Deficiency Index

Hospital Authority of Brooks County, Georgia, The

Quitman, Georgia · CCN 115498

14 surveys since 2009, 4 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
51
Surveys
14
Harm or worse
4
Immediate jeopardy
0
The record, 2009–2025
’09’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/14

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

The facility

Certified beds
188
Ownership
Government - Hospital district
Chain
Independent
County
Brooks
Medicare-certified since
1990

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 97 facilities with 128 or more beds in Georgia.

Last survey on record

Aug 28, 2025

438 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 day4.004.70
Registered-nurse hours per resident day0.51—
Annual nurse turnover30.8%40.8%

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 minimalD1684.2%E15.3%F15.3%
No harm, potential for minimalA—B—C15.3%
CMS’s current file: 19 of the 51 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5542×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6562×

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

  • F6952×

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

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Hospital Authority of Brooks County, Georgia, The, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Aug 28, 2025

    Based on observations, staff interviews, and review of the facility's policy titled Food Receiving and Storage, the facility failed to discard expired foods and to ensure food items were properly labeled and dated in the dry pantry and in the refrigerator/freezers to prevent foodborne illness. The deficient practice had the potential to affect 133 out of 140 residents receiving an oral diet.Findings include:Review of the facility's undated policy titled, Food Receiving and Storage revealed under Dry Food Storage: 4. Dry foods that are stored in bins are removed from original packaging, labeled and dated ( use by date). Such foods are rotated during a first in-first out system. Under Refrigerated/Frozen Storage: 7. […]

  • No harm, potential for more than minimal, patternF582Mar 28, 2024

    Based on staff interview, record review, and review of the facility policy titled, Notice of Medicare Non-Coverage (NOMNC), the facility failed to correctly issue Medicare Part A beneficiaries completed form CMS (Centers for Medicare and Medicaid Services) 10123 Notice of Medicare Non-Coverage (NOMNC) and CMS-10055 Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) when the residents' completed therapy or skilled nursing services for three of three residents (Resident (R) 61, R130, and R394) reviewed for beneficiary notices. […]

  • No harm, potential for more than minimal, isolatedF554Aug 28, 2025

    Based on observations, resident and staff interviews, record review, and review of the facility's policy titled, Self-Administration of Medications by Patients/Residents, the facility failed to ensure two Residents (R) (R96 and R125) did not have unauthorized, unsecured medications at bedside. In addition, the facility failed to ensure authorized medications for self-administration was securely stored at bedside for R129. This deficient practice had the potential to allow unauthorized access of medications to other residents and visitors in the facility. […]

  • No harm, potential for more than minimal, isolatedF584Aug 28, 2025

    Based on observations, staff interviews, and review of the facility's policy titled Environmental Services Policy-cleanliness and homelike environment, the facility failed to ensure vents were free from dust and grime build up in eight residents rooms on two of six halls, A and B (Rooms 37, 38, 39, 40, 68, 66, 70, 71). Findings include: Review of the facility's undated policy titled Environmental Services Policy-cleanliness and homelike environment revealed, .3. Inspection and Oversight: Routine inspections of resident rooms and common areas will be conducted to ensure compliance with cleanliness and homelike standards. Environmental services supervisors will complete weekly rounds and document findings. […]

  • No harm, potential for more than minimal, isolatedF656Aug 28, 2025

    Based on observations, staff and resident interviews, record review, and review of the facility's policies titled, Care plans, Comprehensive Person-Centered, and Self-Administration of Medications by Patients, the facility failed to develop and implement a person-centered, comprehensive care plan for three of 18 Residents (R) (R59, R101, and R129). Specifically, they failed to implement the care plan for oxygen (O2) therapy related to not administering O2 per the physician order for R59; failed to develop a care plan for O2 use, water humidification, and posting signage for R101; and failed to develop a care plan for self-administration of medication for R129. […]

Read 24 findings in full →The most serious and the most recent: 24 of 51 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 28, 2025Standard6 findings
  • Jun 24, 2025Complaint2 findings
  • Mar 28, 2024Standard9 findings
  • Jul 14, 2022Standard2 findings
  • Jul 28, 2021Complaint2 findings
  • Apr 22, 2021Complaint2 findings
  • Jan 11, 2021Complaint4 findings
  • Nov 13, 2019Complaint1 finding
Show the 6 earlier surveys
  • Mar 14, 2019Standard1 finding
  • May 4, 2017Standard9 findings
  • Aug 6, 2015Standard1 finding
  • Oct 25, 2012—3 findings
  • Mar 30, 2011—7 findings · 2 harm
  • Jun 3, 2009Complaint2 findings · 2 harm

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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