Fort Gaines, GA

Fort Gaines Health And Rehab

2-star overall rating with 2-star inspections with 12 recent health deficiencies

101 Hartford Road, West, Fort Gaines, GA

(229) 768-2521

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

55

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mission Health Communities

Operator or chain grouping

Approved since

2005-06-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing

LPN hours / resident day

0.92

Licensed practical nurse staffing

Aide hours / resident day

2.11

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

43%

Annual RN turnover

Total nurse turnover

22%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.2
0.3 pts better
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
2.0
1.4 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
91.2%
6.9 pts better
93.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
95.0%
1.4 pts better
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
3.2%
1.8 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
9.6%
9.6 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.5%
5.9%
5.4 pts better
5.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3%
20.7%
4.4 pts better
19.6%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.6%
21.4%
0.2 pts worse
16.7%
4.9 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 19.9%
17.9%
2 pts worse
16.3%
3.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.3%
16.2%
1.1 pts worse
14.9%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.1%
0.7 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
2.5%
2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.2%
16.1%
8.9 pts better
19.8%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.5%
6.2%
0.7 pts better
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
80.4%
15.5 pts better
81.7%
14.2 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.3%
78.2%
0.9 pts worse
79.7%
2.4 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-30 · Fire 2025-04-30

12 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-05-25 · Fire 2023-05-25

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-01-27 · Fire 2022-01-27

2 health deficiencies

Top issue: Quality of Life and Care (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 2023-05-25

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-25

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-30

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-06-10

F · Potential for more than minimal harm 2025-04-30

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 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F578 · Resident Rights Deficiencies

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 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

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 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-30

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-06-10

F · Potential for more than minimal harm 2023-05-25

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 2023-06-29

F · Potential for more than minimal harm 2023-05-25

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-06-29

E · Potential for more than minimal harm 2023-05-25

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-06-29

E · Potential for more than minimal harm 2023-05-25

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

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 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F690 · Quality of Life and Care Deficiencies

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 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-06-29

D · Potential for more than minimal harm 2023-05-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-06-29

C · Minimal harm 2023-05-25

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-06-29

E · Potential for more than minimal harm 2022-01-27

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 2022-03-01

D · Potential for more than minimal harm 2022-01-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-01

Penalties and ownership

What sits behind the stars

Ownership

Gbd LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2008-03-04
Barnes, Michelle

W-2 Managing Employee · Individual

0% 17 facilities 2018-12-01
Barres, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 40 facilities 2015-01-01
Crino, Bryan

5% Or Greater Indirect Ownership Interest · Individual

0% 25 facilities 2015-01-01
Feuer, Scott

5% Or Greater Indirect Ownership Interest · Individual

0% 25 facilities 2015-01-01
Lindeman, Stuart

5% Or Greater Indirect Ownership Interest · Individual

0% 40 facilities 2015-01-01
Lindeman, Stuart

Corporate Officer · Individual

0% 40 facilities 2015-01-01
Mission Health Of Georgia, LLC

Operational/Managerial Control · Organization

0% 11 facilities 2015-01-01
Passero, Joseph

5% Or Greater Indirect Ownership Interest · Individual

0% 24 facilities 2015-01-01
T And C Capital Assets, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 39 facilities 2015-01-01
Windward Health Partners LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 40 facilities 2015-01-01
Yoakum, Jamie

Operational/Managerial Control · Individual

0% 36 facilities 2024-03-31
Yoakum, Jamie

Corporate Officer · Individual

0% 36 facilities 2024-03-13

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Health
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Staffing
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#3

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Health
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Staffing
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