Newnan, GA

Avalon Health And Rehabilitation

3-star overall rating with 4-star inspections with $3,728 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

120 Spring Street, Newnan, GA

(770) 253-1475

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

78

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ethica Health

Operator or chain grouping

Approved since

1992-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

0.66

Licensed practical nurse staffing

Aide hours / resident day

2.33

Nurse aide staffing

Weekend hours

3.18

Weekend nurse staffing

RN turnover

39%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.9%
91.2%
10.3 pts worse
93.4%
12.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
95.0%
2.4 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.1%
3.2%
2.9 pts worse
3.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
9.6%
9.2 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.8%
5.9%
2.9 pts worse
5.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.2%
20.7%
0.5 pts worse
19.6%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 36.8%
21.4%
15.4 pts worse
16.7%
20.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 16.0%
17.9%
1.9 pts better
16.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 25.2%
16.2%
9 pts worse
14.9%
10.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.1%
1.1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.1%
2.5%
3.6 pts worse
1.7%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.6%
16.1%
5.5 pts worse
19.8%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.6%
6.2%
3.6 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 55.4%
80.4%
25 pts worse
81.7%
26.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 4.0%
2.2%
1.8 pts worse
1.6%
2.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62.5%
78.2%
15.7 pts worse
79.7%
17.2 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-10-06 · Fire 2023-10-06

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-04-24 · Fire 2022-04-24

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-25

D · Potential for more than minimal harm 2023-10-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-10

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 2025-05-25

D · Potential for more than minimal harm 2025-04-10

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.

Corrected 2025-05-25

D · Potential for more than minimal harm 2023-10-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-10-06

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-10-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-11-20

D · Potential for more than minimal harm 2022-04-24

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-06-08

Penalties and ownership

What sits behind the stars

$3,728 2023-10-06

Fine

Fine · fine $3,728

Fine

Ownership

Community Health Systems Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 27 facilities 2009-03-27
Health Scholarships Inc

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2003-04-01
Blake, Wyatt

Operational/Managerial Control · Individual

0% 6 facilities 2025-11-01
Caballero, Christopher

Operational/Managerial Control · Individual

0% 2 facilities 2022-10-17
Clinical Services Inc

Operational/Managerial Control · Organization

0% 49 facilities 2009-03-27
Diem, Marie

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-14
Pittman, Jacqueline

Operational/Managerial Control · Individual

0% 9 facilities 2026-01-01

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