Gold City Health and Rehab
Dahlonega, Georgia · CCN 115689
21 surveys since 2009. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 74
- Surveys
- 21
- Harm or worse
- 6
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 102
- Ownership
- For profit - Limited Liability company
- Chain
- C. ROSS MANAGEMENT
- County
- Lumpkin
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 1
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 96 for-profit facilities of 100–127 beds in Georgia.
Last survey on record
Feb 5, 2026
277 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.76 | 3.35 |
| Registered-nurse hours per resident day | 0.19 | — |
| Annual nurse turnover | 61.4% | 46.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $52,548 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1878.3% | E28.7% | F28.7% |
| No harm, potential for minimal | A— | B— | C14.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
In the surveyor’s words
From the most serious findings on record at Gold City Health and Rehab, in the surveyor’s own words.
- Immediate jeopardy, isolatedF609Sep 16, 2022
Based on interviews, record review, and review of the policies titled Abuse, Neglect and Exploitation and Abuse Prevention Program, the facility failed to ensure that a significant medication error was reported to the State Survey Agency (SSA) in a timely manner for one of 16 sampled residents (R)(R#1). On 9/9/22 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. Regional Administrator and onboarding facility Administrator, and Interim Director of Nursing were informed of the Immediate Jeopardy (IJ) on 9/9/22 at 2:31 p.m. The noncompliance related to the Immediate Jeopardy was identified to have existed on 8/26/22. […]
- Immediate jeopardy, isolatedF610Sep 16, 2022
Based on record review, interviews, and review of facility policies, the facility failed to conduct a thorough investigation for a significant medication error that occurred on 8/26/22, for one of 16 sampled residents, (R)(R#1). On 9/9/22 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. Regional Administrator and onboarding facility Administrator, and Interim Director of Nursing were informed of the Immediate Jeopardy (IJ) on 9/9/22 at 2:31 p.m. The noncompliance related to the Immediate Jeopardy was identified to have existed on 8/26/22. […]
- Immediate jeopardy, isolatedF726Sep 16, 2022
Based on record review, interviews, and policy review, the facility failed to ensure direct care nursing staff were adequately trained and evaluated for competency for medication administration for one Licensed Practical Nurse (LPN) who administered incorrect medications to resident (R) R#1 out of 16 sampled residents. On 9/9/22 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. Regional Administrator and onboarding facility Administrator, and Interim Director of Nursing were informed of the Immediate Jeopardy (IJ) on 9/9/22 at 2:31 p.m. The noncompliance related to the Immediate Jeopardy was identified to have existed on 8/26/22. […]
- Immediate jeopardy, isolatedF760Sep 16, 2022
Based on observations, record review, staff interviews, and review of facility policies, the facility failed to ensure one resident (R) (R#1) was free from a significant medication error which resulted in a decline in condition, requiring a transfer to the hospital and then airlifted to an Intensive Care Unit (ICU) for seven days. In addition, the facility failed to store medications in a locked area inaccessible to unauthorized individuals. During medication administration, preset medications were observed on top of medication cart A unattended by licensed staff, and accessible to wandering residents. The census was 84. […]
- Immediate jeopardy, isolatedF835Sep 16, 2022
Based on record review, resident, family, and staff interviews, review of the job description for the Administrator, the facility failed to ensure administration provided oversight of the competency of the nursing staff to prevent an incident of significant medication error; also failed to ensure incident was reported to the State Agency (SA) timely and that a thorough investigation of a significant medication error was complete for one resident (R#1). The sample size was 16. On 9/9/22 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. […]
Read 26 findings in full →The most serious and the most recent: 26 of 74 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 5, 2026Complaint2 findings
- Aug 27, 2025Complaint3 findings
- Aug 28, 2024Standard11 findings
- Apr 28, 2023Complaint3 findings
- Feb 2, 2023Standard and complaint7 findings
- Sep 16, 2022Complaint9 findings · 5 harm
- Aug 18, 2021Standard2 findings
- Nov 5, 2020Complaint1 finding
Show the 13 earlier surveys
- Dec 3, 2019Standard4 findings
- Feb 12, 2019Complaint1 finding
- Jul 12, 2018Standard and complaint8 findings
- Jun 22, 2017Standard5 findings
- Dec 7, 2015Complaint2 findings · 1 harm
- Jun 4, 2015Standard6 findings
- Feb 18, 2014—1 finding
- Oct 9, 2013—1 finding
- May 23, 2012—2 findings
- Jun 20, 2011—1 finding
- Jan 7, 2011—2 findings
- Oct 27, 2010—1 finding
- Sep 24, 2009—2 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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