Gray, GA

Lynn Haven Health And Rehabilitation

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

747 Monticello Highway, Gray, GA

(478) 986-3196

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

104

Certified beds

Average residents

67

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ethica Health

Operator or chain grouping

Approved since

1989-11-27

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

0.48

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.56

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.38

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.04

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,013

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

Performance score

21.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.35

Baseline 18.51% · Performance 19.88% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Healthcare-associated infections

0

Baseline 7.17% · Performance 9.47% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.45

Baseline 67.61% · Performance 50.70% · Measure score 3.45 · Achievement 3.17 · Improvement 3.45

Adjusted total nurse staffing

1.89

Baseline 3.37 hours · Performance 3.62 hours · Measure score 1.89 · Achievement 1.89 · Improvement 0.52

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.57%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 12.94% · Lower 95% interval 7.96%
Discharge to community	41.69%	50.57% 8.9 pts worse	No Different than the National Rate · Eligible stays 90 · Observed rate 33.33% · Lower 95% interval 32.92%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	89.36%	95.27% 5.9 pts worse	Numerator 42 · Denominator 47
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 47
Discharge self-care score	65.79%	53.69% 12.1 pts better	Numerator 25 · Denominator 38
Discharge mobility score	52.63%	50.94% 1.7 pts better	Numerator 20 · Denominator 38
Pressure ulcers or injuries, new or worsened	8.51%	2.29% 6.2 pts worse	Numerator 4 · Denominator 47 · Adjusted rate 7.12%
Healthcare-associated infections requiring hospitalization	9.47%	7.12% 2.4 pts worse	No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 5.52%
Staff COVID-19 vaccination coverage	2.88%	8.2% 5.3 pts worse	Numerator 3 · Denominator 104
Staff flu vaccination coverage	38.89%	42% 3.1 pts worse	Numerator 35 · Denominator 90
Discharge function score	68.42%	56.45% 12 pts better	Numerator 26 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · 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	2.2	2.2 About the same	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	2.0 1.4 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.9%	91.2% 4.7 pts better	93.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 95.0% · Q3 96.9% · Q4 98.4% · 4Q avg 95.9%
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	3.7%	3.2% 0.5 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 4.6% · Q4 6.5% · 4Q avg 3.7% · 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	6.8%	5.9% 0.9 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.6% · Q3 8.6% · Q4 8.8% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.5%	20.7% 1.2 pts better	19.6% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 18.5% · Q3 15.5% · Q4 17.5% · 4Q avg 19.5%
Percentage of long-stay residents who received an antipsychotic medication	30.2%	21.4% 8.8 pts worse	16.7% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 29.5% · Q3 28.6% · Q4 34.0% · 4Q avg 30.2% · 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	15.7%	17.9% 2.2 pts better	16.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 28.2% · Q3 10.5% · Q4 6.6% · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.9%	16.2% 7.3 pts better	14.9% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 3.8% · Q3 12.5% · Q4 11.1% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	2.5% 0.5 pts better	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.3% · Q3 1.5% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.4%	16.1% 3.3 pts worse	19.8% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 18.6% · Q3 18.5% · Q4 11.8% · 4Q avg 19.4%
Percentage of long-stay residents with pressure ulcers	9.1%	6.2% 2.9 pts worse	5.1% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.6% · Q3 13.8% · Q4 10.2% · 4Q avg 9.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.3%	80.4% 3.9 pts better	81.7% 2.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 84.4% · Q3 80.0% · Q4 93.2% · 4Q avg 84.3%
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	12.2% 12.2 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	2.2% 1.7 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q4 9.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.3%	78.2% 5.9 pts worse	79.7% 7.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.8%	24.2% 7.4 pts better	23.9% 7.1 pts better	Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 20.6% · Expected 29.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

3 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-05-05 · Fire 2024-05-05

2 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-04-16 · Fire 2023-04-16

3 health deficiencies

Top issue: Infection Control (1 deficiency)

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 2025-09-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-01-02

D · Potential for more than minimal harm 2024-05-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-11

D · Potential for more than minimal harm 2024-05-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-09-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-07

D · Potential for more than minimal harm 2024-05-05

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 2024-06-11

D · Potential for more than minimal harm 2024-05-05

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-06-11

E · Potential for more than minimal harm 2023-04-16

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 2023-05-19

E · Potential for more than minimal harm 2023-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-16

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 2023-05-19

Penalties and ownership