Woodstock Center for Nursing and Healing LLC

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.

56.3% 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 187 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.0% 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 73 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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 171 beds and averages 151.6 residents a day — about 89% occupied, or roughly 19 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 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 2.79 hrs/resident/day on weekends vs 3.15 on weekdays — 11% thinner on weekends. RN hours go from 0.38 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

20 citations, most serious first. The 15 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · Jcited before2022-05-04 · 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 and resident interviews and review of the facility policies titled Abuse Prevention Program, Preventing Resident Abuse, Investigating Allegations of Neglect, Investigating Allegations of Resident to Staff Abuse, Protection of Residents During Abuse Investigations, and Investigating Allegations of Resident-to-Resident Abuse, the facility failed to ensure that one of 37 sampled residents (R) (R#209) was free from physical abuse by R#68. In addition, the facility failed to ensure that all residents were safe from potential abuse by not pursuing placement for R#68 with documented behaviors of verbal and physical aggression toward other residents and staff. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The noncompliance related to the Immediate Jeopardy was identified to have existed on…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-05-04 · 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 interview, record review, and review of facility policy titled Abuse Investigation and Reporting, the facility failed to ensure that alleged physical abuse was reported to the State Survey Agency (SSA) within a two-hour timeframe for one of 37 sampled residents (R)(R#209). On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The noncompliance related to the Immediate Jeopardy was identified to have existed on [DATE]. The Immediate Jeopardy continued through [DATE] and was removed on [DATE]. The facility's Administrator, Regional Consultant Nurse, and Director of Nursing were informed of the Immediate Jeopardy on [DATE] at 5:35 p.m. The immediate jeopardy is outlined as follows: The IJ was determined to exist as of [DATE] when Resident (R) #68 forcefully pushed R#209 causing her to fall onto her bottom and her head to jerk…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-05-04 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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 The facility failed to revise the care plan for one of 37 sampled residents (R) (R#68) after multiple incidents of attempted physical aggression against other residents which occurred from [DATE] through [DATE]. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The noncompliance related to the Immediate Jeopardy was identified to have existed on [DATE]. The Immediate Jeopardy continued through [DATE] and was removed on [DATE]. The facility's Administrator, Regional Consultant Nurse, and Director of Nursing were informed of the Immediate Jeopardy on [DATE] at 5:35 p.m. The immediate jeopardy is outlined as follows: The IJ was determined to exist as of [DATE] when Resident (R) #68 forcefully pushed R#209 causing her to fall onto her bottom and her head to jerk in a sudden backward motion. The facility failed to do neuro checks…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-05-04 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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, review of the Rules and Regulations of the State of Georgia Department 393 Rules of Georgia State Board of Long-Term Care Facility Administrators dated [DATE], and the Georgia Rule 410-10-.02 Standards of Practice for Licensed Practical Nurses, and staff interviews, the facility failed to ensure that services were provided in accordance with professional standards of quality for two of 37 sampled residents (R) (R#68 and R#209) related to the failure of the Administration and clinical staff to conduct an Interdisciplinary Team (IDT) Meeting to include the Psychiatrist, Medical Director, and other direct care staff related to ensuring that all residents were safe from potential abuse by R#68 and failed to initiate neurological checks related to an unwitnessed fall for R#209. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-05-04 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and Administrator Job description titled, Administrator issued: [DATE]. Previous Administrator BB failed to ensure that one of 37 sampled residents (R) (R#209) was free from physical abuse by R#68. In addition, previous Administrator BB failed to ensure that all residents were safe from potential abuse by not pursuing placement for R#68 with documented behaviors of verbal and physical aggression toward residents and staff. Previous Administrator BB failed to implement an effective process to protect residents and staff from abuse. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The noncompliance related to the Immediate Jeopardy was identified to have existed on [DATE]. The Immediate Jeopardy continued through [DATE] and was removed on [DATE]. The facility's Administrator, Regional Consultant…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-18 · 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

