Deficiency Index

Cordele Health and Rehabilitation

Cordele, Georgia · CCN 115429

15 surveys since 2010, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
15
Harm or worse
6
Immediate jeopardy
6
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
Non profit - Corporation
Chain
Independent
County
Crisp · rural
Medicare-certified since
1989

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 23 not-for-profit facilities of 100–127 beds in Georgia.

Last survey on record

Jun 14, 2026

148 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.933.42
Registered-nurse hours per resident day0.27—
Annual nurse turnover48.1%45.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2177.8%E13.7%F414.8%
No harm, potential for minimalA—B—C13.7%
CMS’s current file: 27 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6954×

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

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Cordele Health and Rehabilitation, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF804Jun 14, 2026

    Based on observations, staff interviews, and review of the facility policy, Pureed Diet Preparation and Services, the facility failed to ensure pureed foods were prepared according to standardized recipes and professional food service standards for residents requiring texture-modified diets. This deficient practice had the potential to affect seven residents who received pureed diets and could increase the risk that residents would receive food with an inconsistent texture that did not meet their prescribed dietary needs. Findings Include:Review of the facility policy titled, Pureed Diet Preparation and services, documented under the section, Standardized Recipe Requirements section, all pureed diet items shall: Be based on standardized, dietitian- approved recipes. […]

  • No harm, potential for more than minimal, widespreadF812Jun 14, 2026

    Based on observations, staff interviews, and review of the facility policy titled Safe Food Handling, the facility failed to ensure food was properly labeled, dated, and maintained in sanitary conditions to prevent foodborne illness. This deficient practice had the potential to affect 61 residents.Findings include:Review of the facility's policy titled, Safe Food Handling with a review date of 04/18/2026, documented under Section C. Food Storage, Number 5, All food items shall be labeled and dated.A tour with the Dietary Manager (DM) on 06/12/2026 at 9:30AM revealed the following concerns:Observation of the walk-in cooler revealed a box of raw bacon that was not labeled or dated correctly, a gallon of water that was not dated or labeled, and a pan of chicken salad with an expiration date… […]

  • No harm, potential for more than minimal, widespreadF812Apr 3, 2025

    Based on observations, staff interviews, and review of the facility policy titled, Dietary Cleaning, the facility failed to ensure that the walk-in refrigerator, the oven, and the fryer were kept clean and sanitary, in a manner that prevents foodborne illness to the residents. This deficient practice had the potential to affect 56 of 62 residents who receive food from the kitchen. Findings include: A review of the facility policy titled Dietary Cleaning revealed: Creating a kitchen cleaning policy for a long-term care facility is essential to maintaining food safety, hygiene, and overall health. […]

  • No harm, potential for more than minimal, widespreadF812Sep 30, 2021

    Based on observations, interview, and review of policy titled, Food Safety Requirements the facility failed to label and date items in the walk-in cooler and dry food pantry. There were 55 residents that received an oral diet with a census of 57 residents. Findings include: Review of the policy titled Food Safety Requirements (not dated): Policy Interpretation and Implementation revealed the following information: 7. Dry foods that are stored in bins will be removed from original packaging, labeled, and dated (use by date). Such foods will be rotated using a first in- first out system. 8. All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by). An observation on 9/28/2021 at 8:39 a.m. […]

  • No harm, potential for more than minimal, patternF655Sep 30, 2021

    Based on interviews, record reviews, and review of facility policy titled Care Plans, the facility failed to ensure that the baseline care plan had appropriate interventions in place for three residents (R) R#503, R#51, and R#454), was completed within 48 hours for one resident (R#503), and a care conference was held with one resident (R#54) of five residents reviewed for baseline care plan. Findings include: Review of facility policy titled Care Plans dated on 6/7/21, stated It is the facilities responsibilities to adequately capture each residents baseline ability along with any changes in condition or new diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . 1. […]

Read 26 findings in full →The most serious and the most recent: 26 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 14, 2026Standard9 findings
  • Apr 3, 2025Standard and complaint6 findings
  • Feb 20, 2025Complaint1 finding
  • Apr 27, 2023Standard4 findings
  • Sep 30, 2021Standard7 findings
  • Oct 18, 2018Standard3 findings
  • Apr 10, 2018Complaint1 finding
  • Nov 2, 2017Standard1 finding
Show the 7 earlier surveys
  • Aug 4, 2016Standard6 findings
  • May 14, 2015Standard1 finding
  • Feb 13, 2014—2 findings
  • Aug 8, 2013—2 findings
  • Jun 8, 2012Standard7 findings · 6 harm
  • Aug 3, 2011—1 finding
  • Sep 1, 2010—13 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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