Lagrange, GA

Green Acres Care Center LLC

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1400 Hogansville Road, Lagrange, GA

(706) 803-7390

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

116

Certified beds

Average residents

89

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-11-01

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

0.67

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.80

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.28

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

0.78

CMS adjusted RN staffing hours

Adjusted total hours

4.43

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,411

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

Performance score

36.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9897

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.51

Baseline 18.68% · Performance 21.19% · Measure score 0.51 · Achievement 0.51 · Improvement 0

Healthcare-associated infections

4.63

Baseline 5.65% · Performance 6.45% · Measure score 4.63 · Achievement 4.63 · Improvement 0

Total nurse turnover

5.79

Baseline 42.25% · Performance 40.00% · Measure score 5.79 · Achievement 5.79 · Improvement 0.80

Adjusted total nurse staffing

3.58

Baseline 4.09 hours · Performance 4.10 hours · Measure score 3.58 · Achievement 3.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.97%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 19.3% · Lower 95% interval 8.07%
Discharge to community	43.47%	50.57% 7.1 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 31.43% · Lower 95% interval 31.68%
Medicare spending per beneficiary	0.7	1.02 0.3 pts better
Drug regimen review with follow-up	95.92%	95.27% 0.7 pts better	Numerator 47 · Denominator 49
Falls with major injury	2.04%	0.77% 1.3 pts worse	Numerator 1 · Denominator 49
Discharge self-care score	60%	53.69% 6.3 pts better	Numerator 18 · Denominator 30
Discharge mobility score	63.33%	50.94% 12.4 pts better	Numerator 19 · Denominator 30
Pressure ulcers or injuries, new or worsened	2.04%	2.29% 0.2 pts better	Numerator 1 · Denominator 49 · Adjusted rate 1.69%
Healthcare-associated infections requiring hospitalization	6.45%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 28 · Observed rate 3.57% · Lower 95% interval 3.01%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 73
Staff flu vaccination coverage	88.37%	42% 46.4 pts better	Numerator 76 · Denominator 86
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 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	27.27%	25.2% 2.1 pts better	Numerator 6 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.2 0.3 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.0 0.7 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.1%	91.2% 2.1 pts worse	93.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 86.4% · Q3 85.4% · Q4 95.3% · 4Q avg 89.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	95.0% 3.8 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.2% 1.4 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.7% · Q3 3.7% · Q4 4.7% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	9.6% 9 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	7.0%	5.9% 1.1 pts worse	5.4% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.1% · Q3 10.8% · Q4 4.9% · 4Q avg 7.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	20.7% 0.2 pts better	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 20.3% · Q3 21.8% · Q4 16.9% · 4Q avg 20.5%
Percentage of long-stay residents who received an antipsychotic medication	24.9%	21.4% 3.5 pts worse	16.7% 8.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 21.8% · Q3 27.3% · Q4 22.4% · 4Q avg 24.9% · 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	14.4%	17.9% 3.5 pts better	16.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 8.7% · Q3 5.0% · Q4 9.6% · 4Q avg 14.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.1%	16.2% 3.1 pts better	14.9% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 15.6% · Q3 9.0% · Q4 9.5% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	1.1% 0.5 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.6%	2.5% 0.9 pts better	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	16.1% 9 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 19.0% · Q3 32.6% · Q4 27.5% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	3.0%	6.2% 3.2 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.7% · Q3 1.0% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.4%	80.4% 6 pts worse	81.7% 7.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 69.4% · Q3 69.8% · Q4 78.6% · 4Q avg 74.4%
Percentage of short-stay residents who had an outpatient emergency department visit	6.2%	12.2% 6 pts better	12.0% 5.8 pts better	Short Stay · 20240701-20250630 · Adjusted 6.2% · Observed 6.6% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	2.2% 0.2 pts better	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.2%	78.2% 6 pts worse	79.7% 7.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.3%	24.2% 13.1 pts worse	23.9% 13.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 37.3% · Observed 37.7% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-09-28 · Fire 2023-09-28

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-03-17 · Fire 2022-03-17

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-08

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-08

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 2025-05-28

D · Potential for more than minimal harm 2025-05-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-28

D · Potential for more than minimal harm 2022-03-17

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2022-05-01

Inspection history

Recent health citations

G · Actual harm 2026-01-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-05-08

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 2025-05-28

D · Potential for more than minimal harm 2025-05-08

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-08

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 2025-05-28

F · Potential for more than minimal harm 2022-03-17

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 2022-05-01

D · Potential for more than minimal harm 2022-03-17

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 2022-05-01

Penalties and ownership