Augusta, GA

Stevens Park Health And Rehabilitation

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

820 Stevens Creek Road, Augusta, GA

(706) 737-0350

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

42

Certified beds

Average residents

39

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ethica Health

Operator or chain grouping

Approved since

2009-10-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.92

Registered nurse staffing

LPN hours / resident day

0.66

Licensed practical nurse staffing

Aide hours / resident day

2.26

Nurse aide staffing

Weekend hours

3.55

Weekend nurse staffing

RN turnover

11%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
2.2
0.7 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
2.0
0.7 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
91.2%
6.7 pts better
93.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
3.2%
1.1 pts better
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.6%
9.6%
8 pts better
11.4%
9.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.8%
5.9%
3.1 pts better
5.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.6%
20.7%
1.1 pts better
19.6%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.9%
21.4%
10.5 pts better
16.7%
5.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 21.8%
17.9%
3.9 pts worse
16.3%
5.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 32.4%
16.2%
16.2 pts worse
14.9%
17.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
1.1%
0.5 pts worse
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.7%
2.5%
1.2 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.8%
16.1%
3.7 pts worse
19.8%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 11.3%
6.2%
5.1 pts worse
5.1%
6.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.7%
80.4%
1.3 pts better
81.7%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.3%
12.2%
3.9 pts better
12.0%
3.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
2.2%
1 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79.4%
78.2%
1.2 pts better
79.7%
0.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 8.4%
24.2%
15.8 pts better
23.9%
15.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-14 · Fire 2025-09-14

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-18 · Fire 2024-02-18

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-06-19 · Fire 2022-06-19

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

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 2025-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-14

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-10-24

D · Potential for more than minimal harm 2024-02-18

K222 · Egress Deficiencies

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 2024-03-16

D · Potential for more than minimal harm 2024-02-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-16

D · Potential for more than minimal harm 2024-02-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-14

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 2025-10-24

D · Potential for more than minimal harm 2025-09-14

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 2025-10-24

F · Potential for more than minimal harm 2022-06-19

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 2022-08-03

Penalties and ownership

What sits behind the stars

Ownership

Cable, Paul

Corporate Director · Individual

0% 8 facilities 2003-03-14
Clinical Services Inc

Operational/Managerial Control · Organization

0% 49 facilities 2009-09-01
Community Health Systems Inc

5% Or Greater Direct Ownership Interest · Organization

0% 27 facilities 2009-09-01
Dennis, Kathryn

Corporate Director · Individual

0% 7 facilities 2015-11-17
Health Scholarships Inc

5% Or Greater Direct Ownership Interest · Organization

0% 22 facilities 2009-09-01
Hodges, Kimberly

Operational/Managerial Control · Individual

0% 7 facilities 2023-09-01
Lane, Tina

Operational/Managerial Control · Individual

0% 1 facilities 2023-05-01
Moody, Teresa

Corporate Officer · Individual

0% 4 facilities 2022-09-06
Nichols, Joseph

Corporate Director · Individual

0% 7 facilities 2024-11-19
Rollins, Ronnie

Corporate Director · Individual

0% 7 facilities 2003-03-14
Shiers, Ashleigh

Operational/Managerial Control · Individual

0% 1 facilities 2023-09-05
Stevens Park Health And Rehabilitation Center LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2023-03-03
Wall, Joseph

Corporate Director · Individual

0% 8 facilities 2003-03-14
Warnock, Ralph

Corporate Director · Individual

0% 7 facilities 2020-06-23

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Staffing
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Health
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Staffing
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Fines
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#3

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Staffing
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Fines
$0

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