Deficiency Index

Northridge Health and Rehabilitation

Commerce, Georgia · CCN 115714

10 surveys since 2010. The first finding at harm level was recorded in 2014.

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

Citations on record
47
Surveys
10
Harm or worse
9
Immediate jeopardy
9
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/10

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

The facility

Certified beds
167
Ownership
Non profit - Other
Chain
ETHICA HEALTH
County
Jackson · rural
Medicare-certified since
2006

CMS ratings

Overall
4
Health inspection
4
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=17, floor 20).

Last survey on record

Jul 23, 2025

474 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 day3.373.54
Registered-nurse hours per resident day0.42—
Annual nurse turnover47.9%37.3%

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 minimalD1058.8%E423.5%F317.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 47 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.

  • F6772×

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

  • F8042×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF802Apr 8, 2022

    Based on observations, interviews, document reviews, and review of facility policy titled, Department Organization, undated, the facility failed to employ enough kitchen personnel to fully carry out the functions of the kitchen. Specifically, the facility failed to have enough staff to wash dishes for the 106 residents who ate meals from the kitchen, therefore, residents were using disposable dinnerware. Findings include: The facility policy titled, Department Organization, undated, revealed, Guidelines: The center should provide adequate staffing to carry out the functions of the Dining and Nutrition Services Department. The Dining and Nutrition Services Department should collaborate with all disciplines to ensure the patient's needs are met based on patient centered care. […]

  • No harm, potential for more than minimal, widespreadF812Apr 8, 2022

    Based on observations, interviews, document reviews, review of Centers for Disease Control (CDC) guidelines, and review of the facility's policies, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 106 of 110 residents that received meals from the kitchen. Specifically, the facility failed to ensure proper hand hygiene practices were utilized during meal distribution, failed to ensure hot and cold foods were held and served at appropriate temperatures, failed to ensure cross contamination of ice from clothing, failed to ensure hair was covered in the food preparation area of the facility and failed to ensure food preparation equipment was properly maintained. Findings include: 1. […]

  • No harm, potential for more than minimal, widespreadF880Apr 8, 2022

    Based on observations, interviews, and review of the facility policies Personal Protective Equipment PPE and COVID-19 Visitation Guidelines, the facility failed to ensure that staff wore masks appropriately. Seven staff members were not wearing a mask appropriately covering the nose and mouth. This failure had the potential to affect all residents. Findings include: Review of the facility policy titled Personal Protective Equipment (PPE), updated February 2022, revealed, PPE should be used in accordance with infection prevention guidelines. Review of the facility policy titled COVID-19 Visitation Guidelines, updated February 2022, revealed, Core Principles of COVID-19 Infection Prevention: 3. Face covering or mask (covering mouth and nose). 1. Observation on 4/5/22 at 8:30 a.m. […]

  • No harm, potential for more than minimal, patternF804Jul 23, 2025

    Based on observations, staff interviews, and review of the facility-provided dietary recipes, the facility failed to ensure dietary staff followed recipes for preparing pureed meals to conserve the nutritive value and flavor for eight of eight residents (R) who received a puree diet from a total of 82 residents who received an oral diet from the kitchen.Findings include:Review of the facility-provided recipe for Vegetable Blend Capri Pureed Thick revealed the Ingredient and Instructions section included Capri Vegetable Blend and food thickener. 1. Remove portions required from the regular prepared vegetables (drain liquid). 2. Add drained vegetables to food processor and process until smooth in texture. 3. Add a food thickener. […]

  • No harm, potential for more than minimal, patternF550Apr 8, 2022

    Based on observations, interviews, review of the facility's Center Contingency Plan, and review of the facility policy titled, Meal Service, the facility failed to treat residents with dignity by ensuring meals were not served on disposable dinnerware. This had the potential to affect 106 out of 110 residents served meal trays from the kitchen. Findings include: A facility policy titled, Meal Service, not dated, revealed, Associates will promote and maintain patient's dignity and respect during meal service. A homelike environment will be upheld during meal service. The center will provide meals and hydration that conserve nutritive value, flavor, and appearance, and that are palatable, attractive, and a safe and appetizing temperature. […]

Read 26 findings in full →The most serious and the most recent: 26 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2025Standard and complaint3 findings
  • Feb 29, 2024Standard3 findings
  • Apr 8, 2022Standard11 findings
  • Jan 10, 2019Standard5 findings · 5 harm
  • Nov 3, 2016Standard5 findings
  • Apr 9, 2015Standard4 findings
  • Feb 20, 2014—4 findings · 4 harm
  • Nov 14, 2013—1 finding
Show the 2 earlier surveys
  • Mar 22, 2012—8 findings
  • Nov 4, 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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