Thomaston, GA

Riverside Health And Rehabilitation

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

101 Old Talbotton Rd, Thomaston, GA

(706) 647-8161

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

73

Certified beds

Average residents

72

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ethica Health

Operator or chain grouping

Approved since

1989-03-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

48 facilities

Chain averages 4 overall / 4 health / 3 staffing / 3 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

0.29

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.15

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.82

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,261

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

Performance score

40.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9936

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.09

Baseline 19.04% · Performance 19.54% · Measure score 4.09 · Achievement 4.09 · Improvement 0

Healthcare-associated infections

2.16

Baseline 5.39% · Performance 7.19% · Measure score 2.16 · Achievement 2.16 · Improvement 0

Total nurse turnover

7.29

Baseline 49.12% · Performance 33.87% · Measure score 7.29 · Achievement 7.29 · Improvement 5.78

Adjusted total nurse staffing

2.72

Baseline 3.43 hours · Performance 3.85 hours · Measure score 2.72 · Achievement 2.72 · Improvement 1.30

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.06%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 5.81%
Discharge to community	43.46%	50.57% 7.1 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 41.67% · Lower 95% interval 32.99%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	93.1%	95.27% 2.2 pts worse	Numerator 27 · Denominator 29
Falls with major injury	3.45%	0.77% 2.7 pts worse	Numerator 1 · Denominator 29
Discharge self-care score	56%	53.69% 2.3 pts better	Numerator 14 · Denominator 25
Discharge mobility score	60%	50.94% 9.1 pts better	Numerator 15 · Denominator 25
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.19%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.7%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 102
Staff flu vaccination coverage	77.23%	42% 35.2 pts better	Numerator 78 · Denominator 101
Discharge function score	60%	56.45% 3.5 pts better	Numerator 15 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
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

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	2.2 1.6 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	2.0 1.7 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	91.2% 6.6 pts better	93.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 95.7% · Q3 98.6% · Q4 98.5% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	95.0% 2.2 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
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 6.1% · Q2 5.8% · Q3 2.9% · Q4 3.0% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	9.6% 9.6 pts better	11.4% 11.4 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 who lose too much weight	4.8%	5.9% 1.1 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.2% · Q3 1.6% · Q4 1.7% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.6%	20.7% 12.9 pts worse	19.6% 14 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 33.3% · Q3 28.6% · Q4 36.7% · 4Q avg 33.6%
Percentage of long-stay residents who received an antipsychotic medication	27.6%	21.4% 6.2 pts worse	16.7% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 27.1% · Q3 27.6% · Q4 28.6% · 4Q avg 27.6% · 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	15.2%	17.9% 2.7 pts better	16.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 19.5% · Q3 10.6% · Q4 6.9% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.0%	16.2% 10.8 pts worse	14.9% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 35.6% · Q3 22.8% · Q4 12.5% · 4Q avg 27.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.1% 0.1 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	2.5% 0.5 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 0.0% · Q3 4.3% · Q4 1.5% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.7%	16.1% 1.6 pts worse	19.8% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 12.2% · Q3 9.5% · Q4 23.7% · 4Q avg 17.7%
Percentage of long-stay residents with pressure ulcers	4.6%	6.2% 1.6 pts better	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.0% · Q3 5.0% · Q4 2.6% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.8%	80.4% 10.4 pts better	81.7% 9.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 91.3% · Q3 90.9% · Q4 88.9% · 4Q avg 90.8%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.8%	78.2% 17.6 pts better	79.7% 16.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-15 · Fire 2024-11-15

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2022-12-30 · Fire 2022-12-30

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-07-09 · Fire 2021-07-09

0 health deficiencies

No concentrated health issue counts in this cycle.

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 2024-11-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-11-15

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 2024-12-30

D · Potential for more than minimal harm 2024-11-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-15

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 2024-12-30

D · Potential for more than minimal harm 2024-11-15

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 2024-12-30

D · Potential for more than minimal harm 2024-11-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-30

G · Actual harm 2022-12-30

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 2023-02-17

E · Potential for more than minimal harm 2022-12-30

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-02-17

E · Potential for more than minimal harm 2022-12-30

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 2023-02-17

E · Potential for more than minimal harm 2022-12-30

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 2023-02-17

E · Potential for more than minimal harm 2022-12-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-02-17

D · Potential for more than minimal harm 2022-12-30

F584 · Resident Rights Deficiencies

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 2023-02-17

Penalties and ownership