9 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Savannah, GA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $92,794 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
6711 Laroche Avenue, Savannah, GA
(912) 354-8225
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
284
Certified beds
Average residents
162
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-12-01
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
0.21
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.77
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.02
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.47
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.06
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.19
CMS adjusted RN staffing hours
Adjusted total hours
2.73
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,559
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.13% · Performance 22.51% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.56% · Performance 9.34% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.68
Baseline 57.94% · Performance 44.55% · Measure score 4.68 · Achievement 4.68 · Improvement 3.54
Adjusted total nurse staffing
0
Baseline 3.51 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.69% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 158 · Observed rate 16.46% · Lower 95% interval 9.4% |
| Discharge to community | 44.53% |
50.57%
6 pts worse
|
No Different than the National Rate · Eligible stays 148 · Observed rate 35.81% · Lower 95% interval 34.16% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 106 · Denominator 106 |
| Falls with major injury | 0.94% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 106 |
| Discharge self-care score | 46.15% |
53.69%
7.5 pts worse
|
Numerator 36 · Denominator 78 |
| Discharge mobility score | 41.03% |
50.94%
9.9 pts worse
|
Numerator 32 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 2.83% |
2.29%
0.5 pts worse
|
Numerator 3 · Denominator 106 · Adjusted rate 2.46% |
| Healthcare-associated infections requiring hospitalization | 9.34% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 12.37% · Lower 95% interval 5.87% |
| Staff COVID-19 vaccination coverage | 0.51% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 196 |
| Staff flu vaccination coverage | 36.63% |
42%
5.4 pts worse
|
Numerator 74 · Denominator 202 |
| Discharge function score | 46.15% |
56.45%
10.3 pts worse
|
Numerator 36 · Denominator 78 |
| Transfer of health information to provider | 92.16% |
95.95%
3.8 pts worse
|
Numerator 47 · Denominator 51 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 20.75% |
25.2%
4.4 pts worse
|
Numerator 11 · Denominator 53 |
Quality measures
| 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 1.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.6% |
91.2%
8.6 pts worse
|
93.4%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.1% · Q2 80.2% · Q3 85.0% · Q4 84.3% · 4Q avg 82.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.3% |
95.0%
5.7 pts worse
|
95.5%
6.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.2%
2.1 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.1% · Q3 6.3% · Q4 3.6% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
9.6%
5.3 pts better
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.5% · Q3 9.8% · Q4 4.1% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
5.9%
2.6 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.4% · Q3 7.3% · Q4 10.5% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.1% |
20.7%
1.4 pts worse
|
19.6%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 21.7% · Q3 19.8% · Q4 19.7% · 4Q avg 22.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.4% |
21.4%
10 pts better
|
16.7%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 10.8% · Q3 9.4% · Q4 11.3% · 4Q avg 11.4% · 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 | 21.3% |
17.9%
3.4 pts worse
|
16.3%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 26.5% · Q3 12.3% · Q4 17.2% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
16.2%
0.2 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 20.9% · Q3 13.5% · Q4 15.5% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.1%
About the same
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.6% · Q3 1.3% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.5%
0.4 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 1.6% · Q4 2.2% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.7% |
16.1%
5.6 pts worse
|
19.8%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 19.5% · Q3 20.8% · Q4 23.1% · 4Q avg 21.7% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
6.2%
2.5 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.3% · Q3 10.2% · Q4 6.3% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.2% |
80.4%
2.2 pts worse
|
81.7%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 70.0% · Q2 73.7% · Q3 80.8% · Q4 84.9% · 4Q avg 78.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
12.2%
2.5 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 13.9% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
2.2%
0.4 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 4.1% · Q3 2.2% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.9% |
78.2%
12.3 pts worse
|
79.7%
13.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
24.2%
6.6 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.7% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 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
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-23
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-10-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-23
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-20
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-03-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-20
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-03-20
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 2025-03-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-20
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-03-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-23
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-10-23
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-23
Health
Implement a program that monitors antibiotic use.
Corrected 2022-10-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-23
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 2022-10-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-10-23
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 2022-10-23
Penalties and ownership
Fine · fine $92,794
Fine
Payment Denial · denial start 2025-03-15 · 5 days
5 day denial
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
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Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
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Corporate Director · Individual
Operational/Managerial Control · Individual
Nearby options
Savannah, GA
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Savannah, GA
1-star overall rating with 1-star inspections with Special Focus status with $292,548 in total fines with 28 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Savannah, GA
5-star overall rating with 4-star inspections with 1 recent health deficiencies
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