7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Thomasville, GA
2-star overall rating with 3-star inspections with 7 recent health deficiencies
10629 U.s. Highway 19 South, Thomasville, GA
(229) 226-8942
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
64
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.78
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.60
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
3.76
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,506
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.94
Baseline 57.69% · Performance 43.48% · Measure score 4.94 · Achievement 4.94 · Improvement 3.83
Adjusted total nurse staffing
1.58
Baseline 3.78 hours · Performance 3.53 hours · Measure score 1.58 · Achievement 1.58 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 67 |
| Staff flu vaccination coverage | 98.51% |
42%
56.5 pts better
|
Numerator 66 · Denominator 67 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.2
1.1 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.9 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.5 |
2.0
2.5 pts worse
|
1.8
2.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.5 · Observed 4.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
91.2%
3.1 pts worse
|
93.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 89.8% · Q3 90.9% · Q4 84.7% · 4Q avg 88.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.0%
1.9 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.2%
1.1 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.4% · Q3 5.5% · Q4 3.4% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
9.6%
6.4 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 4.0% · Q4 0.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
5.9%
3.1 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 13.2% · Q3 6.2% · Q4 1.9% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.5% |
20.7%
4.8 pts worse
|
19.6%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 27.8% · Q3 31.2% · Q4 23.1% · 4Q avg 25.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.1% |
21.4%
19.7 pts worse
|
16.7%
24.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.2% · Q2 39.0% · Q3 39.0% · Q4 41.9% · 4Q avg 41.1% · 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 | 14.5% |
17.9%
3.4 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.5% |
16.2%
4.3 pts worse
|
14.9%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 17.8% · Q3 5.1% · Q4 25.6% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.2% |
1.1%
6.1 pts worse
|
1.0%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 6.1% · Q3 7.5% · Q4 9.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.4% |
2.5%
3.9 pts worse
|
1.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.6% · Q3 3.6% · Q4 5.1% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
16.1%
3.6 pts better
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 12.2% · Q3 13.5% · Q4 12.1% · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
6.2%
1.4 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 9.0% · Q3 5.9% · Q4 2.4% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.4% |
80.4%
31 pts worse
|
81.7%
32.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 43.3% · Q4 48.0% · 4Q avg 49.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 12.8% |
2.2%
10.6 pts worse
|
1.6%
11.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 12.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-14
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2023-06-14
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-06-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-14
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-14
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-06-14
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-07
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 2025-02-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-06-14
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-14
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Thomasville, GA
1-star overall rating with 1-star inspections with $23,074 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Thomasville, GA
3-star overall rating with 3-star inspections with $7,020 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Thomasville, GA
1-star overall rating with 1-star inspections with $10,730 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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