Cycle 1
Health 2025-04-16 · Fire 2025-04-16
2 health deficiencies
Top issue: Administration (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Warner Robins, GA
Warner Robins Rehabilitation Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1601 Elberta Road, Warner Robins, GA
(478) 922-2241
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
126
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sovereign Healthcare Holdings
Operator or chain grouping
Approved since
1996-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 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
0.36
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.67
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,660
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.54
Baseline 19.03% · Performance 20.26% · Measure score 2.54 · Achievement 2.54 · Improvement 0
Healthcare-associated infections
4.17
Baseline 5.91% · Performance 6.59% · Measure score 4.17 · Achievement 4.17 · Improvement 0
Total nurse turnover
2.04
Baseline 61.11% · Performance 55.34% · Measure score 2.04 · Achievement 2.04 · Improvement 1.09
Adjusted total nurse staffing
1.68
Baseline 2.99 hours · Performance 3.56 hours · Measure score 1.68 · Achievement 1.68 · Improvement 1.54
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.95% |
10.72%
3.2 pts worse
|
No Different than the National Rate · Eligible stays 98 · Observed rate 23.47% · Lower 95% interval 9.88% |
| Discharge to community | 47.46% |
50.57%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 56 · Observed rate 37.5% · Lower 95% interval 36.6% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.3% |
95.27%
2 pts better
|
Numerator 108 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 56.45% |
53.69%
2.8 pts better
|
Numerator 35 · Denominator 62 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 31 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 3 · Denominator 111 · Adjusted rate 1.95% |
| Healthcare-associated infections requiring hospitalization | 6.59% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 6.25% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 3.45% |
8.2%
4.7 pts worse
|
Numerator 4 · Denominator 116 |
| Staff flu vaccination coverage | 27.27% |
42%
14.7 pts worse
|
Numerator 51 · Denominator 187 |
| Discharge function score | 58.06% |
56.45%
1.6 pts better
|
Numerator 36 · Denominator 62 |
| Transfer of health information to provider | 85.25% |
95.95%
10.7 pts worse
|
Numerator 52 · Denominator 61 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 7 · Denominator 63 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.2
0.4 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.0
0.4 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
95.0%
4.1 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.2%
0.3 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 3.9% · Q3 4.1% · Q4 1.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 26.1% |
9.6%
16.5 pts worse
|
11.4%
14.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 23.9% · Q3 33.3% · Q4 42.2% · 4Q avg 26.1% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
5.9%
0.7 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 10.1% · Q3 3.7% · Q4 1.1% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
20.7%
2.3 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 19.6% · Q3 19.1% · Q4 15.2% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
21.4%
9.4 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 13.4% · Q3 11.4% · Q4 13.5% · 4Q avg 12.0% · 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 | 12.0% |
17.9%
5.9 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 15.9% · Q3 10.8% · Q4 5.8% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
16.2%
4.5 pts better
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.6% · Q3 14.3% · Q4 10.7% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.1%
0.7 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.9% · Q3 0.0% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.5%
2.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.8% |
16.1%
10.3 pts better
|
19.8%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.4% · Q3 5.3% · Q4 7.2% · 4Q avg 5.8% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
6.2%
2 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.7% · Q3 2.6% · Q4 3.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
80.4%
17.6 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 99.0% · Q3 97.9% · Q4 98.1% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
12.2%
2.7 pts better
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 10.3% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
2.2%
1.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
78.2%
20.8 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
24.2%
0.4 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 26.9% · Expected 26.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-16 · Fire 2023-03-16
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
18 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Cycle 3
Health 2021-10-06 · Fire 2021-10-06
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-31
E · Potential for more than minimal harm
2023-03-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-30
E · Potential for more than minimal harm
2023-03-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-30
E · Potential for more than minimal harm
2023-03-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-04-30
E · Potential for more than minimal harm
2021-10-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-11-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-31
D · Potential for more than minimal harm
2025-04-16
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-05-31
D · Potential for more than minimal harm
2024-01-30
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-01-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-15
C · Minimal harm
2023-05-30
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.
Not marked corrected
D · Potential for more than minimal harm
2023-03-16
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 2023-04-30
D · Potential for more than minimal harm
2023-03-16
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-04-30
D · Potential for more than minimal harm
2023-03-16
F758 · Pharmacy Service Deficiencies
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 2023-04-30
F · Potential for more than minimal harm
2021-10-06
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2021-10-27
D · Potential for more than minimal harm
2021-10-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-11-20
Penalties and ownership
What sits behind the stars
Ownership
Al Shroof, Mohammad
Operational/Managerial Control · Individual
Cronquist, Royce
Operational/Managerial Control · Individual
Hart, Brian
Operational/Managerial Control · Individual
Hsp Warner, LLC
5% Or Greater Security Interest · Organization
Kelly, Michelle
Operational/Managerial Control · Individual
Lument Real Estate Capital LLC
5% Or Greater Security Interest · Organization
Mangine, John
Operational/Managerial Control · Individual
Melton, Donald
Operational/Managerial Control · Individual
Notermann, William
Operational/Managerial Control · Individual
Southern Healthcare Management LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Pruitthealth - Warner Robins LLC
Warner Robins, GA
2-star overall rating with 3-star inspections with 6 recent health deficiencies
#2
Pruitthealth - The Lodge, LLC
Warner Robins, GA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Blossom Healthcare & Rehabilitation Center
Macon, GA
1-star overall rating with 2-star inspections with $36,454 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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