Cycle 1
Health 2024-07-31 · Fire 2024-07-31
13 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Jesup, GA
Altamaha Healthcare Center
1-star overall rating with 1-star inspections with $4,017 in total fines with 13 recent health deficiencies
1311 West Cherry Street, Jesup, GA
(912) 427-7792
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
62
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Beacon Health Management
Operator or chain grouping
Approved since
1994-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 1 overall / 2 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.14
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.69
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
2.95
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.13
CMS adjusted RN staffing hours
Adjusted total hours
2.67
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,874
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.68
Baseline 19.36% · Performance 20.19% · Measure score 2.68 · Achievement 2.68 · Improvement 0
Healthcare-associated infections
1.25
Baseline 7.04% · Performance 7.46% · Measure score 1.25 · Achievement 1.25 · Improvement 0
Total nurse turnover
0.03
Baseline 72.55% · Performance 70.00% · Measure score 0.03 · Achievement 0 · Improvement 0.03
Adjusted total nurse staffing
0
Baseline 3.44 hours · Performance 2.63 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.23% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 5.38% · Lower 95% interval 6.6% |
| Discharge to community | 57.65% |
50.57%
7.1 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 49.02% · Lower 95% interval 40.98% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 67.82% |
95.27%
27.5 pts worse
|
Numerator 59 · Denominator 87 |
| Falls with major injury | 2.3% |
0.77%
1.5 pts worse
|
Numerator 2 · Denominator 87 |
| Discharge self-care score | 53.13% |
53.69%
0.6 pts worse
|
Numerator 34 · Denominator 64 |
| Discharge mobility score | 45.31% |
50.94%
5.6 pts worse
|
Numerator 29 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 6 · Denominator 87 · Adjusted rate 5.16% |
| Healthcare-associated infections requiring hospitalization | 7.46% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 8% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 65.75% |
8.2%
57.5 pts better
|
Numerator 48 · Denominator 73 |
| Staff flu vaccination coverage | 13.11% |
42%
28.9 pts worse
|
Numerator 16 · Denominator 122 |
| Discharge function score | 57.81% |
56.45%
1.4 pts better
|
Numerator 37 · Denominator 64 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 8.33% |
25.2%
16.9 pts worse
|
Numerator 3 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.2
1.2 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.4 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 23.1% |
9.6%
13.5 pts worse
|
11.4%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 22.9% · Q3 30.2% · Q4 15.4% · 4Q avg 23.1% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
5.9%
0.3 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.5% · Q3 5.3% · Q4 2.9% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.0% |
20.7%
6.3 pts worse
|
19.6%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 27.3% · Q3 30.0% · Q4 25.0% · 4Q avg 27.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.8% |
21.4%
14.4 pts worse
|
16.7%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 36.4% · Q3 36.4% · Q4 33.3% · 4Q avg 35.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.7% |
17.9%
11.8 pts worse
|
16.3%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.8% |
16.2%
5.6 pts worse
|
14.9%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 27.9% · Q3 22.5% · Q4 12.8% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.1%
0.3 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.5%
0.8 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.1% · Q3 0.0% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.3% |
16.1%
7.2 pts worse
|
19.8%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 19.9% · Q3 22.0% · Q4 15.7% · 4Q avg 23.3% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
6.2%
1.6 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.0% · Q3 7.2% · Q4 5.5% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
80.4%
17.6 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 95.7% · Q3 97.4% · Q4 100.0% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
12.2%
0.2 pts worse
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 15.1% · Expected 13.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
2.2%
2 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.8% · Q3 2.1% · Q4 2.4% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
78.2%
16.2 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
24.2%
1.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 32.1% · Expected 29.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-24 · Fire 2022-06-24
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-05-16 · Fire 2019-05-16
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-06-24
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-26
F · Potential for more than minimal harm
2022-06-24
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-26
F · Potential for more than minimal harm
2022-06-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-26
F · Potential for more than minimal harm
2019-05-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-06-30
F · Potential for more than minimal harm
2019-05-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-06-30
D · Potential for more than minimal harm
2019-05-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-06-30
Inspection history
Recent health citations
G · Actual harm
2025-08-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
F · Potential for more than minimal harm
2024-07-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-31
F · Potential for more than minimal harm
2024-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-01
E · Potential for more than minimal harm
2024-07-31
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-31
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-31
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-31
F625 · Resident Rights Deficiencies
Health
Notify 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.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-31
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-31
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-31
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-31
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-31
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-31
C · Minimal harm
2024-07-31
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-08-31
E · Potential for more than minimal harm
2022-06-24
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-07-26
E · Potential for more than minimal harm
2022-06-24
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-26
D · Potential for more than minimal harm
2022-06-24
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-07-26
F · Potential for more than minimal harm
2019-05-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-06-30
D · Potential for more than minimal harm
2019-05-16
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-06-30
D · Potential for more than minimal harm
2019-05-16
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-06-30
D · Potential for more than minimal harm
2019-05-16
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-06-30
Penalties and ownership
What sits behind the stars
$4,017
2024-07-31
Fine
Fine · fine $4,017
Fine
Ownership
Rwc Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Beacon Health Management LLC
Operational/Managerial Control · Organization
Mukwindidza, Chido
W-2 Managing Employee · Individual
Pww Healthcare, LLC
5% Or Greater Indirect Ownership Interest · Organization
Wertheim, Bruce
5% Or Greater Indirect Ownership Interest · Individual
Wertheim, Bruce
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Harborview Health Systems Jesup
Jesup, GA
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
#2
Jesup Health And Rehab
Jesup, GA
1-star overall rating with 1-star inspections with $45,968 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Coastal Manor
Ludowici, GA
1-star overall rating with 2-star inspections with 2 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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