Deficiency Index

Hazelhurst Court Care and Rehabilitation Center

Hazlehurst, Georgia · CCN 115626

12 surveys since 2011. The first finding at harm level was recorded in 2025.

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

Citations on record
54
Surveys
12
Harm or worse
3
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file8/12

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

The facility

Certified beds
73
Ownership
For profit - Corporation
Chain
BEACON HEALTH MANAGEMENT
County
Jeff Davis · rural
Medicare-certified since
1997

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

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 49 for-profit facilities of 66–99 beds in Georgia.

Last survey on record

Mar 29, 2026

225 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 day2.773.30
Registered-nurse hours per resident day0.36—
Annual nurse turnover45.0%46.0%

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

Enforcement

Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ314.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1257.1%E14.8%F523.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 54 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6953×

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

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5691×

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

In the surveyor’s words

From the most serious findings on record at Hazelhurst Court Care and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF656Sep 26, 2025

    Based on staff interviews and record review, the facility failed to ensure that the Advanced Directive care plan was implemented for one of 11 sampled residents (R)(R1). This failure resulted in CPR not being provided for R1, whose Advanced Directive care plan specified she was a Full Code. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy (IJ) on [DATE], at 2:15 pm. The noncompliance related to the IJ was identified to have existed on [DATE].An acceptable Removal Plan was received on [DATE]. […]

  • Immediate jeopardy, isolatedF678Sep 26, 2025

    Based on staff interviews, record review, and review of facility policies titled Emergency Response Management and Cardiopulmonary Resuscitation (CPR), the facility failed to assess and implement life-sustaining measures for one of 11 sampled residents (R)(1). This failure resulted in CPR not being provided for R1, who was found unresponsive, and whose Advanced Directives specified attempting CPR. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE], at 2:15 pm. […]

  • Immediate jeopardy, isolatedF835Sep 26, 2025

    Based on staff interviews, record reviews, and the Director of Nursing (DON) job description, facility nursing administration failed to provide effective oversight to ensure that facility nursing staff assessed and implemented the correct Advance Directive for one of 11 sampled residents (R)(1) reviewed for Advanced Directives. This failure resulted in CPR not being provided for R1, whose Advanced Directive care plan specified she was a Full Code.On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator and DON were informed of the Immediate Jeopardy (IJ) on [DATE], at 2:15 pm. […]

  • No harm, potential for more than minimal, widespreadF812Mar 29, 2026

    Based on observation, interviews, and policy titled Food Storage the facility failed to ensure that food was properly labeled and dated and in sanitary conditions to prevent foodborne illness. The practice has the potential to affect 55 residents of 58. Findings include:A tour with dietary manager on 03/27/2026 at 8:20 AM revealed the following concerns:1.Observation on 03/27/2026 of the freezer was found with a large bag of broccoli opened and not labeled, two packs of dumplings that were past the expiration date, a pack of spinach that had passed the expiration date, and a box of what appeared to be frozen cinnamon rolls that were open with no date or label.2. […]

  • No harm, potential for more than minimal, widespreadF921Mar 29, 2026

    Based on interview and observation, the facility failed to ensure adherence to established laundry maintenance protocols related to dryer lint trap cleaning. This deficient practice has the potential to affect 58 residents. Findings Include:During an observation on 03/28/2026 at 8:40 AM it was observed that the lint filter of the second dryer that is located near the window had not been cleaned.During an interview on03/28/2026, at 10:52 AM, the Environmental Services Director (ESD) stated that lint traps are required to be cleaned after each use or, at a minimum, every hour, with staff required to document completion. However, the ESD confirmed that the lint trap in the second dryer had not been cleaned in accordance with facility policy. […]

Read 20 findings in full →The most serious and the most recent: 20 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 29, 2026Standard6 findings
  • Sep 26, 2025Complaint3 findings · 3 harm
  • Feb 2, 2025Standard8 findings
  • Sep 10, 2023Standard and complaint4 findings
  • Mar 3, 2022Standard and complaint4 findings
  • Jan 9, 2020Standard and complaint4 findings
  • Aug 24, 2017Standard3 findings
  • Dec 10, 2015Standard and complaint4 findings
Show the 4 earlier surveys
  • Jan 15, 2015Standard2 findings
  • Apr 18, 2013—3 findings
  • Dec 1, 2011—12 findings
  • Sep 27, 2011—1 finding

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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