3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Macon, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
6190 Peake Road, Macon, GA
(478) 471-7474
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
122
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pruitthealth
Operator or chain grouping
Approved since
1989-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
95 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.45
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
2.95
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
7,626
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9853
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.71
Baseline 22.30% · Performance 20.61% · Measure score 2.71 · Achievement 1.77 · Improvement 2.71
Healthcare-associated infections
1.65
Baseline 6.86% · Performance 7.34% · Measure score 1.65 · Achievement 1.65 · Improvement 0
Total nurse turnover
7.33
Baseline 54.76% · Performance 33.73% · Measure score 7.33 · Achievement 7.33 · Improvement 6.53
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.58% |
10.72%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 19.73% · Lower 95% interval 9.94% |
| Discharge to community | 57.29% |
50.57%
6.7 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 45.53% · Lower 95% interval 47.6% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.89% |
95.27%
3.6 pts better
|
Numerator 89 · Denominator 90 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 90 |
| Discharge self-care score | 33.93% |
53.69%
19.8 pts worse
|
Numerator 19 · Denominator 56 |
| Discharge mobility score | 8.93% |
50.94%
42 pts worse
|
Numerator 5 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 90 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 8.82% · Lower 95% interval 4.41% |
| Staff COVID-19 vaccination coverage | 3.57% |
8.2%
4.6 pts worse
|
Numerator 4 · Denominator 112 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 21.43% |
56.45%
35 pts worse
|
Numerator 12 · Denominator 56 |
| Transfer of health information to provider | 93.75% |
95.95%
2.2 pts worse
|
Numerator 30 · Denominator 32 |
| Transfer of health information to patient | 87.18% |
96.28%
9.1 pts worse
|
Numerator 34 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 4.35% |
25.2%
20.9 pts worse
|
Numerator 2 · Denominator 46 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
91.2%
2.6 pts better
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 93.2% · Q3 89.5% · Q4 96.6% · 4Q avg 93.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.5% |
95.0%
3.5 pts worse
|
95.5%
4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.2%
1.2 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 1.2% · Q4 3.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.2% |
9.6%
0.4 pts better
|
11.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.2% · Q3 10.8% · Q4 8.9% · 4Q avg 9.2% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
5.9%
0.9 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.6% · Q3 5.1% · Q4 3.8% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.8% |
20.7%
14.9 pts better
|
19.6%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.8% · Q3 5.1% · Q4 6.3% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
21.4%
5.6 pts better
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 12.7% · Q3 19.4% · Q4 13.8% · 4Q avg 15.8% · 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 | 14.6% |
17.9%
3.3 pts better
|
16.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
16.2%
4 pts better
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 13.5% · Q3 11.6% · Q4 10.1% · 4Q avg 12.2% · 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 0.7% · Q2 1.4% · Q3 0.6% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.5%
2.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.8% |
16.1%
7.3 pts better
|
19.8%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.6% · Q3 6.5% · Q4 5.2% · 4Q avg 8.8% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
6.2%
0.1 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.1% · Q3 6.6% · Q4 4.4% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.6% |
80.4%
0.2 pts better
|
81.7%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 74.3% · Q3 83.0% · Q4 87.4% · 4Q avg 80.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.4% |
12.2%
7.8 pts better
|
12.0%
7.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 4.9% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 2.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.8% |
78.2%
2.4 pts worse
|
79.7%
3.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
24.2%
5 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 35.4% · Expected 28.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-24
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-24
Fire Safety
Meet other general requirements.
Corrected 2023-12-21
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-12-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-21
Inspection history
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 2025-04-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-21
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-07-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-07-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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