3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Nahunta, GA
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
12884 Cleveland Street West, Nahunta, GA
(912) 462-6044
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
63
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Crossroads Medical Management
Operator or chain grouping
Approved since
1995-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
RN hours / resident day
0.61
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.27
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.71
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.35
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,040
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.79% · Performance 22.54% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.38% · Performance 8.32% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.43
Baseline 60.53% · Performance 45.59% · Measure score 4.43 · Achievement 4.43 · Improvement 3.69
Adjusted total nurse staffing
4.23
Baseline 4.08 hours · Performance 4.28 hours · Measure score 4.23 · Achievement 4.23 · Improvement 0.71
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.81% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 177 · Observed rate 13.56% · Lower 95% interval 9.18% |
| Discharge to community | 60.05% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 145 · Observed rate 57.24% · Lower 95% interval 52.03% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 114 · Denominator 114 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 114 |
| Discharge self-care score | 43.53% |
53.69%
10.2 pts worse
|
Numerator 37 · Denominator 85 |
| Discharge mobility score | 45.88% |
50.94%
5.1 pts worse
|
Numerator 39 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 3 · Denominator 114 · Adjusted rate 2.91% |
| Healthcare-associated infections requiring hospitalization | 8.32% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 8.82% · Lower 95% interval 4.56% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 66.32% |
42%
24.3 pts better
|
Numerator 63 · Denominator 95 |
| Discharge function score | 49.41% |
56.45%
7 pts worse
|
Numerator 42 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 89 · Denominator 89 |
| 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 | 1.64% |
25.2%
23.6 pts worse
|
Numerator 1 · Denominator 61 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.0
0.5 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.2%
6.2 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 94.1% · Q3 100.0% · Q4 100.0% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.0%
3.1 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.2%
2.1 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.9% · Q3 6.4% · Q4 6.8% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.8% |
9.6%
2.8 pts better
|
11.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 2.0% · Q3 6.8% · Q4 5.0% · 4Q avg 6.8% |
| Percentage of long-stay residents who lose too much weight | 2.2% |
5.9%
3.7 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 4.5% · Q4 2.6% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.6% |
20.7%
7.9 pts worse
|
19.6%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 27.5% · Q3 25.5% · Q4 29.5% · 4Q avg 28.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.9% |
21.4%
5.5 pts better
|
16.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 18.6% · Q3 22.9% · Q4 12.1% · 4Q avg 15.9% · 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 | 21.5% |
17.9%
3.6 pts worse
|
16.3%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.9% |
16.2%
10.7 pts worse
|
14.9%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 22.0% · Q3 29.3% · Q4 30.0% · 4Q avg 26.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.1%
0.1 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.5%
0.3 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 7.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
16.1%
8.6 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 30.2% · Q3 18.6% · Q4 30.8% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
6.2%
3.7 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.9% · Q3 4.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
80.4%
8.8 pts better
|
81.7%
7.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.3% · Q2 84.8% · Q3 91.6% · Q4 98.9% · 4Q avg 89.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.1% |
12.2%
6.1 pts better
|
12.0%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.7% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
2.2%
0.4 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 4.5% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.3% |
78.2%
9.1 pts better
|
79.7%
7.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% |
24.2%
3.2 pts worse
|
23.9%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 27.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2026-02-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-02-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2026-02-04
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-02-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-02-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-11-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-07-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-07-15
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-07-15
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2023-07-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-15
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-07-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-15
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-02-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with $9,620 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Waycross, GA
5-star overall rating with 5-star inspections with $10,218 in total fines with 7 fire-safety deficiencies in the latest cycle
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