1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Hartwell, GA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
261 Fairview Avenue, Hartwell, GA
(706) 376-7121
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
117
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-10-01
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.55
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
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,532
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.38
Baseline 21.29% · Performance 19.40% · Measure score 4.38 · Achievement 4.38 · Improvement 3.93
Healthcare-associated infections
3.09
Baseline 7.07% · Performance 6.91% · Measure score 3.09 · Achievement 3.09 · Improvement 0.25
Total nurse turnover
6.64
Baseline 38.60% · Performance 36.54% · Measure score 6.64 · Achievement 6.64 · Improvement 1
Adjusted total nurse staffing
1.71
Baseline 3.46 hours · Performance 3.56 hours · Measure score 1.71 · Achievement 1.71 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 4.48% · Lower 95% interval 5.95% |
| Discharge to community | 41.52% |
50.57%
9 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 31.82% · Lower 95% interval 28.82% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 1.56% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 64 |
| Discharge self-care score | 67.39% |
53.69%
13.7 pts better
|
Numerator 31 · Denominator 46 |
| Discharge mobility score | 54.35% |
50.94%
3.4 pts better
|
Numerator 25 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 10.94% |
2.29%
8.6 pts worse
|
Numerator 7 · Denominator 64 · Adjusted rate 8.32% |
| Healthcare-associated infections requiring hospitalization | 6.91% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 5% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 16.22% |
42%
25.8 pts worse
|
Numerator 12 · Denominator 74 |
| Discharge function score | 69.57% |
56.45%
13.1 pts better
|
Numerator 32 · Denominator 46 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30.77% |
25.2%
5.6 pts better
|
Numerator 12 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.2
0.4 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.0
1.3 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.2%
8.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.3% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 6.8% |
3.2%
3.6 pts worse
|
3.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.1% · Q3 6.9% · Q4 7.1% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
9.6%
7.4 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.9% · Q3 1.8% · Q4 1.8% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.9%
0.4 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.4% · Q3 7.3% · Q4 1.9% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.2% |
20.7%
23.5 pts worse
|
19.6%
24.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.9% · Q2 45.8% · Q3 40.4% · Q4 44.6% · 4Q avg 44.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.5% |
21.4%
9.1 pts worse
|
16.7%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 30.6% · Q3 29.2% · Q4 32.6% · 4Q avg 30.5% · 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 | 6.7% |
17.9%
11.2 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 10.3% · Q3 6.8% · Q4 6.0% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.4% |
16.2%
5.8 pts better
|
14.9%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 11.5% · Q3 16.3% · Q4 4.2% · 4Q avg 10.4% · 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 1.7% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.5%
0.2 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.6% · Q3 3.6% · Q4 1.9% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.9% |
16.1%
8.2 pts better
|
19.8%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 7.0% · Q3 10.5% · Q4 1.8% · 4Q avg 7.9% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
6.2%
1.3 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 8.1% · Q3 9.6% · Q4 8.9% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
80.4%
14.9 pts better
|
81.7%
13.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 89.5% · Q3 97.5% · Q4 98.1% · 4Q avg 95.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
12.2%
0.2 pts better
|
12.0%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 12.7% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.2%
21.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% |
24.2%
3.2 pts worse
|
23.9%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 28.6% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-16
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 2025-05-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-16
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 2023-12-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-12-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-09-10
Inspection history
Health
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected 2025-05-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Hartwell, GA
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Royston, GA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Iva, SC
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out