential to place residents at risk of infections due to cross-contamination. The census was 73 residents. Findings include:Review of the facility policy titled, Management of Laundry, dated 1/2016, revealed the Description of Steps in the Laundry Process section included, Pck-up or Collection of Soiled Linen. B. Transferring Soiled Linen: . all soiled linen must be covered during transportation while being stored on unit or floors. 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-24 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the facility policy titled, Infection Control Manual, the facility failed to ensure three of five sampled residents (R) (R1, R29, and R13) for vaccinations had a completed consent, declination and/or proof of education for the pneumococcal and/or influenza vaccine. This deficient practice had the potential to place R1, R29, and R13 at risk of unmet needs. Findings include:Review of the facility policy titled, Infection Control Manual, revised date 9/2023, revealed the Immunizations: Standing Orders, section included, . 3. Counsel resident and/or family/responsible party on the benefits and adverse effects of each vaccine prior to administration of the vaccines. 4. Complete the Pneumococcal and Influenza Vaccine-Information and Consent with the resident or family at the time of admission and each time offered. Place in the medical record.1. Review of the admission Record for R1 revealed admission on [DATE]. Review of the Immunization Record for R1 revealed…

  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 · D2025-07-24 · 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 observations, staff interviews, and review of the facility's policy titled Incontinence Management, the facility failed to ensure a urinary catheter privacy bag was provided for one of one resident (R) R2 with a urinary catheter. This failure had the potential to diminish the resident's quality of life.Findings include:Review of the facility's policies titled Incontinence Management dated January 2025 documented Other Options Catheterizations: Not Appropriate for Rehabilitation; If the resident is not appropriate for a Program, the care plan will identify other interventions to maintain skin integrity, prevent urinary tract infection and provide dignity for the resident.Review of the facility's Electronic Medical Records (EMR) revealed R2 was re-admitted to the facility on [DATE] with a diagnosis that included but not limited to neuromuscular dysfunction of bladder and presence of urogenital implants.Review of the Significant Change Minimum Data Set (MDS) dated [DATE] documented Section C (Cognition)…

  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 · D2025-07-24 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure 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

  Based on observations, staff interviews, and review of the facility's policies titled Medication Administration, the facility failed to remove expired medications from one of four medication carts and failed to remove expired medication and medical supplies from one of two medication rooms. The facility's census was 73.Findings include:Review of the facility's policy titled Medication Administration dated January 2025 documented Medications are to be stored appropriately as per manufacturer instructions. All expired medications or medications to be destroyed are to be taken off the medication cart and properly destroyed by the Environmental Protection Pharmacy guidelines.1. Observation on 7/22/2025 at 5:10 pm during review of the 400 Hall medication cart revealed there was one bottle of melatonin 1 mg tablets with an expiration date of 3/2025.Interview on 7/22/2025 at 5:11 pm with Licensed Practical Nurse (LPN) BB, who confirmed the bottle of melatonin 1 mg tablets was expired and should not be on the medication cart. She stated that if the residents received this expired…

  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 · D2025-07-24 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident representative (RR) interview, and staff interviews, the facility failed to provide a sanitary and comfortable environment for one of 53 sampled residents (R) (R58). This deficient practice had the potential to place R58 at risk of living in an uncomfortable environment. Findings include:Review of the medical record for R58 revealed an admission date of 8/2/2023. Diagnoses included, but not limited to, cerebrovascular accident.Review of R58's Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Section C (Cognitive Patterns) documented a Brief Interview for Mental Status (BIMS) of 6 (indicating severe cognitive impairment). Section GG (Functional Abilities and Goals) documented R58 required assistance with all ADLs. In a concurrent observation and interview on 7/21/2025 at 1:15 pm, observation R58 lying in bed watching television and eating lunch, with the RR at the bedside. In an interview, the RR stated the sewage smell in the resident's bathroom was an ongoing…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-25 · 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 facility policies titled Procedure for Washing Pots and Pans, and Proper Temperatures For Meal Preparation and Service, and review of the EcoLab Product Specification document for the Multi-Quat Sanitizer, the facility failed to demonstrate the proper usage of the three-compartment sink to sanitize dishware to prevent contamination, failed to allow dishware items to air dry, and failed to ensure all food items on the steam table were held above 135 degrees Fahrenheit (F) to prevent bacteria growth. These deficient practices had the potential to place residents consuming an oral diet at risk of contracting a foodborne illness. The facility census was 69 with 68 residents receiving an oral diet. Findings include: 1. A review of the undated facility policy titled Procedure for Washing Pots and Pans, revealed the Procedure section line 3: The third sink sanitizes the items by: a. Use of a chemical sanitizer added to water filling the sink with water; or b. Filling the sink with water kept at 180 degrees F and submerging the items…

  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 · D2024-02-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 observation, staff interview, record review, and review of facility policy titled Skin Management Standards, the facility failed to provide wound treatment per the physician's order and failed to wash/sanitize hands and change gloves during wound treatment for one resident (R) (R67) of three residents reviewed for pressure ulcers. This deficient practice had the potential to place R67 at risk for medical complications and infection. Findings include: A review of the undated facility policy titled Skin Management Standards, revealed the procedure for dressing change: 1. Check the doctors' orders for the type and frequency of dressing and any special instructions required for performing the procedure, including pre-medication for the resident's comfort. 6. Wash/ Sanitize hands, put on clean gloves, remove soiled dressing, and discard immediately in a plastic bag. 7. Remove gloves, and place them in a plastic bag. 8. Wash/ sanitize hands. 9. Put on a pair of clean gloves. 10. Clean the wound from 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2022-09-01 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, interviews, and review of the facility's infection control policy titled, Pandemic Pathogen Plan (Coronavirus), and Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure that all staff were wearing face masks appropriately when the COVID-19 county transmission level for the facility was high. This had the potential to affect all 67 residents in the facility. Findings included: A review of the facility's policy titled, Pandemic Pathogen Plan (Coronavirus), dated 03/2020, revealed in part the following: Person to person appears like other respiratory viruses, mainly due to respiratory droplets produced when an infected person coughs or sneezes. These droplet land in the mouths, nose and/or eyes of people who are nearby or possibly inhaled into their lungs. A review of the CDC COVID Data Tracker, indicated that at the time of the survey entrance, 08/29/2022, the facility was located in a county with high community transmission of COVID-19. A review of the CDC guidelines, Interim Infection Prevention and Control Recommendations…

  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 · Ecited before2022-09-01 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observations, interviews, record review, and review of facility policy titled, RAI [Resident Assessment Instrument]/Care Planning Management, the facility failed to develop person-centered, comprehensive care plans for four (Resident [R] #13, R#35, R#57 and R#60) of 24 residents whose care plans were reviewed. Specifically, the facility: - Failed to develop a care plan that addressed behavioral management for R#13. - Failed to develop a care plan that addressed R#35's pressure ulcer care. - Failed to develop a care plan with resident-specific interventions addressing R#57's nutritional needs and tracheostomy care. - Failed to develop a care plan for R#60 that accurately addressed behavioral symptoms that were pertinent to the resident. Findings included: Review of a facility policy titled, RAI [Resident Assessment Instrument]/Care Planning Management, dated July 2022, revealed, Problems will be identified and written in an interdisciplinary CAA [Care Area Assessment] integrated format. A discharge plan…

  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

“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. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2026-04-24 for 1 days

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

Part of a chain

This home belongs to 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 88% 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 $671K 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