Quitman, GA

Hospital Authority Of Brooks County, Georgia, The

2-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1901 West Screven Street, Quitman, GA

(229) 263-6100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

188

Certified beds

Average residents

138

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-01-01

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.59

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

2.47

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.97

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.57

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.46

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

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.03

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,197

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

Performance score

27.52

Composite VBP score used to determine payment impact.

Payment multiplier

0.9846

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.38% · Performance 21.44% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.63

Baseline 6.94% · Performance 7.65% · Measure score 0.63 · Achievement 0.63 · Improvement 0

Total nurse turnover

7.48

Baseline 27.56% · Performance 33.10% · Measure score 7.48 · Achievement 7.48 · Improvement 0

Adjusted total nurse staffing

2.90

Baseline 3.74 hours · Performance 3.90 hours · Measure score 2.90 · Achievement 2.90 · Improvement 0.28

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.79%
10.72%
3.1 pts worse
No Different than the National Rate · Eligible stays 99 · Observed rate 20.2% · Lower 95% interval 10.17%
Discharge to community 43.94%
50.57%
6.6 pts worse
No Different than the National Rate · Eligible stays 39 · Observed rate 35.9% · Lower 95% interval 34.8%
Medicare spending per beneficiary 1.45
1.02
0.4 pts worse
Drug regimen review with follow-up 85.14%
95.27%
10.1 pts worse
Numerator 63 · Denominator 74
Falls with major injury 1.35%
0.77%
0.6 pts worse
Numerator 1 · Denominator 74
Discharge self-care score 16.67%
53.69%
37 pts worse
Numerator 8 · Denominator 48
Discharge mobility score 20.83%
50.94%
30.1 pts worse
Numerator 10 · Denominator 48
Pressure ulcers or injuries, new or worsened 5.41%
2.29%
3.1 pts worse
Numerator 4 · Denominator 74 · Adjusted rate 3.73%
Healthcare-associated infections requiring hospitalization 7.65%
7.12%
0.5 pts worse
No Different than the National Rate · Eligible stays 56 · Observed rate 8.93% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 253
Staff flu vaccination coverage 15.51%
42%
26.5 pts worse
Numerator 38 · Denominator 245
Discharge function score 18.75%
56.45%
37.7 pts worse
Numerator 9 · Denominator 48
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 26 · Denominator 26
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 20%
25.2%
5.2 pts worse
Numerator 8 · Denominator 40

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 2.1
2.0
0.1 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.9%
91.2%
4.3 pts worse
93.4%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 86.9% · Q3 86.3% · Q4 86.8% · 4Q avg 86.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
95.0%
2.3 pts better
95.5%
1.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
3.2%
2.1 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.5% · Q3 6.5% · Q4 4.4% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.3%
9.6%
5.3 pts better
11.4%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.1% · Q3 3.8% · Q4 3.9% · 4Q avg 4.3%
Percentage of long-stay residents who lose too much weight 6.8%
5.9%
0.9 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.4% · Q3 6.6% · Q4 7.0% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.5%
20.7%
7.8 pts worse
19.6%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 31.3% · Q3 29.5% · Q4 24.2% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication 20.1%
21.4%
1.3 pts better
16.7%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 18.3% · Q3 21.3% · Q4 24.1% · 4Q avg 20.1% · 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 12.3%
17.9%
5.6 pts better
16.3%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 5.2% · Q3 10.7% · Q4 12.2% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
16.2%
3.2 pts worse
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 25.7% · Q3 15.9% · Q4 13.3% · 4Q avg 19.4% · 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 2.2% · Q2 2.5% · Q3 2.5% · Q4 2.2% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.6%
2.5%
2.1 pts worse
1.7%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.6% · Q3 3.6% · Q4 7.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.5%
16.1%
2.4 pts worse
19.8%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 21.4% · Q3 15.1% · Q4 14.6% · 4Q avg 18.5%
Percentage of long-stay residents with pressure ulcers 5.1%
6.2%
1.1 pts better
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 8.8% · Q3 6.4% · Q4 3.2% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.2%
80.4%
6.2 pts worse
81.7%
7.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 54.1% · Q2 78.1% · Q3 75.9% · Q4 93.3% · 4Q avg 74.2%
Percentage of short-stay residents who had an outpatient emergency department visit 15.9%
12.2%
3.7 pts worse
12.0%
3.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 16.3% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
2.2%
0.5 pts better
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 58.1%
78.2%
20.1 pts worse
79.7%
21.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.8%
24.2%
3.4 pts better
23.9%
3.1 pts better
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 22.4% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

9 health deficiencies

Top issue: Resident Rights (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-07-14 · Fire 2022-07-14

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-08-28

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-08-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-08-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-10-12

F · Potential for more than minimal harm 2024-03-28

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-03-28

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-03-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-03-28

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-03-28

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-05-13

D · Potential for more than minimal harm 2022-07-14

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2022-08-28

D · Potential for more than minimal harm 2022-07-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-28

D · Potential for more than minimal harm 2022-07-14

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-06-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-08

E · Potential for more than minimal harm 2024-03-28

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-03-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-03-28

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 2024-05-12

D · Potential for more than minimal harm 2024-03-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-03-28

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 2024-05-12

D · Potential for more than minimal harm 2024-03-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-03-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-03-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-12

C · Minimal harm 2024-03-28

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-12

D · Potential for more than minimal harm 2022-07-14

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 2022-08-28

D · Potential for more than minimal harm 2022-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-28

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

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1-star overall rating with 1-star inspections with $68,297 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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2-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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#3

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4-star overall rating with 4-star inspections with $17,456 in total fines with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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