Thomson Health And Rehabilitation
511 Mt. Pleasant Road, Thomson, GA 30824 · For profit - Limited Liability company · 150 certified beds · (706) 595-5574 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
- 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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 4 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 improved from 2 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 22.0% | 15.3% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.9% | 5.6% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 1.3% | 0.9% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.8% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 11.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.7% | 15.2% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 17.2% | 20.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 87.5% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.0% | 5.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 21.1% | 15.8% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.1% | 19.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.7% | 2.6% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 51.2% | 78.4% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 20.8% | 25.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.2% | 11.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.90 | 2.15 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.30 | 1.90 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
44.6% 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 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 28.0% 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 25 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 19% 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 | 44.6%CMS range 30.6–59.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.6%CMS range 7.2–17.2 | 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 | 28.0% | 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 | 24.0% | 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 | 16.0% | 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 | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 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 | 6.5% | 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 | 7.3%CMS range 4.5–12.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 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 150 beds and averages 106.6 residents a day — about 71% occupied, or roughly 43 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 2.88 hrs/resident/day on weekends vs 3.62 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · Fcited before2026-02-12 · 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 facility policy reviews, the facility failed to ensure that food items in the kitchen and resident pantries were properly dated and stored. In addition, the facility failed to ensure sanitary conditions in the kitchen and properly clean and sanitize dishes. The deficient practices had the potential to place the 103 residents who received meals from the dietary department at increased risk of foodborne illness.Findings include:On 02/09/26 at 8:40 AM, observation revealed a 0.25-inch-thick cardboard-like cover surrounding the entire kitchen hood system near the oven that was peeling, severely cracked, and flaking for a two-foot-wide by three-foot area. Interview with the Dietary Manager (DM) at the time of the observation verified the problem. On 02/09/26 at 9:00 AM, observation revealed a 2.07-pound container of partially used chicken salad without a date of opening inside the residents' refrigerator in the 400-medication room. Interview with the DM at the time of the observation verified the finding and indicated she would remove 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 · Dcited before2026-02-12 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility's policy titled Work Orders, Maintenance, the facility failed to ensure one of two sit-to-stand lifts was clean and in good repair. This deficient practice had the potential to place residents at risk of living in a non-home-like environment. Findings include: Review of the facility's policy titled Work Orders, Maintenance, revised April 2010, provided by the facility revealed, Policy Statement Maintenance work orders shall be completed in order to establish priority of maintenance service. Policy Interpretation and Implementation 1. In order to establish a priority of maintenance service, work orders must be filled out and forwarded to the Maintenance Director .Observation on 02/11/2026 at 12:16 PM with Licensed Practical Nurse (LPN) 5 in the hallway on the 500 unit revealed a sit-to-stand lift with several exposed foam areas due to missing leather on the knee rest cushion and debris on the footplate. LPN5 confirmed that the sit-to-stand lift was not in good condition and that someone should have submitted a work…
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 · D2026-02-12 · 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 interview, review of the facility's policy titled Comprehensive Assessments, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessments to the Centers for Medicare and Medicaid Services (CMS) system in a timely manner for one resident (Resident (R) 99) out of six residents reviewed for accurate assessments in the sample of 37. This deficient practice prevented the transmission of resident-specific information used for payment, quality measures, and ongoing clinical data analysis.Findings include:Review of the facility's policy titled Comprehensive Assessments, revised October 2023, indicated, Policy interpretation and implementation: The facility conducts comprehensive, accurate, standardized, reproducible assessments of each resident's functional capacity using the Resident Assessment Instrument specified by CMS.An admission Assessment - is a comprehensive assessment for a new resident that must…
