Newnan, GA

Newnan Health And Rehabilitation

1-star overall rating with 1-star inspections with $16,801 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

244 East Broad Street, Newnan, GA

(770) 253-7160

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

104

Certified beds

Average residents

88

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ethica Health

Operator or chain grouping

Approved since

1973-09-20

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

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.50

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.85

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,287

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

Performance score

36.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9901

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.87

Baseline 25.20% · Performance 20.81% · Measure score 4.87 · Achievement 1.33 · Improvement 4.87

Healthcare-associated infections

2.35

Baseline 7.90% · Performance 7.13% · Measure score 2.35 · Achievement 2.35 · Improvement 2.15

Total nurse turnover

4.43

Baseline 55.56% · Performance 45.59% · Measure score 4.43 · Achievement 4.43 · Improvement 2.75

Adjusted total nurse staffing

3.04

Baseline 3.61 hours · Performance 3.94 hours · Measure score 3.04 · Achievement 3.04 · Improvement 1.02

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 77 · Observed rate 9.09% · Lower 95% interval 6.72%
Discharge to community	48.17%	50.57% 2.4 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 43.28% · Lower 95% interval 36.91%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	95.08%	95.27% 0.2 pts worse	Numerator 58 · Denominator 61
Falls with major injury	1.64%	0.77% 0.9 pts worse	Numerator 1 · Denominator 61
Discharge self-care score	31.91%	53.69% 21.8 pts worse	Numerator 15 · Denominator 47
Discharge mobility score	29.79%	50.94% 21.1 pts worse	Numerator 14 · Denominator 47
Pressure ulcers or injuries, new or worsened	1.64%	2.29% 0.7 pts better	Numerator 1 · Denominator 61 · Adjusted rate 1.17%
Healthcare-associated infections requiring hospitalization	7.13%	7.12% About the same	No Different than the National Rate · Eligible stays 45 · Observed rate 6.67% · Lower 95% interval 4.32%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 132
Staff flu vaccination coverage	28.49%	42% 13.5 pts worse	Numerator 51 · Denominator 179
Discharge function score	38.3%	56.45% 18.2 pts worse	Numerator 18 · Denominator 47
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date	25.71%	25.2% 0.5 pts better	Numerator 9 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.0%	91.2% 3.8 pts better	93.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 95.1% · Q3 98.7% · Q4 93.8% · 4Q avg 95.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.5%	95.0% 1.5 pts better	95.5% 1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.2% 0.1 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.7% · Q3 2.5% · Q4 2.5% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.3%	9.6% 9.3 pts better	11.4% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight	5.6%	5.9% 0.3 pts better	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 11.1% · Q3 5.7% · Q4 2.8% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.6%	20.7% 1.1 pts better	19.6% About the same	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 19.4% · Q3 18.6% · Q4 18.1% · 4Q avg 19.6%
Percentage of long-stay residents who received an antipsychotic medication	17.7%	21.4% 3.7 pts better	16.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 16.4% · Q3 17.3% · Q4 18.2% · 4Q avg 17.7% · 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	7.5%	17.9% 10.4 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 14.5% · Q4 3.8% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.8%	16.2% 12.4 pts better	14.9% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.6% · Q3 3.1% · Q4 1.4% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.1% 0.7 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.9% · 4Q avg 0.4% · 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 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.8%	16.1% 10.3 pts better	19.8% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.8% · Q3 4.1% · Q4 6.6% · 4Q avg 5.8%
Percentage of long-stay residents with pressure ulcers	7.8%	6.2% 1.6 pts worse	5.1% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.3% · Q3 7.0% · Q4 6.6% · 4Q avg 7.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.6%	80.4% 3.8 pts worse	81.7% 5.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 70.9% · Q2 74.7% · Q3 87.2% · Q4 74.0% · 4Q avg 76.6%
Percentage of short-stay residents who had an outpatient emergency department visit	13.3%	12.2% 1.1 pts worse	12.0% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 12.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	2.2% 0.6 pts better	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 4.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	64.2%	78.2% 14 pts worse	79.7% 15.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 64.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.5%	24.2% 3.7 pts better	23.9% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 18.8% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-20 · Fire 2024-12-20

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2022-09-08 · Fire 2022-09-08

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-07-11 · Fire 2019-07-11

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

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 2024-12-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-01

Inspection history

Recent health citations

J · Immediate jeopardy 2024-12-20

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 2025-01-01

J · Immediate jeopardy 2024-12-20

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-01-01

D · Potential for more than minimal harm 2024-12-20

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 2025-01-01

D · Potential for more than minimal harm 2024-12-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-01

D · Potential for more than minimal harm 2023-08-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-10-10

F · Potential for more than minimal harm 2019-07-11

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 2019-08-25

E · Potential for more than minimal harm 2019-07-11

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 2019-08-25

E · Potential for more than minimal harm 2019-07-11