Trenton, GA

Dade Health And Rehab

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1234 Highway 301 South, Trenton, GA

(706) 657-4171

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

34

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Reliable Health Care Management

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 3 overall / 4 health / 1 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.44

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

2.80

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.55

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.46

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

0.74

CMS adjusted RN staffing hours

Adjusted total hours

3.01

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,849

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

53.57

Composite VBP score used to determine payment impact.

Payment multiplier

1.0083

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

7.42

Baseline 42.10% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 4.58

Adjusted total nurse staffing

3.29

Baseline 2.68 hours · Performance 3.86 hours · Measure score 3.29 · Achievement 2.74 · Improvement 3.29

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 6.59%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 24 · Denominator 24
Falls with major injury 4.17%
0.77%
3.4 pts worse
Numerator 1 · Denominator 24
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 4.17%
2.29%
1.9 pts worse
Numerator 1 · Denominator 24 · Adjusted rate 4.44%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 21 · 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 56
Staff flu vaccination coverage 57.35%
42%
15.4 pts better
Numerator 39 · Denominator 68
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 11 · 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 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
2.2
0.6 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.0
1 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · 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 3.7%
3.2%
0.5 pts worse
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.6% · Q3 3.7% · Q4 3.4% · 4Q avg 3.7% · 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 4.2% · Q3 7.7% · 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 · Q4 5.0% · 4Q avg 9.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 51.4%
20.7%
30.7 pts worse
19.6%
31.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 55.0% · Q4 50.0% · 4Q avg 51.4%
Percentage of long-stay residents who received an antipsychotic medication 28.0%
21.4%
6.6 pts worse
16.7%
11.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.0% · 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 11.3%
17.9%
6.6 pts better
16.3%
5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.1%
16.2%
2.1 pts better
14.9%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
1.1%
0.6 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 0.0% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.9%
2.5%
1.4 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.7% · Q3 4.2% · Q4 3.4% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
16.1%
4.7 pts worse
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 20.9% · Q3 17.0% · Q4 25.0% · 4Q avg 20.8%
Percentage of long-stay residents with pressure ulcers 1.9%
6.2%
4.3 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 4.0% · Q4 2.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
80.4%
19.6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 13.8%
12.2%
1.6 pts worse
12.0%
1.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 15.0% · Expected 12.1% · 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 91.3%
78.2%
13.1 pts better
79.7%
11.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.3%
24.2%
14.9 pts better
23.9%
14.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 10.0% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-01-15 · Fire 2023-01-15

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-07-15 · Fire 2021-07-15

2 health deficiencies

Top issue: Nutrition and Dietary (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 2025-03-06

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-20

E · Potential for more than minimal harm 2023-01-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-02-02

E · Potential for more than minimal harm 2023-01-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-06

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-20

E · Potential for more than minimal harm 2021-07-15

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2021-08-27

D · Potential for more than minimal harm 2021-07-15

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2021-08-27

Penalties and ownership

What sits behind the stars

Ownership

Employee Stock Ownership Plan Of Select Health Care Inc Trust

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2009-07-01
Bilbo, Richard

Operational/Managerial Control · Individual

0% 15 facilities 2013-06-28
Cromer, Melissa

Operational/Managerial Control · Individual

0% 6 facilities 2015-12-18
Davis, Pam

Operational/Managerial Control · Individual

0% 6 facilities 2009-07-01
Hengen, Frances

Operational/Managerial Control · Individual

0% 6 facilities 2000-07-01
Kimsey, Sarah

Operational/Managerial Control · Individual

0% 6 facilities 2009-07-01
Lancaster, Nicholas

Operational/Managerial Control · Individual

0% 7 facilities 2015-09-21
Mcgill, Brandy

Operational/Managerial Control · Individual

0% 6 facilities 2015-09-21
Morris, Andrew

Corporate Director · Individual

0% 7 facilities 2009-07-01
Morris, Janice

Operational/Managerial Control · Individual

0% 6 facilities 2009-07-01
Williams, Pamela

Operational/Managerial Control · Individual

0% 7 facilities 2016-12-07
Wilson, Pamela

Operational/Managerial Control · Individual

0% 6 facilities 2009-07-01
Wingate, Anne Marie

Operational/Managerial Control · Individual

0% 6 facilities 2018-03-01

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Staffing
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Fines
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#2

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3-star overall rating with 2-star inspections with abuse icon flag with $20,050 in total fines with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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#3

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2-star overall rating with 1-star inspections with $57,077 in total fines

Overall
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Health
1 / 5
Staffing
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Fines
$57,077

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