Federal inspection record · CMS data as of October 1, 2026
Winder Center For Nursing And Healing
263 E May Street, Winder, GA · (770) 867-2108
- Certified beds
- 163
- Residents per day
- 140
- Ownership
- For-Profit
- Chain
- Empire Care Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1993
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Winder Center For Nursing And Healing carries 98.25 inspection points. That is fewer than 9% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights4F
- F
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4F
- F
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care1D
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspection history
2026-01-22
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2024-10-18
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-08-11
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 21 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,074 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-18 | Fine | $8,537 |
| 2024-10-18 | Fine | $8,537 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.6 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.4 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts better | 93.5% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 96.9% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 3.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts better | 3.3% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3 pts better | 17.5% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.8 pts better | 19.0% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsenedAbout the same | 13.7% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 16.1% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts worse | 2.3% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 1.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts worse | 21.2% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 5.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.5 pts better | 95.1% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better | 11.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 2.6% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 84.9% | 78.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 24.8% | 24.4% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ensh Consulting LLC | 5% Or Greater Direct Ownership Interest · Organization | 95% | 13 facilities |
| Donath, Barry | W-2 Managing Employee · Individual | 0% | 18 facilities |
| Empire Care Centers LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Heller, Shlomo | Corporate Officer · Individual | 0% | 23 facilities |
| Heller, Shlomo | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Ng, Scott | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Ng, Scott | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Nussbaum, Ephraim | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Swerdloff, Aryeh | Operational/Managerial Control · Individual | 0% | 16 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress4E
- D
Have properly located and lighted "Exit" signs.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Install properly constructed and protected linen or trash chutes.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
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Other homes nearby
-
Park Place Nursing Facility
Monroe, GA · Michael Feist
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0
-
Mesun Health and Rehabilitation Center
Lawrenceville, GA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $4,017
-
University Nursing & Rehab Center
Athens, GA · Cypress Skilled Nursing
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0