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 · D2026-02-12 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff interview, and review of the facility's policy titled Resident Assessments, the facility failed to complete quarterly Minimum Data Set (MDS) Assessments not less that once every three months, for two resident (Resident (R) 30 and R77) out of six residents reviewed for accuracy of assessments in the sample of 37. This deficient practice prevented the transmission of resident-specific information used for payment, quality measures, and ongoing clinical data analysis.Findings include:Review of the facility's policy titled Resident Assessments, revised October 2023, indicated, Policy interpretation and implementation: Omnibus Budget Reconciliation Act (OBRA) required MDS assessments are federally mandated and therefore must be performed for all residents of Medicare and/or Medicaid certified nursing homes. OBRA assessments include Quarterly Assessments. A quarterly assessment must be completed at least every 92 days following the previous OBRA assessment of any type. It is used to track a resident's status between comprehensive assessment to ensure critical…
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 · D2026-02-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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, Resident Assessments, the facility failed to ensure an accurate Minimum Data Set (MDS) assessment that reflected the resident's status at the time of the assessment for two (Residents (R)8 and R59) of six residents reviewed for accuracy of assessments in the sample of 31 residents. This failure had the potential to affect nutritional assessments and dietitian evaluations, as well as fall precautions and care planning.Findings include: Review of the facility's policy titled, Resident Assessments, revised October 2023, indicated: .10. Assessment are completed by staff members who have the skills and qualification to assess relevant care areas and who are knowledgeable about the resident's strengths and areas of decline. 11. All persons who have completed any portion of the MDS resident assessment form must sign the document attesting to the accuracy of such information. 1. Review of R59's admission Record located under the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-11-21 · 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 — the official record, unedited, may be distressing
Based on observation, staff interview, record review, and review of the facility's policy titled Sanitation, the facility failed to maintain the ice machine in a clean and sanitary manner. The deficient practice had the potential to cause illness to 103 out of 105 residents who consumed an oral diet. Findings include: Review of the facility's policy titled Sanitation revised 11/2022 revealed, that ice machines should be drained, cleaned, and sanitized. During an observation of the kitchen on 11/18/2024 at 9:47 am with the Dietary Manager (DM) revealed, a black substance was observed on the plastic lining inside the ice machine. Review of the cleaning schedule revealed, the ice machine had been last cleaned on 10/21/2024. Interview with the DM revealed that maintenance was responsible for cleaning the ice machine. The DM confirmed the ice machine was not clean and stated they would have to monitor it better.
- Potential for harm · E2024-11-21 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 staff interview, record review, and review of the facility's policy titled, Transfer Agreement, the facility failed to provide written hospital transfer notices for three of three Residents (R) (R11, R12, and R43) reviewed for hospitalization out of a total sample of 33 residents. The failure had the potential to cause residents to not fully understand the purpose of the hospital transfer. Findings include: Review of the facility's policy titled, Transfer Agreement revised March 2017 revealed, the agreement, facilitates the exchange of medical and other information necessary or useful in the care and treatment of residents transferred between the institutions. The policy did not indicate that the resident and/or resident representative (RR) would/does receive a copy of the information or other written notice of transfer. Review of the Notice of Transfer/Discharge form dated March 2017 provided by the Administrator revealed, a form which indicated the reason, time, date, and location of the hospital…
