Cycle 1
Health 2025-06-08 · Fire 2025-06-08
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Columbus, GA
Orchard View Rehabilitation & Skilled Nursing Ctr
4-star overall rating with 4-star inspections with 2 recent health deficiencies
8414 Whitesville Road, Columbus, GA
(706) 225-1100
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
128
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.38
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
3.20
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.87
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.23
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.14
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
0.39
CMS adjusted RN staffing hours
Adjusted total hours
5.24
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,508
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9926
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.44
Baseline 18.85% · Performance 18.91% · Measure score 5.44 · Achievement 5.44 · Improvement 0
Healthcare-associated infections
0
Baseline 5.39% · Performance 8.86% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.79
Performance 52.26% · Measure score 2.79 · Achievement 2.79 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.63
Baseline 5.75 hours · Performance 5.25 hours · Measure score 7.63 · Achievement 7.63 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.9% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 6.99% · Lower 95% interval 6.08% |
| Discharge to community | 45.58% |
50.57%
5 pts worse
|
No Different than the National Rate · Eligible stays 182 · Observed rate 37.91% · Lower 95% interval 38.2% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 89.08% |
95.27%
6.2 pts worse
|
Numerator 106 · Denominator 119 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 119 |
| Discharge self-care score | 39.29% |
53.69%
14.4 pts worse
|
Numerator 33 · Denominator 84 |
| Discharge mobility score | 39.29% |
50.94%
11.6 pts worse
|
Numerator 33 · Denominator 84 |
| Pressure ulcers or injuries, new or worsened | 7.56% |
2.29%
5.3 pts worse
|
Numerator 9 · Denominator 119 · Adjusted rate 5.17% |
| Healthcare-associated infections requiring hospitalization | 8.86% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 101 · Observed rate 10.89% · Lower 95% interval 4.9% |
| Staff COVID-19 vaccination coverage | 9.87% |
8.2%
1.7 pts better
|
Numerator 22 · Denominator 223 |
| Staff flu vaccination coverage | 31.86% |
42%
10.1 pts worse
|
Numerator 65 · Denominator 204 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 42 · Denominator 84 |
| Transfer of health information to provider | 97.3% |
95.95%
1.3 pts better
|
Numerator 36 · Denominator 37 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 15.94% |
25.2%
9.3 pts worse
|
Numerator 11 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 2.0 · Used in QM five-star |
| 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 · Adjusted 1.9 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.6% |
91.2%
0.4 pts better
|
93.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 91.6% · Q3 91.9% · Q4 87.9% · 4Q avg 91.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
95.0%
1.8 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.2%
1.2 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.2% · Q3 4.5% · Q4 2.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
9.6%
3.5 pts better
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.6% · Q3 6.9% · Q4 5.0% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
5.9%
2.8 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.7% · Q3 9.0% · Q4 10.0% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.4% |
20.7%
3.3 pts better
|
19.6%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.5% · Q3 18.1% · Q4 19.4% · 4Q avg 17.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.3% |
21.4%
1.1 pts better
|
16.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 23.0% · Q3 22.1% · Q4 17.3% · 4Q avg 20.3% · 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 | 24.2% |
17.9%
6.3 pts worse
|
16.3%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 12.0% · Q3 27.0% · Q4 31.6% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
16.2%
2.7 pts better
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 8.3% · Q3 16.1% · Q4 16.5% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.1%
0.4 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 2.2% · Q3 2.3% · Q4 0.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.5%
0.1 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.7% · Q3 1.9% · Q4 1.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
16.1%
0.2 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 7.3% · Q3 28.2% · Q4 15.0% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.2%
0.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.4% · Q3 4.4% · Q4 6.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.7% |
80.4%
3.3 pts better
|
81.7%
2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 82.8% · Q2 82.8% · Q3 87.2% · Q4 82.0% · 4Q avg 83.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.3% |
12.2%
10.1 pts worse
|
12.0%
10.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 23.2% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.2%
0.3 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.6% · Q3 1.6% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.6% |
78.2%
4.6 pts worse
|
79.7%
6.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
24.2%
5.4 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 22.2% · Expected 28.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-15 · Fire 2024-02-15
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-05-26 · Fire 2022-05-26
6 health deficiencies
Top issue: Quality of Life and Care (2 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
2024-02-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-03-30
F · Potential for more than minimal harm
2024-02-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-23
D · Potential for more than minimal harm
2025-06-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-23
D · Potential for more than minimal harm
2024-02-15
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 2024-03-30
D · Potential for more than minimal harm
2024-02-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-30
D · Potential for more than minimal harm
2024-02-15
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 2024-03-30
D · Potential for more than minimal harm
2022-05-26
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-10
D · Potential for more than minimal harm
2022-05-26
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-07-10
D · Potential for more than minimal harm
2022-05-26
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 2022-07-10
D · Potential for more than minimal harm
2022-05-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-10
D · Potential for more than minimal harm
2022-05-26
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-10
D · Potential for more than minimal harm
2022-05-26
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-07-10
Penalties and ownership
What sits behind the stars
Ownership
Alibozek, Richard
W-2 Managing Employee · Individual
Chung, Minn
Operational/Managerial Control · Individual
Chung, Minn
Corporate Officer · Individual
Gaffney, Edward
Operational/Managerial Control · Individual
Gaffney, Edward
Corporate Officer · Individual
Hayes, Michael
W-2 Managing Employee · Individual
Hospital Authority Of Columbus Ga
Operational/Managerial Control · Organization
Lang, Sarah
Operational/Managerial Control · Individual
Lang, Sarah
Corporate Officer · Individual
Smallman, Ernest
Operational/Managerial Control · Individual
Smallman, Ernest
Corporate Officer · Individual
Tatum, Betty
Operational/Managerial Control · Individual
Tatum, Betty
Corporate Officer · Individual
Todd, Paul
Operational/Managerial Control · Individual
Todd, Paul
Corporate Officer · Individual
Williams Jordan, Cynthia
Operational/Managerial Control · Individual
Williams Jordan, Cynthia
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Ridgecrest Rehab & Skilled Nursing Center
Columbus, GA
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#2
Spring Harbor At Green Island
Columbus, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
River Towne Center
Columbus, GA
1-star overall rating with 2-star inspections with $24,387 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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