1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Columbus, GA
5-star overall rating with 5-star inspections with 1 recent health deficiencies
8329 Stevens Lane, Columbus, GA
(706) 330-5650
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
48
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-11-01
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
Staffing
RN hours / resident day
0.44
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
3.04
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.12
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.26
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
4.82
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,743
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.40
Baseline 21.17% · Performance 20.78% · Measure score 1.40 · Achievement 1.40 · Improvement 0.43
Healthcare-associated infections
2.69
Baseline 5.98% · Performance 7.03% · Measure score 2.69 · Achievement 2.69 · Improvement 0
Total nurse turnover
4.92
Performance 43.59% · Measure score 4.92 · Achievement 4.92 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.07
Performance 4.52 hours · Measure score 5.07 · Achievement 5.07 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.87% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 6.94% · Lower 95% interval 6.57% |
| Discharge to community | 51.62% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 45.45% · Lower 95% interval 44.06% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 41.38% |
53.69%
12.3 pts worse
|
Numerator 12 · Denominator 29 |
| Discharge mobility score | 24.14% |
50.94%
26.8 pts worse
|
Numerator 7 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 1.78% |
| Healthcare-associated infections requiring hospitalization | 7.03% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 6.25% · Lower 95% interval 3.45% |
| Staff COVID-19 vaccination coverage | 4.76% |
8.2%
3.4 pts worse
|
Numerator 3 · Denominator 63 |
| Staff flu vaccination coverage | 46.74% |
42%
4.7 pts better
|
Numerator 43 · Denominator 92 |
| Discharge function score | 44.83% |
56.45%
11.6 pts worse
|
Numerator 13 · Denominator 29 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.2
0.1 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
91.2%
1.5 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 87.1% · Q3 87.5% · Q4 92.5% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
95.0%
2.3 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
3.2%
1.9 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.2% · Q3 6.2% · Q4 7.5% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.0% |
9.6%
1.4 pts worse
|
11.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 17.4% · Q3 13.3% · Q4 7.7% · 4Q avg 11.0% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
5.9%
4.4 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 7.1% · Q3 7.7% · Q4 12.1% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.5% |
20.7%
5.8 pts worse
|
19.6%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 25.0% · Q3 19.2% · Q4 30.3% · 4Q avg 26.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.0% |
21.4%
3.4 pts better
|
16.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 12.5% · Q3 22.7% · Q4 20.7% · 4Q avg 18.0% · 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 | 21.5% |
17.9%
3.6 pts worse
|
16.3%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
16.2%
2.9 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 21.7% · Q3 12.0% · Q4 12.9% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.1%
0.8 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.2% |
2.5%
2.7 pts worse
|
1.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 0.0% · Q3 3.1% · Q4 2.5% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.0% |
16.1%
9.9 pts worse
|
19.8%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 35.7% · Q3 12.2% · Q4 31.1% · 4Q avg 26.0% |
| Percentage of long-stay residents with pressure ulcers | 9.6% |
6.2%
3.4 pts worse
|
5.1%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 12.8% · Q3 7.2% · Q4 8.4% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
80.4%
8.4 pts better
|
81.7%
7.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 91.2% · Q3 92.7% · Q4 81.8% · 4Q avg 88.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.9% |
12.2%
0.3 pts better
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 12.5% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.7% |
78.2%
13.5 pts better
|
79.7%
12 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
24.2%
1.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 29.2% · Expected 26.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-08
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 2023-08-31
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-22
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-01-08
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 2025-01-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-08
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 2025-01-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-30
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-30
Penalties and ownership
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Columbus, GA
4-star overall rating with 4-star inspections with 2 recent health deficiencies
Columbus, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Columbus, GA
1-star overall rating with 2-star inspections with $24,387 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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