  Based on record review, interviews, and review of facility policy, the facility failed to ensure one Resident (R) (R8) of seven residents reviewed for abuse was free from verbal abuse. The deficient practice had the potential to affect resident safety. Findings include:1.Review of R7's Face Sheet located under the Profile tab of the electronic medical record (EMR) revealed an admission date of 05/01/2025 with diagnoses including paranoid schizophrenia and dependent of wheelchair. Review of R7's quarterly Minimum Data Set (MDS) located under the MDS tab of the EMR with an Assessment Reference Date (ARD) of 01/19/2026 revealed R7's Brief Interview for Mental Status (BIMS) score was 15 out of 15, which indicated little to no cognitive impairment.2. Review of R8's Face Sheet located under the Profile tab of the EMR revealed an admission date of 07/17/2024 with diagnoses which included type two diabetes mellitus without complications, pain in leg, and unilateral primary osteoarthritis.Review of R8's quarterly MDS located under the MDS tab of the EMR, with an ARD of 03/02/2026 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 facility policy review, the facility failed to ensure residents were free from misappropriation of medications, specifically controlled substances for three Residents (R) (R9, R10, and R11) of 19 sampled residents reviewed for medication misappropriation. The deficient practice resulted in delayed administration of prescribed medication and placed residents at risk for unrelieved or worsening pain, anxiety, agitation and psychological distress, compromising resident safety and well-being.Findings include: 1. Review of R9's Face Sheet located in the Profile tab of the electronic medical record (EMR), revealed R9 was admitted to the facility on [DATE] with diagnoses that included chronic pain, muscle spasm, spinal stenosis, osteoarthritis, hypertension, and Alzheimer's.Review of R9's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/24/2026 and located in the resident's EMR under the MDS tab, revealed R9 had a Brief Interview for Mental Status…

  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 · F2025-08-28 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  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, Disposal of Garbage Refuse, the facility failed to ensure areas around the garbage dumpsters were kept free from debris and failed to ensure the sliding doors of two of two garbage dumpsters were kept closed when not in use to prevent pests and rodents.Findings include:A review of the facility's policy titled Disposal of Garbage Refuse revised April 2024 documented under Policy Explanation and Compliance Guidelines: . 7.Containers and dumpsters shall be kept covered when not being loaded. Surrounding area should be kept clean so that accumulation of debris and insect/rodent attraction are minimized.During an initial tour of the kitchen accompanied by the facility's Administrator on 8/12/2025 at 11:21 am revealed that there were two garbage dumpsters. One of two garbage dumpsters had a sliding lid left open while not in use. There were some used gloves and other materials on the ground around the two dumpsters during the tour. During an interview on 8/12/2025 at 11:22 am, the Administrator stated…

  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 · E2025-08-28 · tag F0570 — pattern
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, record review, and review of the facility's policy titled, Resident Personal Funds, the facility failed to purchase a sufficient Surety Bond to assure the security of all funds. The deficient practice had the potential to affect 56 total accounts of 125 residents managed by facility. Findings include:In a review of the facility's policy titled, Resident Personal Funds revised on 4/1/2024, revealed under Assurance of Financial Security: 1. The company will purchase a surety bond or otherwise provide assurance satisfactory to assure the security of all personal funds of the residents deposited with the company.Review of the facility's last six months banks statements revealed that the facility had a surety bond of $100,000.00 USD (United States Dollars) effective 9/1/2024 through 9/1/2025. February 2025- The beginning balance was $106,898.12; ending balance was $128, 274,71March 2025 - The beginning balance was $128,274,71; ending balance was $133,677.33April 2025 - The beginning balance was $133,677.33; ending Balance was $133,831.89May 2025 - The beginning…

