Thomaston, GA

Providence Healthcare

2-star overall rating with 3-star inspections with 5 recent health deficiencies

1011 South Green Street, Thomaston, GA

(706) 647-6693

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

76

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Beacon Health Management

Operator or chain grouping

Approved since

1989-10-01

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

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.58

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.43

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.20

CMS adjusted RN staffing hours

Adjusted total hours

2.66

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,085

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

Performance score

30.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.24

Performance 19.47% · Measure score 4.24 · Achievement 4.24 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.12

Performance 6.90% · Measure score 3.12 · Achievement 3.12 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.97

Baseline 69.84% · Performance 45.24% · Measure score 4.97 · Achievement 4.51 · Improvement 4.97

Adjusted total nurse staffing

0

Baseline 2.76 hours · Performance 2.60 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.36%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 7.1%
Discharge to community	43.94%	50.57% 6.6 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 30.3% · Lower 95% interval 28.6%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	97.56%	95.27% 2.3 pts better	Numerator 40 · Denominator 41
Falls with major injury	4.88%	0.77% 4.1 pts worse	Numerator 2 · Denominator 41
Discharge self-care score	29.17%	53.69% 24.5 pts worse	Numerator 7 · Denominator 24
Discharge mobility score	33.33%	50.94% 17.6 pts worse	Numerator 8 · Denominator 24
Pressure ulcers or injuries, new or worsened	12.2%	2.29% 9.9 pts worse	Numerator 5 · Denominator 41 · Adjusted rate 10.47%
Healthcare-associated infections requiring hospitalization	6.9%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 3.55%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 81
Staff flu vaccination coverage	13.48%	42% 28.5 pts worse	Numerator 12 · Denominator 89
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 12 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	2.2 1.2 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	2.0 1.2 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	79.2%	91.2% 12 pts worse	93.4% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 78.3% · Q2 72.6% · Q3 75.7% · Q4 90.1% · 4Q avg 79.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.1%	95.0% 2.9 pts worse	95.5% 3.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.2% 0.7 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.1% · Q3 1.4% · Q4 1.4% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.5%	9.6% 2.1 pts better	11.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 4.5% · Q3 6.1% · Q4 9.1% · 4Q avg 7.5%
Percentage of long-stay residents who lose too much weight	2.5%	5.9% 3.4 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.0%	20.7% 0.7 pts better	19.6% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.8% · Q3 16.4% · Q4 23.0% · 4Q avg 20.0%
Percentage of long-stay residents who received an antipsychotic medication	25.1%	21.4% 3.7 pts worse	16.7% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 27.3% · Q3 18.6% · Q4 32.5% · 4Q avg 25.1% · 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	16.3%	17.9% 1.6 pts better	16.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 11.8% · Q3 17.1% · Q4 11.4% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.2%	16.2% 6 pts better	14.9% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 10.2% · Q3 10.3% · Q4 7.0% · 4Q avg 10.2% · 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	1.1%	2.5% 1.4 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.6%	16.1% 2.5 pts worse	19.8% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 23.0% · Q3 27.2% · Q4 11.0% · 4Q avg 18.6%
Percentage of long-stay residents with pressure ulcers	3.3%	6.2% 2.9 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 4.3% · Q4 3.1% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	29.3%	80.4% 51.1 pts worse	81.7% 52.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 10.0% · Q3 20.5% · Q4 65.1% · 4Q avg 29.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.3%	12.2% 4.9 pts better	12.0% 4.7 pts better	Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.7% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	2.2% 0.5 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	12.5%	78.2% 65.7 pts worse	79.7% 67.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 12.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	9.1%	24.2% 15.1 pts better	23.9% 14.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 10.3% · Expected 26.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-25 · Fire 2024-02-25

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-09-01 · Fire 2022-09-01

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

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 2024-02-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-03-29

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-07-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-30

E · Potential for more than minimal harm 2025-07-24

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-08-30

D · Potential for more than minimal harm 2025-07-24

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 2025-08-30

D · Potential for more than minimal harm 2025-07-24

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 2025-08-30

D · Potential for more than minimal harm 2025-07-24

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-08-30

F · Potential for more than minimal harm 2024-02-25

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 2024-03-29

D · Potential for more than minimal harm 2024-02-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-29

F · Potential for more than minimal harm 2022-09-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-04

E · Potential for more than minimal harm 2022-09-01

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 2022-11-04

E · Potential for more than minimal harm 2022-09-01