Gibson, GA

Gibson Health Opco LLC

5-star overall rating with 5-star inspections with $14,732 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

434 Beall Springs Road, Gibson, GA

(706) 598-3201

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

104

Certified beds

Average residents

64

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-10-01

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

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.97

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,170

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

Performance score

7.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

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

0.81

Performance 7.59% · Measure score 0.81 · Achievement 0.81 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0.75

Baseline 3.17 hours · Performance 3.29 hours · Measure score 0.75 · Achievement 0.75 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.2%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 13.89% · Lower 95% interval 6.86%
Discharge to community	44.17%	50.57% 6.4 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 34.62% · Lower 95% interval 32.54%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	7.59%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 4.09%
Staff COVID-19 vaccination coverage	2.74%	8.2% 5.5 pts worse	Numerator 2 · Denominator 73
Staff flu vaccination coverage	27.03%	42% 15 pts worse	Numerator 20 · Denominator 74
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · 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	2.9	2.2 0.7 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.0 0.4 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.2%	91.2% 4 pts better	93.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 93.8% · Q3 96.8% · Q4 96.8% · 4Q avg 95.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.0% 3.5 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.2% 1.2 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.2% · Q3 3.2% · Q4 1.6% · 4Q avg 4.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	7.8%	5.9% 1.9 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 5.3% · Q3 5.5% · Q4 8.9% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.7%	20.7% 1 pts better	19.6% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 22.0% · Q3 19.0% · Q4 20.0% · 4Q avg 19.7%
Percentage of long-stay residents who received an antipsychotic medication	20.1%	21.4% 1.3 pts better	16.7% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 20.0% · Q3 18.5% · Q4 23.4% · 4Q avg 20.1% · 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	12.2%	17.9% 5.7 pts better	16.3% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 9.1% · Q4 10.8% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.8%	16.2% 4.6 pts worse	14.9% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 16.4% · Q3 15.1% · Q4 20.0% · 4Q avg 20.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	1.1% 0.1 pts better	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.9% · Q3 1.0% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.8%	2.5% 4.3 pts worse	1.7% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.8% · Q3 6.7% · Q4 8.5% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.4%	16.1% 1.7 pts better	19.8% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 17.3% · Q3 18.3% · Q4 11.8% · 4Q avg 14.4%
Percentage of long-stay residents with pressure ulcers	9.1%	6.2% 2.9 pts worse	5.1% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.8% · Q3 10.8% · Q4 5.8% · 4Q avg 9.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	80.4% 11.7 pts better	81.7% 10.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q3 95.2% · Q4 100.0% · 4Q avg 92.1%
Percentage of short-stay residents who had an outpatient emergency department visit	4.8%	12.2% 7.4 pts better	12.0% 7.2 pts better	Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 5.0% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	2.2% 0.3 pts better	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.6%	24.2% 8.6 pts better	23.9% 8.3 pts better	Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 17.5% · Expected 26.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-08-03 · Fire 2023-08-03

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-02-03 · Fire 2022-02-03

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

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 2025-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-02-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-13

D · Potential for more than minimal harm 2025-02-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-13

F · Potential for more than minimal harm 2023-08-03

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-08-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-13

E · Potential for more than minimal harm 2022-02-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-03-20

D · Potential for more than minimal harm 2022-02-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-03-20

D · Potential for more than minimal harm 2022-02-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-03-20

D · Potential for more than minimal harm 2022-02-03

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 2022-03-20

D · Potential for more than minimal harm 2022-02-03

F883 · Infection Control Deficiencies

Health

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

Corrected 2022-03-20

Penalties and ownership

What sits behind the stars

$2,258 2024-01-08

Fine

Fine · fine $2,258

Fine

$1,748 2024-01-02

Fine

Fine · fine $1,748

Fine

$3,145 2023-12-11

Fine

Fine · fine $3,145

Fine

$7,581 2023-08-03

Fine

Fine · fine $7,581

Fine

Ownership

Gibson Rest And Convalescent Home Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-11-01

Hadden, Larry