Glenwood, GA

Glenwood Health and Rehabilitation

1-star overall rating with 2-star inspections with $7,901 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

41 North Fifth Street, Glenwood, GA

(912) 523-5102

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Beacon Health Management

Operator or chain grouping

Approved since

2005-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 1 overall / 2 health / 2 staffing / 2 quality stars

Changed ownership

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

0.20

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.29

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.83

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

1.49

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.23

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

0.19

CMS adjusted RN staffing hours

Adjusted total hours

3.23

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

66%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

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

Not reported

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

Total nurse turnover

Baseline 61.29% · Performance 65.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.40 hours · Performance 3.10 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.38%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 7.48%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	10%	0.77% 9.2 pts worse	Numerator 2 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	5%	2.29% 2.7 pts worse	Numerator 1 · Denominator 20 · Adjusted rate 4.19%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 66
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · 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 9 · 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	1.3	2.2 0.9 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	2.0 0.1 pts better	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.2% 8.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.9%	3.2% 3.7 pts worse	3.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 10.3% · Q3 7.9% · Q4 4.8% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.5%	9.6% 2.1 pts better	11.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 11.1% · Q3 8.6% · Q4 5.1% · 4Q avg 7.5%
Percentage of long-stay residents who lose too much weight	8.9%	5.9% 3 pts worse	5.4% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.8% · Q3 6.2% · Q4 3.0% · 4Q avg 8.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.6%	20.7% 7.9 pts worse	19.6% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 25.0% · Q3 27.3% · Q4 37.1% · 4Q avg 28.6%
Percentage of long-stay residents who received an antipsychotic medication	31.1%	21.4% 9.7 pts worse	16.7% 14.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 29.6% · Q3 27.3% · Q4 39.3% · 4Q avg 31.1% · 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	30.5%	17.9% 12.6 pts worse	16.3% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 30.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.6%	16.2% 5.4 pts worse	14.9% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.4% · Q3 25.8% · Q4 24.2% · 4Q avg 21.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.3%	1.1% 1.2 pts worse	1.0% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.7% · Q3 2.1% · Q4 2.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.8%	16.1% 5.7 pts worse	19.8% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 18.2% · Q3 29.7% · Q4 19.2% · 4Q avg 21.8%
Percentage of long-stay residents with pressure ulcers	3.5%	6.2% 2.7 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.3% · Q3 2.0% · Q4 6.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	80.4% 19.6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · 4Q avg 100.0%
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	72.4%	78.2% 5.8 pts worse	79.7% 7.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-10 · Fire 2024-11-10

8 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-07-23 · Fire 2023-07-23

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2021-12-02 · Fire 2021-12-02

13 health deficiencies

Top issue: Quality of Life and Care (3 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 2024-11-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-25

D · Potential for more than minimal harm 2024-11-10

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2024-12-25

D · Potential for more than minimal harm 2024-11-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-25

E · Potential for more than minimal harm 2023-07-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-08-31

E · Potential for more than minimal harm 2023-07-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-31

E · Potential for more than minimal harm 2023-07-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-31

E · Potential for more than minimal harm 2023-07-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-23

K221 · Egress Deficiencies

Fire Safety

Provide rooms that can be unlocked from inside without a key.

Corrected 2023-08-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-11

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 2025-10-15

D · Potential for more than minimal harm 2025-09-11

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-10-15

F · Potential for more than minimal harm 2024-11-10

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 2024-12-25

E · Potential for more than minimal harm 2024-11-10

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 2024-12-25

E · Potential for more than minimal harm 2024-11-10

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-25

D · Potential for more than minimal harm 2024-11-10

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 2024-12-25

D · Potential for more than minimal harm 2024-11-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-25

D · Potential for more than minimal harm 2024-11-10

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-12-25

G · Actual harm 2023-07-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-23

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 2023-08-31

D · Potential for more than minimal harm 2023-07-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-23

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-23

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-08-31

F · Potential for more than minimal harm 2021-12-02

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 2022-01-16

F · Potential for more than minimal harm 2021-12-02

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2022-01-16

E · Potential for more than minimal harm 2021-12-02

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 2022-01-16

E · Potential for more than minimal harm 2021-12-02