7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Glennville, GA
1-star overall rating with 3-star inspections with $4,893 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
721 North Veterans Blvd, Glennville, GA
(912) 654-2138
Overall
1 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
109
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-12-01
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
RN hours / resident day
0.30
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.04
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.60
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.03
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
7,296
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.66
Baseline 19.83% · Performance 20.20% · Measure score 2.66 · Achievement 2.66 · Improvement 0
Healthcare-associated infections
4.22
Baseline 11.28% · Performance 8.31% · Measure score 4.22 · Achievement 0 · Improvement 4.22
Total nurse turnover
4.43
Performance 45.57% · Measure score 4.43 · Achievement 4.43 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.75
Baseline 2.92 hours · Performance 3.28 hours · Measure score 0.75 · Achievement 0.70 · Improvement 0.75
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.45% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 14.89% · Lower 95% interval 7.28% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 62.86% |
95.27%
32.4 pts worse
|
Numerator 22 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 20 · Denominator 30 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 18 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 5.71% |
2.29%
3.4 pts worse
|
Numerator 2 · Denominator 35 · Adjusted rate 3.92% |
| Healthcare-associated infections requiring hospitalization | 8.31% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 12.82% · Lower 95% interval 4.44% |
| Staff COVID-19 vaccination coverage | 16.81% |
8.2%
8.6 pts better
|
Numerator 19 · Denominator 113 |
| Staff flu vaccination coverage | 30.77% |
42%
11.2 pts worse
|
Numerator 40 · Denominator 130 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 20 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.0 |
2.2
1.8 pts worse
|
1.9
2.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.2%
6.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.6% · Q3 98.8% · Q4 98.9% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
95.0%
3.9 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.2%
1.1 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.6% · Q3 4.8% · Q4 4.3% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
9.6%
5.1 pts better
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 3.8% · Q3 0.0% · Q4 4.9% · 4Q avg 4.5% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.9%
0.8 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 11.8% · Q3 7.8% · Q4 4.5% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
20.7%
1.9 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 20.8% · Q3 20.0% · Q4 25.8% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.7% |
21.4%
9.3 pts worse
|
16.7%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 32.0% · Q3 27.5% · Q4 31.0% · 4Q avg 30.7% · 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 | 18.1% |
17.9%
0.2 pts worse
|
16.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 21.7% · Q3 26.8% · Q4 14.0% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
16.2%
3.8 pts worse
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 17.6% · Q3 21.4% · Q4 27.3% · 4Q avg 20.0% · 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 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.5%
1.3 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.3% |
16.1%
2.2 pts worse
|
19.8%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 20.3% · Q3 13.2% · Q4 21.5% · 4Q avg 18.3% |
| 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 · Q1 6.8% · Q2 8.2% · Q3 3.9% · Q4 3.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.3% |
80.4%
1.1 pts worse
|
81.7%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 84.4% · Q3 81.8% · Q4 73.4% · 4Q avg 79.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
12.2%
5.9 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 19.6% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.2%
1.6 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 3.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.7% |
78.2%
8.5 pts better
|
79.7%
7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.1% |
24.2%
4.9 pts worse
|
23.9%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 32.6% · Expected 26.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-28
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-28
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-28
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-05-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-29
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-01-29
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2020-03-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-03-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-03-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-15
Inspection history
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-05-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-14
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-05-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-01-29
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 2023-01-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-15
Penalties and ownership
Fine · fine $1,748
Fine
Fine · fine $3,145
Fine
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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