Jeffersonville, GA

Jeffersonville Care Center LLC

4-star overall rating with 4-star inspections with $4,119 in total fines with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

113 Spring Valley Road, Jeffersonville, GA

(478) 298-6700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

131

Certified beds

Average residents

95

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Peach Health Group

Operator or chain grouping

Approved since

2016-12-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 2 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

0.16

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.69

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.15

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

0.16

CMS adjusted RN staffing hours

Adjusted total hours

3.79

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,595

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

Performance score

35.61

Composite VBP score used to determine payment impact.

Payment multiplier

0.9892

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

7.12

Baseline 54.63% · Performance 34.57% · Measure score 7.12 · Achievement 7.12 · Improvement 6.24

Adjusted total nurse staffing

0

Baseline 3.52 hours · Performance 3.15 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.25%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 10% · Lower 95% interval 7.37%
Discharge to community	32.49%	50.57% 18.1 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 12.9% · Lower 95% interval 18.06%
Medicare spending per beneficiary	1.19	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 48 · Denominator 48
Falls with major injury	2.08%	0.77% 1.3 pts worse	Numerator 1 · Denominator 48
Discharge self-care score	56%	53.69% 2.3 pts better	Numerator 14 · Denominator 25
Discharge mobility score	36%	50.94% 14.9 pts worse	Numerator 9 · Denominator 25
Pressure ulcers or injuries, new or worsened	2.08%	2.29% 0.2 pts better	Numerator 1 · Denominator 48 · Adjusted rate 1.59%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	56%	56.45% 0.5 pts worse	Numerator 14 · Denominator 25
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 23 · Denominator 23
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	2.2 0.6 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	72.3%	91.2% 18.9 pts worse	93.4% 21.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 70.5% · Q3 65.9% · Q4 61.5% · 4Q avg 72.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.0%	95.0% 15 pts worse	95.5% 15.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.2% 1.8 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 1.1% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.7%	9.6% 0.9 pts better	11.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.3% · Q3 15.3% · Q4 13.0% · 4Q avg 8.7%
Percentage of long-stay residents who lose too much weight	6.0%	5.9% 0.1 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.6% · Q3 7.7% · Q4 8.9% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.8%	20.7% 8.1 pts worse	19.6% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 29.1% · Q3 26.8% · Q4 29.3% · 4Q avg 28.8%
Percentage of long-stay residents who received an antipsychotic medication	34.1%	21.4% 12.7 pts worse	16.7% 17.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 40.0% · Q3 35.0% · Q4 25.0% · 4Q avg 34.1% · 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	9.5%	17.9% 8.4 pts better	16.3% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.0% · Q3 0.0% · Q4 16.9% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.5%	16.2% 5.3 pts worse	14.9% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 22.1% · Q3 16.9% · Q4 20.5% · 4Q avg 21.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.1% 0.9 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.5% 1.9 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.3%	16.1% 11.2 pts worse	19.8% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 45.8% · Q3 15.4% · Q4 32.1% · 4Q avg 27.3%
Percentage of long-stay residents with pressure ulcers	7.1%	6.2% 0.9 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 7.4% · Q3 6.9% · Q4 3.3% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	30.3%	80.4% 50.1 pts worse	81.7% 51.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 27.5% · Q3 9.4% · Q4 7.1% · 4Q avg 30.3%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	12.2% 7.5 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 5.9% · Expected 14.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	2.2% 1.1 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	15.1%	78.2% 63.1 pts worse	79.7% 64.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 15.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.5%	24.2% 11.3 pts worse	23.9% 11.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.5% · Observed 41.2% · Expected 27.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

5 health deficiencies

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

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-08-24 · Fire 2023-08-24

7 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2022-02-03 · Fire 2022-02-03

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-20

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-02-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-02-20

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-02-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-02-20

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 2025-04-02

D · Potential for more than minimal harm 2025-02-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-02-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-02

E · Potential for more than minimal harm 2023-08-24

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-10-05

E · Potential for more than minimal harm 2023-08-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-05

E · Potential for more than minimal harm 2023-08-24

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

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 2023-10-05

D · Potential for more than minimal harm 2023-08-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-08-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-10-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-20

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 2025-04-02

D · Potential for more than minimal harm 2025-02-20

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 2025-04-02

D · Potential for more than minimal harm 2025-02-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-02-20

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-02-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-02

F · Potential for more than minimal harm 2023-08-24

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 2023-10-05

D · Potential for more than minimal harm 2023-08-24

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 2023-10-05

D · Potential for more than minimal harm 2023-08-24

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-08-24

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 2023-10-05

D · Potential for more than minimal harm 2023-08-24

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 2023-10-05

D · Potential for more than minimal harm 2023-08-24

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-10-05

F · Potential for more than minimal harm 2022-02-03

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 2022-03-20

E · Potential for more than minimal harm 2022-02-03

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 2022-03-20

D · Potential for more than minimal harm 2022-02-03

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 2022-03-20

D · Potential for more than minimal harm 2022-02-03