Commerce, GA

Northridge Health And Rehabilitation

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

100 Medical Center Drive, Commerce, GA

(706) 335-1330

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

167

Certified beds

Average residents

83

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing

LPN hours / resident day

0.47

Licensed practical nurse staffing

Aide hours / resident day

2.57

Nurse aide staffing

Weekend hours

2.89

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

53%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.2
0.3 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
2.0
0.1 pts better
1.8
0.1 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 3.2%
3.2%
About the same
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.8%
9.6%
8.8 pts better
11.4%
10.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.9%
5.9%
1 pts better
5.4%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.6%
20.7%
4.9 pts worse
19.6%
6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.4%
21.4%
2 pts worse
16.7%
6.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 15.0%
17.9%
2.9 pts better
16.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.1%
16.2%
6.1 pts better
14.9%
4.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.1%
0.1 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.2%
2.5%
1.7 pts worse
1.7%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.1%
16.1%
2 pts worse
19.8%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.4%
6.2%
4.8 pts better
5.1%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
80.4%
16.9 pts better
81.7%
15.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.0%
12.2%
1.2 pts better
12.0%
1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.2%
2.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
78.2%
21.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.5%
24.2%
1.7 pts better
23.9%
1.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-23 · Fire 2025-07-23

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-29 · Fire 2024-02-29

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-04-08 · Fire 2022-04-08

11 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

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 2025-07-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-07-23

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-07-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-07-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-06

E · Potential for more than minimal harm 2024-02-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-29

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 2024-04-05

D · Potential for more than minimal harm 2024-02-29

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-07-23

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-07-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-06

D · Potential for more than minimal harm 2024-02-29

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 2024-03-31

D · Potential for more than minimal harm 2024-02-29

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 2024-03-31

D · Potential for more than minimal harm 2024-02-29

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 2024-03-31

F · Potential for more than minimal harm 2022-04-08

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-06-03

F · Potential for more than minimal harm 2022-04-08

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 2022-06-03

F · Potential for more than minimal harm 2022-04-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-03

E · Potential for more than minimal harm 2022-04-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-06-03

E · Potential for more than minimal harm 2022-04-08

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 2022-06-03

E · Potential for more than minimal harm 2022-04-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-06-03

D · Potential for more than minimal harm 2022-04-08

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 2022-06-03

D · Potential for more than minimal harm 2022-04-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-06-03

D · Potential for more than minimal harm 2022-04-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-06-03

D · Potential for more than minimal harm 2022-04-08

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 2022-06-03

D · Potential for more than minimal harm 2022-04-08

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-06-03

Penalties and ownership

What sits behind the stars

Ownership

Clinical Services Inc

Operational/Managerial Control · Organization

0% 49 facilities 2014-01-01
Furey, Samantha

Operational/Managerial Control · Individual

0% 1 facilities 2025-05-19
Hill, John

Operational/Managerial Control · Individual

0% 2 facilities 2003-04-01
Knight, James

Operational/Managerial Control · Individual

0% 2 facilities 2023-09-04
Lambert, Reno

Operational/Managerial Control · Individual

0% 12 facilities 2023-09-01

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1-star overall rating with 2-star inspections with $4,194 in total fines with 7 recent health deficiencies with 16 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

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2-star overall rating with 2-star inspections with $15,646 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
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Staffing
2 / 5
Fines
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#3

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Athens, GA

4-star overall rating with 3-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0

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