Deficiency Index

Muscogee Manor & Rehabilitation CTR

Columbus, Georgia · CCN 115351

15 surveys since 2010, 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
70
Surveys
15
Harm or worse
4
Immediate jeopardy
2
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/15

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

The facility

Certified beds
196
Ownership
Government - City
Chain
Independent
County
Muscogee
Medicare-certified since
1989

CMS ratings

Overall
3
Health inspection
3
Staffing
5
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Feb 22, 2026

260 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 day5.394.70
Registered-nurse hours per resident day0.60—
Annual nurse turnover34.1%40.8%

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

Enforcement

Payment denials
1

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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1482.4%E15.9%F15.9%
No harm, potential for minimalA—B—C15.9%
CMS’s current file: 17 of the 70 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F5541×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

From the most serious findings on record at Muscogee Manor & Rehabilitation CTR, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Nov 21, 2024

    Based on observations, staff interviews, record reviews, and review of the facility's policies titled, Food Storage, Floor Stock, and Accepting Food Deliveries, the facility failed to ensure proper labeling and storage of food with open and expiration dates, failed to discard food items by the expiration dates, and failed to properly cover opened food items. This deficient practice had the potential to affect 85 residents who received food orally. Findings included: Review of facility's policy titled, Food Storage dated 2021, revealed under section titled Procedure: 2. Food should be dated as it is placed on the shelves if required by state regulation. 3. […]

  • No harm, potential for more than minimal, widespreadF725May 13, 2021

    Based on observation, record review, staff and Resident interviews, and review of the Facility's Assessment the facility failed to provide sufficient nursing staff on four of four wings; North Wing, West Wing, South Wing, and [NAME] Wing; f to achieve the highest practicable level of well-being for all Residents. The facility census was 114 Residents. Findings include: Review of the Facility Assessment revised 4/2021 revealed a staffing plan as follows: In order to achieve personal care centered, foster excellence in the nursing services and promote continuity of care we take and look at the needs of our residents. We believe in consistent staffing for the benefit of the resident. […]

  • No harm, potential for more than minimal, widespreadF814May 13, 2021

    Based on observations and staff interviews the facility failed to ensure the sanitary handling of garbage and refuse at the kitchen loading dock and dumpster area. The facility census was 116 residents. Findings include: During the initial observation of the facility dumpster area with the Food Service Director (FSD) on 5/10/2021 at 2:10 p.m., a moderate amount of trash was observed on the loading dock, the steps to the grounds, the gated hosing area on the loading dock for washing/storing housekeeping and maintenance equipment, and along the grounds from the loading dock to the trash compactor where trash and garbage spillage was noted, including used gloves. […]

  • No harm, potential for more than minimal, patternF761Feb 16, 2023

    Based on observations, interviews, staff interviews, and review of the policy titled, Medication Storage in The Care Center the facility failed to ensure that three of eight medication carts and one of three treatment carts were locked when the carts were out of view of the nurse. Additionally, one bottle of eye drops requiring refrigeration was unrefrigerated and an inhaler was not stored properly. Findings include: A review of the Policy titled, Medication Storage in The Care Center (Reviewed and Updated 2012) revealed: Intent: Medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. […]

  • No harm, potential for more than minimal, patternF761May 13, 2021

    Based on observations, staff interviews, and review of the facility policy titled, Medication Storage in the Care Center the facility failed to discard expired biologicals prior to the expiration dates in two of four medication storage rooms. Findings Include: Review of the facility policy titled, Medication Storage in the Care Center, copyrighted 2019, revealed: Outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock, disposed of according to procedures for medication destruction, and reordered from the pharmacy, if a current order exists. An observation on 5/13/21 at 8:28 a.m. […]

Read 24 findings in full →The most serious and the most recent: 24 of 70 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 22, 2026Standard7 findings
  • Nov 21, 2024Standard and complaint7 findings
  • Feb 16, 2023Standard3 findings
  • May 13, 2021Standard5 findings
  • Mar 25, 2021Complaint2 findings
  • Dec 2, 2020Infection control1 finding
  • Jun 12, 2019Complaint2 findings · 2 harm
  • Aug 23, 2018Standard7 findings
Show the 7 earlier surveys
  • Aug 17, 2017Standard2 findings
  • Jul 12, 2017Complaint2 findings
  • May 26, 2016Standard4 findings
  • Feb 20, 2014—8 findings
  • Dec 11, 2013—1 finding
  • May 17, 2012—10 findings
  • Aug 12, 2010Standard9 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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