Hawkinsville, GA

Pinewood Manor Nursing Home & Rehabilitation Cntr

2-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

277 Commerce Street, Hawkinsville, GA

(478) 892-9171

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

56

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-07-01

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

0.38

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.48

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

2.65

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.17

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.25

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.11

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

0.42

CMS adjusted RN staffing hours

Adjusted total hours

2.95

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,376

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

Performance score

57.09

Composite VBP score used to determine payment impact.

Payment multiplier

1.0122

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

10

Baseline 32.00% · Performance 21.62% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

1.42

Baseline 3.75 hours · Performance 3.48 hours · Measure score 1.42 · Achievement 1.42 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.84%
10.72%
1.1 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 18.52% · Lower 95% interval 7.94%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 6 · 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 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 64
Staff flu vaccination coverage 60.94%
42%
18.9 pts better
Numerator 39 · Denominator 64
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
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 0.6
2.2
1.6 pts better
1.9
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
2.0
1.5 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
91.2%
7.4 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.1% · Q3 98.2% · Q4 98.1% · 4Q avg 98.6%
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 3.8%
3.2%
0.6 pts worse
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.7% · Q3 1.8% · Q4 3.7% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
9.6%
9.6 pts better
11.4%
11.4 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 who lose too much weight 0.0%
5.9%
5.9 pts better
5.4%
5.4 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 who received an antianxiety or hypnotic medication 45.0%
20.7%
24.3 pts worse
19.6%
25.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 41.7% · Q3 45.1% · Q4 43.8% · 4Q avg 45.0%
Percentage of long-stay residents who received an antipsychotic medication 33.3%
21.4%
11.9 pts worse
16.7%
16.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 33.3% · Q3 34.2% · Q4 30.6% · 4Q avg 33.3% · 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 3.4%
17.9%
14.5 pts better
16.3%
12.9 pts better
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 8.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.0%
16.2%
13.2 pts better
14.9%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 4.4% · Q4 4.8% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
1.1%
0.2 pts better
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 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 new or worsened bowel or bladder incontinence 18.9%
16.1%
2.8 pts worse
19.8%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 5.8% · Q3 31.6% · Q4 19.5% · 4Q avg 18.9%
Percentage of long-stay residents with pressure ulcers 5.7%
6.2%
0.5 pts better
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.6% · Q3 5.3% · Q4 3.4% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.8%
80.4%
1.6 pts worse
81.7%
2.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 76.7% · Q2 90.5% · 4Q avg 78.8%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.2%
78.2%
2 pts worse
79.7%
3.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

7 health deficiencies

Top issue: Administration (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-10-27 · Fire 2022-10-27

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-04-29 · Fire 2021-04-29

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-14

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-03-14

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 2025-04-02

D · Potential for more than minimal harm 2025-03-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-02

F · Potential for more than minimal harm 2022-10-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-03

F · Potential for more than minimal harm 2022-10-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-03

F · Potential for more than minimal harm 2022-10-27

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2022-12-11

E · Potential for more than minimal harm 2022-10-27

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 2022-12-11

D · Potential for more than minimal harm 2022-10-27

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-11

D · Potential for more than minimal harm 2022-10-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-12-11

D · Potential for more than minimal harm 2022-10-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-12-11

F · Potential for more than minimal harm 2021-04-29

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-06-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-03

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2025-08-01

F · Potential for more than minimal harm 2025-03-14

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 2025-04-02

F · Potential for more than minimal harm 2025-03-14

F835 · Administration Deficiencies

Health

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

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-14

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 2025-04-02

D · Potential for more than minimal harm 2025-03-14

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 2025-04-02

D · Potential for more than minimal harm 2025-03-14

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 2025-04-02

E · Potential for more than minimal harm 2023-07-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-07-24

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 2023-08-28

D · Potential for more than minimal harm 2023-07-24

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-08-28

D · Potential for more than minimal harm 2022-10-27

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2022-12-11

D · Potential for more than minimal harm 2022-10-27

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-12-11

D · Potential for more than minimal harm 2022-10-27

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 2022-12-11

D · Potential for more than minimal harm 2022-10-27

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 2022-12-11

D · Potential for more than minimal harm 2022-10-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-12-11

F · Potential for more than minimal harm 2021-04-29

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 2021-06-13

D · Potential for more than minimal harm 2021-04-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-13

Penalties and ownership

What sits behind the stars

Ownership

Taylor Regional Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2014-12-23
Crump, Ronald

W-2 Managing Employee · Individual

0% 1 facilities 2014-12-23
Green, John

W-2 Managing Employee · Individual

0% 1 facilities 2018-10-01
Mcleod, Karen

W-2 Managing Employee · Individual

0% 1 facilities 2016-06-14
Stokes, Richard

Corporate Director · Individual

0% 1 facilities 2020-08-31
Stokes, Richard

W-2 Managing Employee · Individual

0% 1 facilities 2020-08-31

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

Overall
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Health
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Staffing
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Fines
$0
#2

Crossview Care Center

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

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
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#3

Eastman Healthcare & Rehab

Eastman, GA

2-star overall rating with 3-star inspections with $12,596 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$12,596

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