Deficiency Index

Lynn Haven Health and Rehabilitation

Gray, Georgia · CCN 115474

7 surveys since 2010, and no finding has been recorded at harm level.

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

Citations on record
21
Surveys
7
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file4/7

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

The facility

Certified beds
104
Ownership
Non profit - Other
Chain
ETHICA HEALTH
County
Jones
Medicare-certified since
1989

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=8, floor 20).

Last survey on record

Sep 25, 2025

410 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 day3.243.42
Registered-nurse hours per resident day0.50—
Annual nurse turnover53.2%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 minimalD675.0%E225.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 21 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6951×

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

  • F7591×

    Ensure medication error rates are not 5 percent or greater.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF689Apr 16, 2023

    Based on observations, staff interviews, and review of the facility's policy titled, Test Water Temperature, the facility failed to ensure that hot water temperatures in resident bathrooms remained below 110 degrees Fahrenheit (F). This deficient practice affected two of four halls (Hall 2A and Hall 2B - in rooms 48, 53, 57, 59, and 61). Findings include: Review of policy titled Test Water temperature (undated) revealed the following: 1. Ensure patient room water temperatures are between 105 degrees F and 115 degrees Fahrenheit (or as specified state requirements). Georgia - shall not exceed 110 degrees. 2. Test temperature in shower areas 3. Text temperature at mixing valve. Observations on 4/14/2023 from 9:13 a.m. until 10:15 a.m. […]

  • No harm, potential for more than minimal, patternF880Apr 16, 2023

    Based on observations, staff interviews, and a review of the facility's policy titled, Laundry Services, Disposal of Sharps, and Infection Prevention Plan, the facility failed to ensure dust buildup in the laundry room to prevent cross contamination. The facility also failed to dispose of items containing blood in an appropriate manner. Findings include: 1. Review of policy titled Laundry Services (dated 2020) revealed: Guidance - Separating Clean from Dirty in the laundry - Areas should be cleaned on a regular schedule. The tour of the laundry room was on 4/15/2023 beginning at 8:31 a.m. revealed the following: 1.There was dust build up noted on the wall behind the washing machines. 2.There was dust build up on the emergency shower device. 3. […]

  • No harm, potential for more than minimal, isolatedF695Sep 25, 2025

    Based on observations, staff interviews, and record review, the facility failed to ensure oxygen circuits were properly stored for two of 23 residents (R) (R1 and R26) on respiratory care. This deficient practice had the potential to place R1 and R26 at increased risk of respiratory infection. Findings include:1. Review of the admission Minimum Data Set (MDS) for R1, dated 8/27/2025, revealed Section I (Active Diagnoses) documented diagnoses included, but were not limited to, pneumonia. Section O (Special Treatments, Procedures, and Programs) documented that the resident received oxygen. Review of the physician's orders for R1 revealed an order dated 8/22/2025 for oxygen at two liters per minute via nasal cannula every eight hours for pneumonia. […]

  • No harm, potential for more than minimal, isolatedF759Sep 25, 2025

    Based on observations, staff interviews, record review and review of facility's policy titled, Medication Administration- General, The facility failed to ensure that three out of four residents (R) R12, R25 and R39 were free of medication error rate above 5% or greater. This failure had the potential of putting all residents in the facility at risk of receiving wrong or no medication which could potentially have life threatening consequences. The facility census was 65.Findings include:A review of the facility's policy titled, Medication Administration- General, reviewed 4/15/2025 under topic, Guideline, revealed that, Medications are administered in accordance with a valid prescriber order. […]

  • No harm, potential for more than minimal, isolatedF880Sep 25, 2025

    Based on observations, staff interviews, and review of the facility's policies titled Hand Hygiene and Meal Service, the facility failed to ensure infection control practices were followed during a meal in the dining room. This deficient practice had the potential to place the residents at risk of infection due to cross-contamination. The census was 65. Findings include:A review of the facility's policy titled Hand Hygiene, reviewed 12/27/2024, revealed the Purpose section included, Hand hygiene is the single most important means of preventing the spread of infection. The use of gloves does not replace hand washing. The Guideline section included, Gloves should not be used as a substitute for hand hygiene. […]

Read 20 findings in full →The most serious and the most recent: 20 of 21 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 25, 2025Standard3 findings
  • May 5, 2024Standard and complaint2 findings
  • Apr 16, 2023Standard and complaint3 findings
  • Oct 18, 2018Standard1 finding
  • Mar 12, 2015Standard4 findings
  • Sep 19, 2013—5 findings
  • Jun 24, 2010—3 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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