Talking Rock, GA

Wildwood Health And Rehab

2-star overall rating with 4-star inspections with $8,736 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

184 Pin Hook Road, Talking Rock, GA

(706) 692-6014

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

C. Ross Management

Operator or chain grouping

Approved since

2005-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 1 staffing / 2 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

0.27

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.13

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.57

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

2.97

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.44

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.24

CMS adjusted RN staffing hours

Adjusted total hours

2.59

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,849

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

Performance score

47.36

Composite VBP score used to determine payment impact.

Payment multiplier

1.0009

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.27

Baseline 19.96% · Performance 18.99% · Measure score 5.27 · Achievement 5.27 · Improvement 2.80

Healthcare-associated infections

7.31

Baseline 9.17% · Performance 5.91% · Measure score 7.31 · Achievement 6.44 · Improvement 7.31

Total nurse turnover

5.73

Baseline 66.67% · Performance 40.62% · Measure score 5.73 · Achievement 5.64 · Improvement 5.73

Adjusted total nurse staffing

0.64

Baseline 3.55 hours · Performance 3.26 hours · Measure score 0.64 · Achievement 0.64 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.37%
10.72%
2.6 pts worse
No Different than the National Rate · Eligible stays 78 · Observed rate 19.23% · Lower 95% interval 8.55%
Discharge to community 55.65%
50.57%
5.1 pts better
No Different than the National Rate · Eligible stays 46 · Observed rate 52.17% · Lower 95% interval 42.7%
Medicare spending per beneficiary 1.1
1.02
0.1 pts worse
Drug regimen review with follow-up 97.92%
95.27%
2.7 pts better
Numerator 47 · Denominator 48
Falls with major injury 2.08%
0.77%
1.3 pts worse
Numerator 1 · Denominator 48
Discharge self-care score 53.57%
53.69%
0.1 pts worse
Numerator 15 · Denominator 28
Discharge mobility score 42.86%
50.94%
8.1 pts worse
Numerator 12 · Denominator 28
Pressure ulcers or injuries, new or worsened 2.08%
2.29%
0.2 pts better
Numerator 1 · Denominator 48 · Adjusted rate 2.71%
Healthcare-associated infections requiring hospitalization 5.91%
7.12%
1.2 pts better
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 3.17%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 42
Staff flu vaccination coverage 21.57%
42%
20.4 pts worse
Numerator 11 · Denominator 51
Discharge function score 53.57%
56.45%
2.9 pts worse
Numerator 15 · Denominator 28
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient 95%
96.28%
1.3 pts worse
Numerator 19 · Denominator 20
Resident COVID-19 vaccinations up to date 19.05%
25.2%
6.1 pts worse
Numerator 4 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.2
0.7 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.4
2.0
2.4 pts worse
1.8
2.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 4.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.0%
91.2%
2.2 pts worse
93.4%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 91.2% · Q3 92.3% · Q4 100.0% · 4Q avg 89.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
95.0%
0.4 pts worse
95.5%
0.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of long-stay residents experiencing one or more falls with major injury 9.0%
3.2%
5.8 pts worse
3.3%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 11.8% · Q3 10.3% · Q4 8.1% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 22.4%
9.6%
12.8 pts worse
11.4%
11 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 15.2% · Q3 23.1% · Q4 24.3% · 4Q avg 22.4%
Percentage of long-stay residents who lose too much weight 7.2%
5.9%
1.3 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.7% · Q3 9.7% · Q4 7.7% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.4%
20.7%
23.7 pts worse
19.6%
24.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 51.6% · Q2 50.0% · Q3 40.5% · Q4 36.4% · 4Q avg 44.4%
Percentage of long-stay residents who received an antipsychotic medication 38.3%
21.4%
16.9 pts worse
16.7%
21.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 38.5% · Q3 41.9% · Q4 44.0% · 4Q avg 38.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 1.4%
0.1%
1.3 pts worse
0.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.6% · Q4 0.0% · 4Q avg 1.4%
Percentage of long-stay residents whose ability to walk independently worsened 26.7%
17.9%
8.8 pts worse
16.3%
10.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 30.8%
16.2%
14.6 pts worse
14.9%
15.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 27.6% · Q3 46.9% · Q4 20.0% · 4Q avg 30.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.1%
1.1 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 6.5%
2.5%
4 pts worse
1.7%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.4% · Q3 0.0% · Q4 16.7% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.4%
16.1%
2.3 pts worse
19.8%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 13.3% · Q3 25.5% · Q4 17.9% · 4Q avg 18.4%
Percentage of long-stay residents with pressure ulcers 7.3%
6.2%
1.1 pts worse
5.1%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.9% · Q3 7.8% · Q4 5.2% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.1%
80.4%
10.3 pts worse
81.7%
11.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 83.3% · Q4 95.0% · 4Q avg 70.1%
Percentage of short-stay residents who had an outpatient emergency department visit 20.8%
12.2%
8.6 pts worse
12.0%
8.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 20.8% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 4.3%
2.2%
2.1 pts worse
1.6%
2.7 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 54.8%
78.2%
23.4 pts worse
79.7%
24.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.8%
24.2%
7.6 pts worse
23.9%
7.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.8% · Observed 33.3% · Expected 25.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-22 · Fire 2024-12-22

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-08-17 · Fire 2023-08-17

1 health deficiencies

Top issue: Infection Control (1 deficiency)

14 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2021-12-08 · Fire 2021-12-08

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-22

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-01-27

E · Potential for more than minimal harm 2024-12-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-27

E · Potential for more than minimal harm 2024-12-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-22

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-01-27

D · Potential for more than minimal harm 2023-08-17

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-08-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-08-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-22

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 2025-01-27

D · Potential for more than minimal harm 2024-12-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-27

F · Potential for more than minimal harm 2023-08-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-01

E · Potential for more than minimal harm 2021-12-08

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 2022-01-17

Penalties and ownership

What sits behind the stars

$3,798 2023-08-17

Fine

Fine · fine $3,798

Fine

$1,764 2023-08-07

Fine

Fine · fine $1,764

Fine

$3,174 2023-07-17

Fine

Fine · fine $3,174

Fine

Ownership

Winget, Michael

5% Or Greater Direct Ownership Interest · Individual

99% 8 facilities 2015-02-01
Cline, Horace

Operational/Managerial Control · Individual

0% 1 facilities 2023-11-27
North Mountain Property Holdings LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2023-09-01
Oberly, Elizabeth

Operational/Managerial Control · Individual

0% 2 facilities 2023-01-16
Winget, Michael

Operational/Managerial Control · Individual

0% 8 facilities 2015-02-01
Winget, Michael

Corporate Officer · Individual

0% 8 facilities 2015-02-01

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