  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 · E2025-08-28 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and review of the facility policy titled, Safe and Homelike Environment, the facility failed to maintain a safe, clean, comfortable, and homelike environment by failing to repair roof leaking in a timely manner, failing to repair a hole in the wall in Resident (R) (R2)s room in a timely manner, and failing to eliminate offensive odors in the 100, 200 and 300 hallways.Findings include:Review of the facility policy titled Safe and Homelike Environment dated April 2025 documented it was in accordance with Residents rights, the facility will provide a safe, clean, comfortable and homelike environment. The facility will minimize odors by disposing of soiled linens and reporting lingering odors and bathrooms to the housekeeping department. The facility will report unresolved environmental concerns to the administrator.1. Review of R2s quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 14/15,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record review, and review of the facility's policy title, Activities of Daily Living (ADLs), the facility failed to ensure staff provided ADLs for three of 19 Residents (R) (R115, R107, and R82) who required assistance from staff with ADLs. The deficient practice had the potential to cause R115, R107, and R82 a decline in ADL abilities and not to achieve and maintain their highest practicable outcomes. Findings include: Review of the facility’s policy titled, “Activities of Daily Living (ADLs) last revised January 2024 documented under Policy: The facility will, based on the resident’s comprehensive assessment and consistent with the resident’s needs and choices, ensure a resident’s abilities in ADLs do not deteriorate unless deterioration is unavoidable. Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care; …3. A resident who is unable to carry out activities of daily living will…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review and the review of the facility's policies titled, Charting and Documentation and Medication Administration, the facility failed to follow physician's order for one resident (R) (R89) of 33 sampled residents. Specifically, TED Hose (compression stocking for swelling) were documented as applied to R89 but were observed not to have been applied.Findings include:Review of the facility's policy titled Charting and Documentation revised July 2017 revealed under Policy Interpretation and Implementation: .3. Documentation in the medical record will be objective (not opinionated or speculative), complete and accurate.Review of the facility's policy titled Medication Administration revised April 2025 revealed under Policy Explanation and Compliance Guidelines: .20. Sign 'MAR' (medication administration record) after administered.Review of the electronic medical record (EMR) for R89 revealed diagnosis of but not limited to cerebral infarction due to embolism of left…

  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 · E2024-05-16 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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, Administering Medications Through a Small Volume (Handheld) Nebulizer, the facility failed to ensure that the medication administration error rate was less than 5 percent (%) as evidence by an error rate of 6.45 % from two of three nurses observed during medication administration. Findings include: Review of the undated facility policy titled Administering Medications Through a Small Volume (Handheld) Nebulizer, revealed steps in the administering of the treatment included but was not limited to: . 6. Obtain baseline pulse respiratory rate and lung sounds 17. Remain with the resident for the treatment. 26. Obtain post-treatment pulse, respiratory rate, and lung sounds. The following information should be recorded in the resident's medical record includes but is not limited to: . 5. Pulse, respiratory rate and lungs sound before and after the treatment and . 8. The resident's toleration of the treatment. Medication…

  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 · Dcited before2024-05-16 · 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

  Based on observations, staff interviews, record review, and review of the facility policy titled, Prevention of Components of Facility Abuse Prevention Program, the facility failed to protect the resident's right to be free from sexual abuse by another resident for four of 50 sampled residents (R52, R51, R8, and R270). Specifically, R52 was groped by R51 and R270 placed their hand down R8's shirt. Findings include: Review of the facility policy titled Prevention of Components of Facility Abuse Prevention Program dated 5/18/2023 revealed under Policy: It is the policy of this facility that each resident has the right to be free from verbal, sexual, physical, and mental abuse; corporal punishment; involuntary seclusion; mistreatment of any kind, and misappropriation of property. Each resident will be always treated with respect and dignity. The facility shall foster an environment that recognizes the worth and uniqueness of all individuals, to promote respect and set standards of care. Residents will not be subjected to abuse by anyone, including but not limited to, facility staff,…

  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 · Dcited before2024-05-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and resident and staff interviews, the facility failed to provide activities of daily living (ADL) for one of 50 sampled residents (R) (R35) related to showers/baths. Review of the EMR revealed that R35 was admitted with diagnoses that included, but were not limited to spina bifida (a birth defect that occurs when the spine and the spinal cord do not develop completely), neurogenic bowel (the loss of normal bowel function due to a nerve problem), neuromuscular dysfunction of bladder, and Fournier gangrene (a rare, life-threatening bacterial infection of the scrotum, penis or perineum). Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed that R35 had a Basic Interview of Mental Status (BIMS) score of 15, indicating little or no cognitive impairment. Section E-Behavior revealed that he had no behaviors. Section GG-Functional Abilities revealed that he had impairment to both lower extremities, and was dependent on staff for toileting, shower and bathing, and personal hygiene.…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EMPIRE CARE CENTERS — 20 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

CMS files one row per role, so the 42 rows in the source record cover these 20 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.

This home reported $687K 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