3 health deficiencies
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Milledgeville, GA
1-star overall rating with 1-star inspections with $546,749 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1700 Bostick Circle, Milledgeville, GA
(478) 414-9600
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
280
Certified beds
Average residents
245
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2017-05-31
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
Staffing
RN hours / resident day
0.34
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.31
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.53
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
2.18
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
0.65
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
1.72
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
1.84
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
72%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,657
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
2.2
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
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
0
Baseline 58.93% · Performance 66.67% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.44
Baseline 2.37 hours · Performance 2.69 hours · Measure score 0.44 · Achievement 0 · Improvement 0.44
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 9 · 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 2 · 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 | 96% |
95.27%
0.7 pts better
|
Numerator 24 · Denominator 25 |
| Falls with major injury | 4% |
0.77%
3.2 pts worse
|
Numerator 1 · Denominator 25 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 1 · Denominator 25 · Adjusted rate 3.29% |
| 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 | 100% |
8.2%
91.8 pts better
|
Numerator 234 · Denominator 234 |
| Staff flu vaccination coverage | 6.82% |
42%
35.2 pts worse
|
Numerator 9 · Denominator 132 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.2
0.6 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.0
0.6 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
91.2%
6.5 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 100.0% · Q3 100.0% · Q4 96.3% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
95.0%
3.8 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.2%
About the same
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.3% · Q3 2.9% · Q4 2.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 49.1% |
9.6%
39.5 pts worse
|
11.4%
37.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 46.4% · Q3 52.9% · Q4 48.2% · 4Q avg 49.1% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
5.9%
About the same
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.4% · Q3 7.6% · Q4 5.1% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
20.7%
7.7 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 14.9% · Q3 12.2% · Q4 11.9% · 4Q avg 13.0% |
| 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 | 30.7% |
17.9%
12.8 pts worse
|
16.3%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.6% · Q2 29.4% · Q3 31.1% · Q4 19.3% · 4Q avg 30.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.0% |
16.2%
12.8 pts worse
|
14.9%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 22.0% · Q3 35.4% · Q4 20.6% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.7% |
1.1%
5.6 pts worse
|
1.0%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.0% · Q3 6.3% · Q4 6.9% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.6% |
2.5%
5.1 pts worse
|
1.7%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.3% · Q3 8.2% · Q4 8.2% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.0% |
16.1%
2.1 pts better
|
19.8%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 12.5% · Q3 13.5% · Q4 12.8% · 4Q avg 14.0% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
6.2%
0.8 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.8% · Q3 7.1% · Q4 5.9% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.1% |
80.4%
32.3 pts worse
|
81.7%
33.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 64.3% · Q3 40.7% · Q4 48.1% · 4Q avg 48.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.3% |
12.2%
8.1 pts worse
|
12.0%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 23.4% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
78.2%
5.1 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
24.2%
6.6 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 19.1% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-25
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-13
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-09-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-09-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-09-27
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2019-09-27
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-09-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-09-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-15
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-10
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-12-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-25
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-17
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 2023-07-17
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-07-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-12-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-13
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-13
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 2022-12-13
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-13
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2019-09-15
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 2019-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-09-15
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 2019-09-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-09-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-09-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-09-15
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2019-09-15
Penalties and ownership
Fine · fine $546,749
Fine
Payment Denial · denial start 2023-05-05 · 73 days
73 day denial
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Milledgeville, GA
3-star overall rating with 3-star inspections with $7,901 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Milledgeville, GA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
Milledgeville, GA
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
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