Cleveland, GA

Friendship Health And Rehab

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

161 Friendship Road, Cleveland, GA

(706) 865-3131

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

89

Certified beds

Average residents

63

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

Staffing

Hours and turnover

RN hours / resident day

0.35

Registered nurse staffing

LPN hours / resident day

0.88

Licensed practical nurse staffing

Aide hours / resident day

1.77

Nurse aide staffing

Weekend hours

2.59

Weekend nurse staffing

RN turnover

17%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	2.0 1.2 pts better	1.8 1 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	91.2% 7.8 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents who have depressive symptoms	8.2%	9.6% 1.4 pts better	11.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	4.3%	5.9% 1.6 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.2%	20.7% 6.5 pts worse	19.6% 7.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	22.4%	21.4% 1 pts worse	16.7% 5.7 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	10.5%	17.9% 7.4 pts better	16.3% 5.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	17.2%	16.2% 1 pts worse	14.9% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.0%	2.5% 1.5 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.6%	16.1% 0.5 pts worse	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.0%	6.2% 0.2 pts better	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.1%	80.4% 17.7 pts better	81.7% 16.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	6.0%	12.2% 6.2 pts better	12.0% 6 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	6.1%	2.2% 3.9 pts worse	1.6% 4.5 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.0%	78.2% 9.8 pts better	79.7% 8.3 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.6%	24.2% 2.4 pts worse	23.9% 2.7 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

1 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-04-16 · Fire 2023-04-16

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-01-06 · Fire 2022-01-06

1 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

F · Potential for more than minimal harm 2025-04-24

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 2025-06-03

D · Potential for more than minimal harm 2025-04-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-04-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-04-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-03

F · Potential for more than minimal harm 2023-04-16

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-03

F · Potential for more than minimal harm 2023-04-16

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 2023-05-31

E · Potential for more than minimal harm 2023-04-16

F758 · Pharmacy Service Deficiencies

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 2023-05-31

D · Potential for more than minimal harm 2023-04-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-31

D · Potential for more than minimal harm 2022-01-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-20

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