Thomson, GA

Thomson Health And Rehabilitation

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

511 Mt. Pleasant Road, Thomson, GA

(706) 595-5574

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Peach Health Group

Operator or chain grouping

Approved since

1989-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing

LPN hours / resident day

0.98

Licensed practical nurse staffing

Aide hours / resident day

1.93

Nurse aide staffing

Weekend hours

2.69

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.2
0.1 pts better
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
2.0
0.5 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 65.8%
91.2%
25.4 pts worse
93.4%
27.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5%
95.0%
7.5 pts worse
95.5%
8 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
3.2%
0.9 pts better
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 3.3%
5.9%
2.6 pts better
5.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.0%
20.7%
6.7 pts better
19.6%
5.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.7%
21.4%
8.7 pts better
16.7%
4 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 15.5%
17.9%
2.4 pts better
16.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.4%
16.2%
1.2 pts worse
14.9%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.5%
2.5%
2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.9%
16.1%
4.8 pts worse
19.8%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.6%
6.2%
0.6 pts better
5.1%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.2%
80.4%
33.2 pts worse
81.7%
34.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.4%
12.2%
4.8 pts better
12.0%
4.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
2.2%
0.7 pts better
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 51.2%
78.2%
27 pts worse
79.7%
28.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 13.6%
24.2%
10.6 pts better
23.9%
10.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

6 health deficiencies

Top issue: Resident Rights (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-06-15 · Fire 2023-06-15

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2021-10-28 · Fire 2021-10-28

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-05

F · Potential for more than minimal harm 2023-06-15

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-07-30

F · Potential for more than minimal harm 2023-06-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-30

D · Potential for more than minimal harm 2023-06-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-30

D · Potential for more than minimal harm 2023-06-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-11-21

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 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

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 2025-01-05

E · Potential for more than minimal harm 2023-06-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-30

D · Potential for more than minimal harm 2023-06-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-30

D · Potential for more than minimal harm 2023-06-15

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 2023-07-30

D · Potential for more than minimal harm 2023-06-15

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 2023-07-30

D · Potential for more than minimal harm 2023-06-15

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-07-30

D · Potential for more than minimal harm 2023-06-15

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-07-30

D · Potential for more than minimal harm 2021-10-28

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 2021-12-12

D · Potential for more than minimal harm 2021-10-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-12-12

B · Minimal harm 2021-10-28

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2021-12-12

Penalties and ownership

What sits behind the stars

Ownership

Forrister, Karen

Operational/Managerial Control · Individual

0% 5 facilities 2021-07-01
Lemcke, David

Operational/Managerial Control · Individual

0% 5 facilities 2021-07-01
Newsome, Lorie

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-14
Peach Health Group LLC

Operational/Managerial Control · Organization

0% 5 facilities 2021-07-01
Powell, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2021-07-01
Rhine Investment Group Llp

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2021-07-01

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