Deficiency Index

Green Acres Health and Rehabilitation

Milledgeville, Georgia · CCN 115578

9 surveys since 2011. The first finding at harm level was recorded in 2019.

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

Citations on record
24
Surveys
9
Harm or worse
4
Immediate jeopardy
4
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/9

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

The facility

Certified beds
98
Ownership
Non profit - Other
Chain
ETHICA HEALTH
County
Baldwin · rural
Medicare-certified since
1995

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Aug 14, 2025

452 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 day3.453.50
Registered-nurse hours per resident day0.28—
Annual nurse turnover35.4%41.3%

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 minimalD3100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 24 citations on record.

In the surveyor’s words

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

  • No harm, potential for more than minimal, isolatedF677Aug 14, 2025

    Based on observations, staff interviews, resident interviews, and record reviews, the facility failed to ensure two of three residents (R) (R55 and R69) sampled for Activity of Daily Living (ADLs) care, out of a total sample of 38, received care and services for ADLs. Specifically, the facility failed to ensure the removal of facial hair for R69 and baths and showers for R55. The deficient practice had the potential to place R55 and R69 at increased risk for unmet needs and a diminished quality of life. Findings include: 1. […]

  • No harm, potential for more than minimal, isolatedF760Aug 14, 2025

    Based on staff interviews, record review, and review of the facility's policy titled Medication Administration-General, the facility failed to ensure medications were administered as ordered by the physician to one of nine residents (R) (R20) observed for medication administration. This deficient practice had the potential to place R20 at an increased risk of adverse effects from the medication and a diminished quality of life. Findings include:Review of the facility's policy titled Medication Administration-General, review date 4/15/2025, revealed the Intent section stated, To facilitate that medications are administered as prescribed, in accordance with good nursing principles. The Guidelines section included, . […]

  • No harm, potential for more than minimal, isolatedF688Oct 16, 2022

    Based on observation, record review and staff interview, the facility failed to provide right hand splint to prevent further contractures as recommended by the Occupational Therapist (OT) for one resident (R) (R#49). The sample was 28 residents. Findings include: Record review revealed that R#49 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Admission Minimum Data Set (MDS) dated [DATE] revealed that R#49 was severely cognitively impaired, required total assistance of staff for activities of daily living (ADLs) and had limitations in range of motion (ROM) on one side of his upper and lower extremities. […]

Read 20 findings in full →The most serious and the most recent: 20 of 24 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 14, 2025Standard and complaint2 findings
  • Oct 16, 2022Standard1 finding
  • Sep 3, 2020Infection control1 finding
  • Oct 5, 2019Standard6 findings · 4 harm
  • Jul 12, 2018Standard1 finding
  • Aug 10, 2017Standard4 findings
  • Nov 13, 2014Standard3 findings
  • Dec 4, 2012—4 findings
Show the 1 earlier survey
  • Oct 13, 2011—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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