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 · E2024-11-21 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, record review, and review of the facility's policy titled Bed-Holds and Returns, the facility failed to provide written bed hold notices for three of three Residents (R) (R11, R12, and R43) reviewed for hospitalization out of a total sample of 33 residents. The failure had the potential to cause confusion as to what the charge would be after the bed hold expired or if they would have a bed when they returned to the facility. Findings include: Review of the facility's policy titled, Bed-Holds and Returns revised 10/2022 revealed, residents and/or representatives are informed (in writing) of the facility and state (if applicable) bed-hold policies. The policy revealed, the residents or their representative would receive a bed-hold notice, at the time of transfer (or, if the transfer was an emergency, within 24 hours). 1. Review of the Census tab located in the Electronic Medical Record (EMR) revealed, R11 was originally admitted to the facility on [DATE]. Review of the discharge 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 · Dcited before2024-11-21 · 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 observation, staff interviews, record review, and review of the facility's policy and procedure titled Resident Rights, the facility failed to provide a dignified dining experience for two of 33 sampled Residents (R) (R24 and R100) by serving meals on styrofoam with plastic utensils and standing to assist with meal intake. This failure created the potential for the residents to be treated in an undignified manner. Findings include: Review of the facility's policy and procedure titled Resident Rights with a review date of 1/6/2023 revealed, Employees shall treat all residents with kindness, respect, and dignity. 1. Review of R24's admission Record located under the Profile tab in the Electronic Medical Record (EMR) noted R24 was admitted with diagnoses that included eating disorder, unspecified; and adult failure to thrive. Review of the quarterly Minimum Data Set (MDS) with an assessment reference date (ARD) of 9/17/2024 revealed a Brief Interview for Mental Status (BIMS) score of zero out of 15 indicating R24 was unable to complete the interview. During observations of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 and resident interviews, record review, and review the facility's policy titled Resident Rights, the facility failed to honor the resident's right to vote for one of two Residents (R) (R83) who were reviewed for choices out of a total sample of 33 residents. This had the potential for the resident not to be able to make choices that could impact the resident's life. Findings include: Review of the facility's policy titled Resident Rights revised 1/6/2023 revealed, Federal and State laws guaranteed certain basic rights to all residents of the facility including the right to exercise his or her rights as citizens of the United States of America. Review of R83's Face Sheet tab of the Electronic Medical Record (EMR) revealed she was admitted to the facility on [DATE]. Review of R83's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/30/2024 and located in the MDS tab of the EMR, revealed she had a Brief Interview for Mental Status (BIMs) score of 15 out of 15 indicating…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · Dcited before2024-11-21 · 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 interviews, record review, and review of the facility's policy and procedure titled Care Plans, the facility failed to develop a person centered, comprehensive care plan for two of 33 sampled Residents (R) (R24 and R100) related to meal assistance, safety needs, and ambulation which had the potential for unmet care needs. Findings include: Review of the facility's policy and procedure titled Care Plans, dated 2015 revealed, The Care Planning/Interdisciplinary Team shall develop a comprehensive care plan for each resident . A comprehensive care plan is developed within seven (7) days of completion of the resident assessment (MDS) . Care plans shall incorporate goals and objectives which lead to the resident's highest obtainable level of independence. Goals and objectives are: Resident oriented; Behaviorally stated; Measurable; and within a specified time frame. 1. Review of the admission Record located under the Profile tab in the electronic medical record (EMR) revealed, R24 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 · E2023-06-15 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, and review of the facility policies titled, Administering Medications , Preparation and General Guidelines IIA1: Equipment and Supplies for administering Medication and Legionella Water Management Program. The facility failed to maintain infection control standard precautions during medication administration for one of four sampled residents during medication administration observation. The facility also failed to develop an updated water management plan for the prevention of Legionella for 105 of 105 residents in the facility. 1.Findings include: Review of the policy titled, Administering Medications dated April 2019 revealed under Policy Interpretation and Implementations number 25. Staff follows established facility infection control procedures (e.g., handwashing, antiseptic technique, gloves, isolation precautions, etc.) for the administration of medications, as applicable. Preparation and General Guidelines IIA1: Equipment and Supplies for administering Medication dated May 1, 2020, Procedures: A- The following equipment and supplies are…
