Cycle 1
Health 2025-06-19 · Fire 2025-06-19
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Statesboro, GA
Heritage Inn Health And Rehabilitation
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
307 Jones Mill Road, Statesboro, GA
(912) 764-9011
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
92
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ethica Health
Operator or chain grouping
Approved since
1996-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 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
0.66
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.08
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.49
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
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
40%
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
12,443
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
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
1.94
Baseline 56.00% · Performance 55.77% · Measure score 1.94 · Achievement 1.94 · Improvement 0
Adjusted total nurse staffing
0.51
Baseline 2.99 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0.32
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 13.51% · Lower 95% interval 6.94% |
| Discharge to community | 32.14% |
50.57%
18.4 pts worse
|
Worse than the National Rate · Eligible stays 34 · Observed rate 17.65% · Lower 95% interval 20.15% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 78.26% |
95.27%
17 pts worse
|
Numerator 18 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4.35% |
2.29%
2.1 pts worse
|
Numerator 1 · Denominator 23 · Adjusted rate 5.07% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · 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 105 |
| Staff flu vaccination coverage | 54.22% |
42%
12.2 pts better
|
Numerator 45 · Denominator 83 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · 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 |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.2% |
91.2%
1 pts better
|
93.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 82.5% · Q3 96.1% · Q4 100.0% · 4Q avg 92.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.7% |
95.0%
1.3 pts worse
|
95.5%
1.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.2%
0.4 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 1.8% · Q3 2.0% · Q4 1.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
9.6%
9.6 pts better
|
11.4%
11.4 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 who lose too much weight | 5.0% |
5.9%
0.9 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 0.0% · Q3 4.2% · Q4 9.6% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
20.7%
3.8 pts better
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 14.8% · Q3 16.3% · Q4 15.4% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.1% |
21.4%
4.7 pts worse
|
16.7%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 32.6% · Q3 24.4% · Q4 23.8% · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.8% |
0.1%
1.7 pts worse
|
0.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 2.0% · Q4 1.9% · 4Q avg 1.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.5% |
17.9%
5.4 pts better
|
16.3%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.9% |
16.2%
9.7 pts worse
|
14.9%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 15.6% · Q3 34.1% · Q4 11.6% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.1%
0.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
2.5%
1.2 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 6.0% · Q4 1.9% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.9% |
16.1%
6.2 pts better
|
19.8%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 4.4% · Q3 13.2% · Q4 7.7% · 4Q avg 9.9% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.2%
0.2 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 4.4% · Q3 4.6% · Q4 7.6% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.9% |
80.4%
1.5 pts worse
|
81.7%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.9% · Q2 64.0% · Q4 92.1% · 4Q avg 78.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
12.2%
3 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 9.1% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
2.2%
1.2 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.8% |
78.2%
24.4 pts worse
|
79.7%
25.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
24.2%
6.9 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.2% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-25 · Fire 2024-01-25
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-05-08 · Fire 2022-05-08
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2025-06-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-03
D · Potential for more than minimal harm
2024-01-25
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-03-10
D · Potential for more than minimal harm
2024-01-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-10
D · Potential for more than minimal harm
2024-01-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-10
D · Potential for more than minimal harm
2024-01-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-19
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 2025-08-03
D · Potential for more than minimal harm
2025-06-19
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 2025-08-03
D · Potential for more than minimal harm
2025-06-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-03
D · Potential for more than minimal harm
2025-06-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-03
D · Potential for more than minimal harm
2024-01-25
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-03-10
D · Potential for more than minimal harm
2024-01-25
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-10
D · Potential for more than minimal harm
2024-01-25
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 2024-03-10
D · Potential for more than minimal harm
2024-01-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-10
Penalties and ownership
What sits behind the stars
Ownership
Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Health Scholarships Inc
5% Or Greater Direct Ownership Interest · Organization
Cable, Paul
Corporate Director · Individual
Clinical Services Inc
Operational/Managerial Control · Organization
Dennis, Kathryn
Corporate Director · Individual
Gibson, Martha
Operational/Managerial Control · Individual
Herron, Latasha
Operational/Managerial Control · Individual
Hodges, Kimberly
Operational/Managerial Control · Individual
Nichols, Joseph
Corporate Director · Individual
Patel, Maulikkumar
Operational/Managerial Control · Individual
Rollins, Ronnie
Corporate Director · Individual
Wall, Joseph
Corporate Director · Individual
Warnock, Ralph
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Brown's Health and Rehabilitation
Statesboro, GA
2-star overall rating with 4-star inspections with $8,678 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Eagle Health & Rehabilitation
Statesboro, GA
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Westwood Healthcare And Rehabilitation
Statesboro, GA
3-star overall rating with 3-star inspections with $3,728 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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