Ocilla, GA

Palemon Gaskins Mem Nsg Home

3-star overall rating with 2-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

710 North Irwin Avenue, Ocilla, GA

(229) 468-3890

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

22

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-12-01

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.81

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.66

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.45

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.92

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

2.47

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

4.34

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.97

CMS adjusted RN staffing hours

Adjusted total hours

5.90

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · 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 4.6
2.2
2.4 pts worse
1.9
2.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.6 · Observed 2.9 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.7
2.0
0.7 pts worse
1.8
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.0 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 63.5%
91.2%
27.7 pts worse
93.4%
29.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 70.4% · Q3 30.4% · Q4 47.6% · 4Q avg 63.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
95.0%
1.3 pts better
95.5%
0.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.2%
2.2 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.8%
9.6%
2.8 pts better
11.4%
4.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight 2.7%
5.9%
3.2 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 36.4%
20.7%
15.7 pts worse
19.6%
16.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 40.9% · 4Q avg 36.4%
Percentage of long-stay residents who received an antipsychotic medication 37.0%
21.4%
15.6 pts worse
16.7%
20.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 37.0% · 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 20.3%
17.9%
2.4 pts worse
16.3%
4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.7%
16.2%
0.5 pts worse
14.9%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · 4Q avg 16.7% · 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 3.2%
2.5%
0.7 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 0.0% · Q4 9.5% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.1%
16.1%
7 pts worse
19.8%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 30.0% · Q3 23.8% · Q4 25.6% · 4Q avg 23.1%
Percentage of long-stay residents with pressure ulcers 7.0%
6.2%
0.8 pts worse
5.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 10.8% · Q3 4.0% · Q4 0.0% · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.9%
80.4%
12.5 pts worse
81.7%
13.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 67.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-22 · Fire 2024-12-22

13 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-07-02 · Fire 2023-07-02

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-12-02 · Fire 2021-12-02

2 health deficiencies

Top issue: Environmental (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 2024-12-22

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 2025-02-05

D · Potential for more than minimal harm 2024-12-22

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-05

D · Potential for more than minimal harm 2024-12-22

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-02-05

D · Potential for more than minimal harm 2024-12-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-05

D · Potential for more than minimal harm 2024-12-22

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-05

D · Potential for more than minimal harm 2023-07-02

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-08-16

D · Potential for more than minimal harm 2023-07-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-02-08

D · Potential for more than minimal harm 2026-01-18

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 2026-02-08

D · Potential for more than minimal harm 2026-01-18

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-02-08

D · Potential for more than minimal harm 2026-01-18

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 2026-02-08

D · Potential for more than minimal harm 2026-01-18

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-02-08

D · Potential for more than minimal harm 2026-01-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-08

F · Potential for more than minimal harm 2024-12-22

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-12-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-22

E · Potential for more than minimal harm 2024-12-22

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 2025-01-22

D · Potential for more than minimal harm 2024-12-22

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 2025-01-22

D · Potential for more than minimal harm 2024-12-22

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-22

D · Potential for more than minimal harm 2024-12-22

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-22

D · Potential for more than minimal harm 2024-12-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-22

D · Potential for more than minimal harm 2023-07-02

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 2023-08-16

D · Potential for more than minimal harm 2021-12-02

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 2022-01-11

D · Potential for more than minimal harm 2021-12-02

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2022-01-11

Penalties and ownership

What sits behind the stars

Ownership

Griffin, Sharon

Operational/Managerial Control · Individual

0% 1 facilities 2020-03-15
Mcwhorter, Andrea

Operational/Managerial Control · Individual

0% 1 facilities 2020-12-21

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