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 before2023-06-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Dignity, the facility failed to ensure resident's dignity was maintained by not displaying confidential clinical information indicating clinical status or care needs for one resident (R) (R#95). Findings include: Review of the policy titled, Dignity dated July 1, 2021, revealed under Policy Statement: Each resident shall be cared for in a manner which promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem. Number 10. B. under Policy interpretation and implementation states signs indicating the resident's clinical status or care needs are not openly posted in the resident's room unless specifically requested by the resident or family member. Discreet posting of important clinical information for safety reasons is permissible (e.g., taped to the inside of a closet door). Review of the clinical record for R#95 revealed resident was admitted to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and review of the facility policy titled, Maintenance Service, the facility failed to maintain a clean, comfortable, homelike, environment related to scuffed walls, holes in walls, missing baseboards, and peeling paint, in two of 18 rooms on the 400 Hall (room [ROOM NUMBER] and 412) and one of 15 rooms on the 500 Hall (room [ROOM NUMBER]). Findings included: Review of policy titled, Maintenance Service with revised date December 2009 revealed, functions of maintenance personnel included but not limited to, maintaining the building in good repair and free from hazards. Observation on 6/13/2023 at 10:38 a.m. during initial tour and screening of residents and subsequent observations on 6/14/2023 at 9:05 a.m. and 6/15/2023 at 8:35 a.m., identified environmental concerns in room (Rm) 410, 412, and RM [ROOM NUMBER] as follows: Observation on 6/13/2023 at 10:46 a.m., 6/14/2023 at 9:13 a.m., and 6/15/2023 at 8:42 a.m. in room [ROOM NUMBER] identified a scuffed-up wall at the head…
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 before2023-06-15 · 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 interviews, record review, and review of the facility policies titled, Care Plans, Comprehensive Person-Centered and Medication Monitoring and Management, the facility failed to develop/implement a care plan related to high-risk medications for three of seven residents (R) (R#4, R#28, and R#52). Findings include: Review of the facility policy titled, Care Plans, Comprehensive Person-Centered dated 2001, revealed under the subtitle Policy Interpretation and Implementation number 3 stated care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment. Number 7e stated the care plan reflects currently recognized standards of practice for problem areas and conditions. Number 9 revealed the care plan interventions are chosen after data gathering, proper sequencing of events, careful consideration, and relevant clinical decision making. Number 10 revealed the interventions address underlying sources of the problem areas not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-15 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 policy titled, Care Plan, Comprehensive Person-Centered, the facility failed to update the care plan to include post operative care for one resident (R) (R#98). Findings include: Review of the facility policy titled, Care Plan, Comprehensive Person-Centered dated 2001, revealed under the subtitle Policy Interpretation and Implementation number 11, assessments are ongoing and care plans are revised as information and conditions change and number 12 revealed the interdisciplinary team reviews and updates the care plan (c) when the resident has been readmitted to the facility from a hospital stay. Review of the Electronic Medical Record (EMR) revealed R#98 was admitted to the facility on with diagnoses listed as but not limited to osteomyelitis of vertebrae - sacral, sacrococcygeal region, left great toe amputation, diabetes mellitus type 2, paraplegia, mastectomy. Review of medication orders revealed her medications…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-15 · tag F0773 — isolatedProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and record review, the facility failed to promptly notify the ordering physician, physician assistant, or nurse practitioner of laboratory results for one of one Resident (R) R#28. Specifically, the facility failed to ensure physician was notified of lab results received on June 1, 2023. Findings include: Review of the Electronic Medical Record (EMR) revealed Resident R#28 was admitted to the facility with pertinent diagnoses that included but were not limited to enterococcus, diabetes mellitus type 2, dysuria, gross hematuria, hypertension, and chronic kidney disease (CKD) stage 3. Review of medication orders for R#28 included but was not limited to: bumex 0.5 Milligram (mg) twice a day (BID) for edema (started on 5/10/2023), cephalexin 500 mg bid x 7 days for UTI, and phenazopyridine 99.5 mg, 2 tablets BID for pain related to urinary tract infection (UTI) for 30 days. Review of R#28's five-day Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| FORRISTER, KAREN | Individual | DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/01/2021 |
| LEMCKE, DAVID | Individual | DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/01/2021 |
| RHINE INVESTMENT GROUP LLP | Organization | 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNF | since 07/01/2021 |
| PEACH HEALTH GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/03/2025 |
| NEWSOME, LORIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/14/2024 |
| POWELL, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/01/2021 |
CMS files one row per role, so the 16 rows in the source record cover these 6 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.
About 76% 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 $506K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
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 115365. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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.