Athens, GA

Presbyterian Village - Athens

2-star overall rating with 2-star inspections with $18,545 in total fines with 1 fire-safety deficiencies in the latest cycle

1400 Live Oak Ln Bldg 100, Athens, GA

(706) 739-7690

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

40

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2021-09-15

CMS approved date

Coverage

Medicare

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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,860

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

Performance score

14.96

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.45

Baseline 18.93% · Performance 20.76% · Measure score 1.45 · Achievement 1.45 · Improvement 0

Healthcare-associated infections

1.55

Baseline 5.28% · Performance 7.37% · Measure score 1.55 · Achievement 1.55 · Improvement 0

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

Not reported

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

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.68%
10.72%
1 pts worse
No Different than the National Rate · Eligible stays 171 · Observed rate 10.53% · Lower 95% interval 8.63%
Discharge to community 57.25%
50.57%
6.7 pts better
Better than the National Rate · Eligible stays 165 · Observed rate 56.36% · Lower 95% interval 51.55%
Medicare spending per beneficiary 1.09
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 87 · Denominator 87
Falls with major injury 1.15%
0.77%
0.4 pts worse
Numerator 1 · Denominator 87
Discharge self-care score 42.65%
53.69%
11 pts worse
Numerator 29 · Denominator 68
Discharge mobility score 47.06%
50.94%
3.9 pts worse
Numerator 32 · Denominator 68
Pressure ulcers or injuries, new or worsened 1.15%
2.29%
1.1 pts better
Numerator 1 · Denominator 87 · Adjusted rate 0.92%
Healthcare-associated infections requiring hospitalization 7.37%
7.12%
0.2 pts worse
No Different than the National Rate · Eligible stays 102 · Observed rate 5.88% · Lower 95% interval 4.79%
Staff COVID-19 vaccination coverage 84.55%
8.2%
76.3 pts better
Numerator 93 · Denominator 110
Staff flu vaccination coverage 4.13%
42%
37.9 pts worse
Numerator 5 · Denominator 121
Discharge function score 52.94%
56.45%
3.5 pts worse
Numerator 36 · Denominator 68
Transfer of health information to provider 95.24%
95.95%
0.7 pts worse
Numerator 20 · Denominator 21
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 50 · Denominator 50
Resident COVID-19 vaccinations up to date 55.56%
25.2%
30.4 pts better
Numerator 25 · Denominator 45

Quality measures

Resident outcomes and process scores

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 1.0 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
2.0
0.1 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.9%
91.2%
5.3 pts worse
93.4%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 83.3% · Q4 59.1% · 4Q avg 85.9%
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 1.1%
3.2%
2.1 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.5% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.4%
9.6%
7.2 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight 5.2%
5.9%
0.7 pts better
5.4%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.7%
20.7%
13 pts better
19.6%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.7%
Percentage of long-stay residents who received an antipsychotic medication 6.2%
21.4%
15.2 pts better
16.7%
10.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · 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 17.9%
17.9%
About the same
16.3%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.1%
16.2%
4.1 pts better
14.9%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.1% · 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 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.4%
2.5%
0.1 pts better
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.4%
16.1%
9.3 pts worse
19.8%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · Q3 10.2% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers 10.7%
6.2%
4.5 pts worse
5.1%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 12.4% · Q3 7.9% · Q4 7.5% · 4Q avg 10.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.7%
80.4%
9.3 pts better
81.7%
8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 85.5% · Q4 72.9% · 4Q avg 89.7%
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
12.2%
4 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.1% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
2.2%
1.5 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74.6%
78.2%
3.6 pts worse
79.7%
5.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.1%
24.2%
5.1 pts better
23.9%
4.8 pts better
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 14.3% · Expected 17.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-18 · Fire 2025-11-18

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-07-22 · Fire 2024-07-22

15 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-04-16 · Fire 2023-04-16

14 health deficiencies

Top issue: Infection Control (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-11-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-12-31

F · Potential for more than minimal harm 2024-07-22

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-29

F · Potential for more than minimal harm 2024-07-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-29

D · Potential for more than minimal harm 2024-07-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-29

E · Potential for more than minimal harm 2023-04-16

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-31

Inspection history

Recent health citations

G · Actual harm 2024-09-17

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-09-17

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 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

G · Actual harm 2024-07-22

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 2024-09-09

G · Actual harm 2024-07-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-09

F · Potential for more than minimal harm 2024-07-22

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-09-09

E · Potential for more than minimal harm 2024-07-22

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 2024-11-01

D · Potential for more than minimal harm 2024-07-22

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-07-22

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-07-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-09-09

F · Potential for more than minimal harm 2023-04-16

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 2023-05-31

F · Potential for more than minimal harm 2023-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-16

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-16

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-04-16

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-04-16

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-04-16

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

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 2023-05-31

D · Potential for more than minimal harm 2023-04-16

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

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 2023-05-31

D · Potential for more than minimal harm 2023-04-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-16

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 2023-05-31

Penalties and ownership

What sits behind the stars

$5,263 2024-07-22

Fine

Fine · fine $5,263

Fine

$5,264 2024-07-22

Fine

Fine · fine $5,264

Fine

$8,018 2024-07-22

Fine

Fine · fine $8,018

Fine

$0 2024-07-22

Payment Denial

Payment Denial · denial start 2024-08-30 · 63 days

63 day denial

Ownership

Bueno, Yolin

Operational/Managerial Control · Individual

0% 1 facilities 2021-07-01
Haire, Deanna

Corporate Officer · Individual

0% 2 facilities 2025-01-01
Honeycutt, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2020-05-01
Meyer, Tammy

Corporate Officer · Individual

0% 2 facilities 2020-05-22
Patterson, Stephen

Corporate Officer · Individual

0% 2 facilities 2020-02-01
Pearce, Chad

Corporate Officer · Individual

0% 2 facilities 2025-01-01

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