Fitzgerald, GA

Harmony Health and Rehabilitation

1-star overall rating with 1-star inspections with $6,180 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

176 Lincoln Ave, Fitzgerald, GA

(229) 423-5621

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

167

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Beacon Health Management

Operator or chain grouping

Approved since

1998-07-01

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

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

0.35

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.23

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.24

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

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.96

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

86%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,461

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

Performance score

36.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

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

4.27

Baseline 56.25% · Performance 46.24% · Measure score 4.27 · Achievement 4.27 · Improvement 2.69

Adjusted total nurse staffing

2.95

Baseline 3.24 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 2.16

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.09%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 10.53% · Lower 95% interval 6.85%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.71
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 34 · Denominator 34
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 34
Discharge self-care score 37.93%
53.69%
15.8 pts worse
Numerator 11 · Denominator 29
Discharge mobility score 17.24%
50.94%
33.7 pts worse
Numerator 5 · Denominator 29
Pressure ulcers or injuries, new or worsened 2.94%
2.29%
0.6 pts worse
Numerator 1 · Denominator 34 · Adjusted rate 2.97%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 22 · 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 117
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 41.38%
56.45%
15.1 pts worse
Numerator 12 · Denominator 29
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
2.2
0.2 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.0
About the same
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.0%
91.2%
22.2 pts worse
93.4%
24.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 70.5% · Q2 67.5% · Q3 71.4% · Q4 66.2% · 4Q avg 69.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.2%
95.0%
6.8 pts worse
95.5%
7.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.2%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.2%
1.4 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 1.2% · Q4 2.6% · 4Q avg 1.8% · 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 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight 6.5%
5.9%
0.6 pts worse
5.4%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 8.1% · Q3 7.8% · Q4 6.0% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.3%
20.7%
12.6 pts worse
19.6%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.0% · Q2 34.6% · Q3 30.4% · Q4 28.6% · 4Q avg 33.3%
Percentage of long-stay residents who received an antipsychotic medication 63.9%
21.4%
42.5 pts worse
16.7%
47.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 60.5% · Q3 68.3% · Q4 66.7% · 4Q avg 63.9% · 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 24.0%
17.9%
6.1 pts worse
16.3%
7.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 34.9% · Q3 38.3% · Q4 7.8% · 4Q avg 24.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.9%
16.2%
6.7 pts worse
14.9%
8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 31.9% · Q3 24.0% · Q4 11.8% · 4Q avg 22.9% · Used in QM five-star
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 · 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 a urinary tract infection 0.9%
2.5%
1.6 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.5%
16.1%
5.4 pts worse
19.8%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 20.7% · Q3 25.5% · Q4 19.9% · 4Q avg 21.5%
Percentage of long-stay residents with pressure ulcers 9.9%
6.2%
3.7 pts worse
5.1%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 9.7% · Q3 11.5% · Q4 10.0% · 4Q avg 9.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 34.6%
80.4%
45.8 pts worse
81.7%
47.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 25.0% · Q4 33.3% · 4Q avg 34.6%
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 · Adjusted 6.0% · Observed 6.7% · Expected 12.5% · Used in QM five-star
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 rehospitalized after a nursing home admission 34.0%
24.2%
9.8 pts worse
23.9%
10.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 34.0% · Observed 30.0% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-08 · Fire 2025-01-08

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-11-29 · Fire 2023-11-29

8 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-18 · Fire 2023-05-18

2 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-22

F · Potential for more than minimal harm 2023-11-29

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-05-18

K222 · Egress Deficiencies

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 2023-06-30

D · Potential for more than minimal harm 2023-05-18

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-30

Inspection history

Recent health citations

G · Actual harm 2025-10-30

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 2025-12-16

G · Actual harm 2025-10-30

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 2025-12-16

D · Potential for more than minimal harm 2025-07-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-07-21

F · Potential for more than minimal harm 2025-01-08

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 2025-02-22

F · Potential for more than minimal harm 2025-01-08

F945 · Infection Control Deficiencies

Health

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-08

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 2025-02-22

D · Potential for more than minimal harm 2025-01-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-01-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-22

D · Potential for more than minimal harm 2024-12-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-19

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 2025-01-26

D · Potential for more than minimal harm 2023-11-29

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

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 2024-01-13

D · Potential for more than minimal harm 2023-11-29

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-11-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-13

D · Potential for more than minimal harm 2023-05-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2023-06-30

Penalties and ownership

What sits behind the stars

$6,180 2024-12-19

Fine

Fine · fine $6,180

Fine

Ownership

Feagle, Breianna

Operational/Managerial Control · Individual

0% 1 facilities 2025-05-01
Fischer, Dovid

Operational/Managerial Control · Individual

0% 7 facilities 2025-05-01
Peacock, Michael

Operational/Managerial Control · Individual

0% 8 facilities 2025-05-01

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