Federal inspection record · CMS data as of October 1, 2026
Lillian Carter Health Center by Harborview
225 Hospital Street, Plains, GA · (229) 824-7796
- Certified beds
- 100
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Harborview Health Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1993
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Lillian Carter Health Center by Harborview carries 42 inspection points. That is fewer than 40% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5E
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2E
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Environmental1F
- F
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
2025-09-12
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-03-10
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-05-19
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 16 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 98.6% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine77.9 pts worse | 16.7% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms55.3 pts worse | 67.0% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 8.6% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts better | 19.7% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse | 20.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 10.7% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 14.8% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.9% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.9% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts better | 15.2% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 6.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better | 87.1% | 80.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse | 3.8% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.1 pts worse | 48.6% | 78.7% | 80.1% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blaxton, Brandi | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Blaxton, Brandi | Adp Of The SNF · Individual | 0% | 10 facilities |
| Bledsoe, Rena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bledsoe, Rena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bridges, Teresa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bridges, Teresa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cedarwood Management LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Cedarwood Management LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Cl 2022 Irrv Tr | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| De 2021 Irrv Tr | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Englander, David | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Englander, David | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Englander, David | Adp Of The SNF · Individual | 0% | 19 facilities |
| Fendrich, Warren | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Fendrich, Warren | Adp Of The SNF · Individual | 0% | 10 facilities |
| High, Renee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| High, Renee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hunt, Heather | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Hunt, Heather | Adp Of The SNF · Individual | 0% | 10 facilities |
| Lawrence Bay Partnership | Adp Of The SNF · Organization | 0% | 1 facilities |
| Leibowitz, Chaim | Managing Control - Governing Body · Individual | 0% | 21 facilities |
| Leibowitz, Chaim | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Leibowitz, Chaim | Adp Of The SNF · Individual | 0% | 21 facilities |
| Plains Wanesboro Holdings LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Rogers, Art | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Rogers, Art | Adp Of The SNF · Individual | 0% | 10 facilities |
| Semones, Charles | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Semones, Charles | Adp Of The SNF · Individual | 0% | 1 facilities |
| Taylor, Robert | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Taylor, Robert | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
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Other homes nearby
-
Magnolia Manor Methodist Nsg C
Americus, GA · Magnolia Manor Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
Four County Health and Rehabilitation
Richland, GA · Ethica Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
-
Dawson Health And Rehabilitation
Dawson, GA · Ethica Health
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 22 min
- Fines
- $121,401