Evans, GA

Pavilion At Brandon Wilde

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

4275 Owens Road, Evans, GA

(706) 868-9800

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

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

65

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Services

Operator or chain grouping

Approved since

1992-06-17

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.96

Registered nurse staffing

LPN hours / resident day

1.03

Licensed practical nurse staffing

Aide hours / resident day

2.61

Nurse aide staffing

Weekend hours

3.77

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.2
0.7 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
2.0
0.3 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
91.2%
7.9 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
95.0%
3.4 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.9%
3.2%
2.7 pts worse
3.3%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.5%
9.6%
9.1 pts better
11.4%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.3%
5.9%
1.6 pts better
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.2%
20.7%
4.5 pts better
19.6%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.0%
21.4%
10.4 pts better
16.7%
5.7 pts better
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 18.7%
17.9%
0.8 pts worse
16.3%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.4%
16.2%
3.8 pts better
14.9%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
1.1%
0.5 pts worse
1.0%
0.6 pts worse
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 24.9%
16.1%
8.8 pts worse
19.8%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.5%
6.2%
3.7 pts better
5.1%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
80.4%
17.6 pts better
81.7%
16.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.2%
12.2%
2 pts better
12.0%
1.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.4%
2.2%
1.2 pts worse
1.6%
1.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.5%
78.2%
19.3 pts better
79.7%
17.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.4%
24.2%
1.2 pts worse
23.9%
1.5 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-09-17 · Fire 2023-09-17

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-01-27 · Fire 2022-01-27

3 health deficiencies

Top issue: Pharmacy Service (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 2025-02-20

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 2025-04-06

D · Potential for more than minimal harm 2025-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-06

D · Potential for more than minimal harm 2025-02-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-06

D · Potential for more than minimal harm 2025-02-20

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-04-06

E · Potential for more than minimal harm 2023-09-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-20

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 2025-04-06

D · Potential for more than minimal harm 2025-02-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-06

D · Potential for more than minimal harm 2025-02-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-06

D · Potential for more than minimal harm 2025-02-20

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 2025-04-06

D · Potential for more than minimal harm 2025-02-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-06

D · Potential for more than minimal harm 2023-11-16

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 2023-12-15

E · Potential for more than minimal harm 2023-09-17

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

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 2023-11-01

D · Potential for more than minimal harm 2023-09-17

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 2023-11-01

D · Potential for more than minimal harm 2023-09-17

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-17

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-11-01

G · Actual harm 2022-01-27

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 2022-02-18

G · Actual harm 2022-01-27

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 2022-02-18

Penalties and ownership

What sits behind the stars

Ownership

Bank Of America Corp

5% Or Greater Security Interest · Organization

0% 6 facilities 2025-01-01
Bank Of America Corp

5% Or Greater Mortgage Interest · Organization

0% 6 facilities 2025-01-01
Bird, John

Operational/Managerial Control · Individual

0% 8 facilities 2023-12-20
Bird, John

Corporate Officer · Individual

0% 8 facilities 2023-12-20
Lahey, Daniel

Corporate Officer · Individual

0% 7 facilities 2025-01-01
Legendary, Zechariah

Operational/Managerial Control · Individual

0% 3 facilities 2025-12-01
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 2018-08-17
Merrill, Frederick

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-01
Pulliam, John

Operational/Managerial Control · Individual

0% 2 facilities 2025-05-19
Shaw, Gelynna

Operational/Managerial Control · Individual

0% 7 facilities 2025-01-01
Shaw, Gelynna

Corporate Officer · Individual

0% 7 facilities 2025-01-01
Uhlemann, Bridgette

Operational/Managerial Control · Individual

0% 8 facilities 2025-01-01
Victor, Jason

Operational/Managerial Control · Individual

0% 13 facilities 2023-12-20
Victor, Jason

Corporate Officer · Individual

0% 13 facilities 2023-12-20

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#3

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