Cycle 1
Health 2025-09-14 · Fire 2025-09-14
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Dublin, GA
Dublinair Health & Rehab
3-star overall rating with 4-star inspections with $6,682 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
300 Industrial Blvd, Dublin, GA
(478) 272-7437
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
149
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
C. Ross Management
Operator or chain grouping
Approved since
1989-04-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 2 overall / 2 health / 1 staffing / 2 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
Hours and turnover
RN hours / resident day
0.22
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.17
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.81
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
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.19
CMS adjusted RN staffing hours
Adjusted total hours
2.70
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,745
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.53
Baseline 19.46% · Performance 20.72% · Measure score 1.53 · Achievement 1.53 · Improvement 0
Healthcare-associated infections
5.22
Baseline 7.28% · Performance 6.28% · Measure score 5.22 · Achievement 5.22 · Improvement 3.91
Total nurse turnover
7.32
Baseline 36.62% · Performance 33.77% · Measure score 7.32 · Achievement 7.32 · Improvement 1.93
Adjusted total nurse staffing
0
Baseline 3.18 hours · Performance 2.98 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.38% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 130 · Observed rate 20% · Lower 95% interval 11.22% |
| Discharge to community | 54.51% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 46.75% · Lower 95% interval 42.29% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.75% |
95.27%
3.5 pts better
|
Numerator 79 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 43.14% |
53.69%
10.5 pts worse
|
Numerator 22 · Denominator 51 |
| Discharge mobility score | 35.29% |
50.94%
15.6 pts worse
|
Numerator 18 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 80 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.28% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 4.17% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 139 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 45.1% |
56.45%
11.4 pts worse
|
Numerator 23 · Denominator 51 |
| Transfer of health information to provider | 80% |
95.95%
16 pts worse
|
Numerator 20 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.21% |
25.2%
4 pts worse
|
Numerator 7 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.2
0.2 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
91.2%
0.9 pts better
|
93.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.8% · Q2 96.9% · Q3 98.0% · Q4 94.9% · 4Q avg 92.1% |
| 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 | 0.5% |
3.2%
2.7 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 55.6% |
9.6%
46 pts worse
|
11.4%
44.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 68.8% · Q3 76.0% · Q4 62.8% · 4Q avg 55.6% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
5.9%
2.1 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.0% · Q3 11.1% · Q4 8.5% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
20.7%
0.4 pts worse
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 21.6% · Q3 21.8% · Q4 21.3% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
21.4%
7.8 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 13.2% · Q3 13.4% · Q4 16.4% · 4Q avg 13.6% · 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 | 22.4% |
17.9%
4.5 pts worse
|
16.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 38.8% · Q3 21.4% · Q4 14.0% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
16.2%
0.5 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 24.7% · Q3 17.3% · Q4 15.8% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.1%
0.3 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.5%
0.9 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.1% · Q3 2.2% · Q4 1.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.3% |
16.1%
10.8 pts better
|
19.8%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.7% · Q3 3.3% · Q4 4.4% · 4Q avg 5.3% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
6.2%
2.5 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 2.6% · Q3 2.7% · Q4 4.5% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.1% |
80.4%
21.3 pts worse
|
81.7%
22.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 84.0% · Q3 70.2% · Q4 35.3% · 4Q avg 59.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
12.2%
3 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 10.0% · Expected 12.2% · 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 | 73.1% |
78.2%
5.1 pts worse
|
79.7%
6.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
24.2%
6.3 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 23.3% · Expected 31.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-21 · Fire 2024-08-21
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2023-01-05 · Fire 2023-01-05
0 health deficiencies
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-14
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-12-17
F · Potential for more than minimal harm
2025-09-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-11-17
F · Potential for more than minimal harm
2025-09-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-11-17
D · Potential for more than minimal harm
2025-09-14
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-11-17
D · Potential for more than minimal harm
2025-09-14
K321 · Smoke Deficiencies
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 2025-11-17
D · Potential for more than minimal harm
2025-09-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-11-17
F · Potential for more than minimal harm
2024-08-21
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-10-10
E · Potential for more than minimal harm
2024-08-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-05
E · Potential for more than minimal harm
2024-08-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-05
D · Potential for more than minimal harm
2024-08-21
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-05
D · Potential for more than minimal harm
2024-08-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-05
D · Potential for more than minimal harm
2024-08-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-05
D · Potential for more than minimal harm
2024-08-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-05
F · Potential for more than minimal harm
2023-01-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-19
F · Potential for more than minimal harm
2023-01-05
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-02-19
E · Potential for more than minimal harm
2023-01-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-19
D · Potential for more than minimal harm
2023-01-05
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-19
D · Potential for more than minimal harm
2023-01-05
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-01-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-19
D · Potential for more than minimal harm
2023-01-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-01-05
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-19
D · Potential for more than minimal harm
2023-01-05
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-14
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 2025-11-19
D · Potential for more than minimal harm
2025-09-14
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 2025-11-19
D · Potential for more than minimal harm
2025-09-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-11-19
D · Potential for more than minimal harm
2024-08-21
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-02
Penalties and ownership
What sits behind the stars
$6,682
2024-08-21
Fine
Fine · fine $6,682
Fine
Ownership
Peacock, Michael
Operational/Managerial Control · Individual
Shepherd, Joy
Operational/Managerial Control · Individual
Winget, Michael
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Dublin Trails Of Journey LLC
Dublin, GA
2-star overall rating with 3-star inspections with $4,963 in total fines with 6 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#2
Southland Healthcare And Rehab Center
Dublin, GA
1-star overall rating with 1-star inspections with $16,801 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Wrightsville Manor Health And Rehab
Wrightsville, GA
1-star overall rating with 1-star inspections with $74,208 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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