13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Metter, GA
1-star overall rating with 2-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
475 Washington Street, Metter, GA
(912) 685-2168
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Beacon Health Management
Operator or chain grouping
Approved since
1990-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 1 overall / 2 health / 2 staffing / 2 quality stars
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
RN hours / resident day
0.23
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
2.97
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
0.99
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.74
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,514
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.49
Baseline 16.12% · Performance 18.43% · Measure score 6.49 · Achievement 6.49 · Improvement 0
Healthcare-associated infections
1.55
Baseline 5.99% · Performance 7.37% · Measure score 1.55 · Achievement 1.55 · Improvement 0
Total nurse turnover
0
Baseline 56.76% · Performance 64.86% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.09 hours · Performance 2.75 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 8.33% · Lower 95% interval 6.89% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.3% |
95.27%
1 pts better
|
Numerator 26 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 1 · Denominator 27 · Adjusted rate 4.65% |
| Healthcare-associated infections requiring hospitalization | 7.37% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 38 · Observed rate 5.26% · Lower 95% interval 3.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 84 |
| Staff flu vaccination coverage | 4% |
42%
38 pts worse
|
Numerator 3 · Denominator 75 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · 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 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
2.2
1.3 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.7% |
91.2%
16.5 pts worse
|
93.4%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.4% · Q2 62.5% · Q3 89.8% · Q4 92.4% · 4Q avg 74.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.7% |
95.0%
8.3 pts worse
|
95.5%
8.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.7% |
| 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 3.0% · Q2 2.1% · Q3 4.1% · Q4 8.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.8% |
9.6%
3.2 pts worse
|
11.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 9.5% · Q3 9.4% · Q4 15.1% · 4Q avg 12.8% |
| Percentage of long-stay residents who lose too much weight | 0.8% |
5.9%
5.1 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.9% |
20.7%
13.2 pts worse
|
19.6%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 35.9% · Q3 31.2% · Q4 30.7% · 4Q avg 33.9% |
| 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 | 39.0% |
17.9%
21.1 pts worse
|
16.3%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 53.1% · Q3 48.1% · Q4 22.4% · 4Q avg 39.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 39.0% |
16.2%
22.8 pts worse
|
14.9%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 49.5% · Q3 43.5% · Q4 32.2% · 4Q avg 39.0% · 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 | 0.8% |
2.5%
1.7 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.4% |
16.1%
2.7 pts better
|
19.8%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.3% · Q3 9.3% · Q4 11.6% · 4Q avg 13.4% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
6.2%
4.1 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 2.0% · Q4 2.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.7% |
80.4%
28.7 pts worse
|
81.7%
30 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 60.0% · Q3 50.0% · Q4 73.9% · 4Q avg 51.7% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 24.0% |
78.2%
54.2 pts worse
|
79.7%
55.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 24.0% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Environmental (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
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 2024-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-04
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-10-04
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-10-04
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2024-10-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-01-31
Inspection history
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-02
Health
Dispose of garbage and refuse properly.
Corrected 2024-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-04
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 2024-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-04
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-04
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-10-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-04-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-09
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-04-09
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 2023-04-09
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2023-04-09
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-09
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-09
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 2023-04-09
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-04-09
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2023-04-09
Health
Post nurse staffing information every day.
Corrected 2023-04-09
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 2022-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-01-31
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-01-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-31
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-01-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
Metter, GA
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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Twin City, GA
1-star overall rating with 2-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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