Deficiency Index

Providence Healthcare

Thomaston, Georgia · CCN 115484

13 surveys since 2012, 15 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
78
Surveys
13
Harm or worse
15
Immediate jeopardy
9
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file9/13

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

The facility

Certified beds
110
Ownership
For profit - Individual
Chain
BEACON HEALTH MANAGEMENT
County
Upson · rural
Medicare-certified since
1989

CMS ratings

Overall
2
Health inspection
1
Staffing
1
Quality measures
5

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 96 for-profit facilities of 100–127 beds in Georgia.

Last survey on record

Mar 25, 2026

229 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 day2.743.35
Registered-nurse hours per resident day0.18—
Annual nurse turnover32.6%46.5%

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

Enforcement

Payment denials
1
Abuse icon
Flagged by CMS on Care Compare

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 harmG315.0%H—I—
No harm, potential for more than minimalD1155.0%E315.0%F315.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 78 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6562×

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

  • 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.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

In the surveyor’s words

From the most serious findings on record at Providence Healthcare, in the surveyor’s own words.

  • Immediate jeopardy, patternF656Nov 16, 2021

    Based on observation, interview, review of the facility policy titled Nutrition and Weight Management Standard, and record review, the facility failed to ensure that nutritional interventions were implemented as care planned for four residents (R#6, R#12, R#13, and R#14) and surgical wound treatments were provided as care planned for one resident (R#5), from a total sample of 17 residents. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) LL were informed of the Immediate Jeopardy (IJ) on [DATE] at 1:55 p.m. […]

  • Immediate jeopardy, patternF657Nov 16, 2021

    Based on interview and record review, the facility failed to ensure that care plans were revised to address significant weight loss for two residents (R#6 and R#8) from a total sample of 17 residents. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) LL were informed of the Immediate Jeopardy (IJ) on [DATE] at 1:55 p.m. The noncompliance related to the first IJ was identified to have existed on [DATE]. The noncompliance related to the second IJ was identified to have existed on [DATE]. […]

  • Immediate jeopardy, patternF692Nov 16, 2021

    Based on observation, interview, record review and review of facility policy titled Nutrition and Weight Management Standard, the facility failed to ensure that significant weight loss was addressed timely for three residents (R) (R#6, R#10, and R#13), failed to act on Registered Dietician (RD) recommendations for five residents (R#6, R#8, R#12, R#13, and R#14), failed to ensure one resident received adequate hydration (R#6), failed to ensure that one resident received the physician ordered amount of nutritional supplement formula via gastrostomy tube (R#10), and failed to ensure that two residents (R#12 and R#14) received the correct food portions at meals from a total sample of 17 residents. […]

  • Immediate jeopardy, patternF802Nov 16, 2021

    Based on observation and staff interviews, the facility failed to ensure there was adequate dietary support personnel to prepare, cook and serve meals to 65 of 70 residents receiving an oral diet. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) LL were informed of the Immediate Jeopardy (IJ) on [DATE] at 1:55 p.m. The noncompliance related to the first IJ was identified to have existed on [DATE]. The noncompliance related to the second IJ was identified to have existed on [DATE]. […]

  • Immediate jeopardy, patternF803Nov 16, 2021

    Based on observation, staff interview and review of the Week One Menu, the facility failed to ensure dietary staff were serving the correct portion sizes of pureed food and regular diets according to the menu and failed to serve double portions to two residents (R) (#12 and #14) who had a history of weight loss. There were 65 residents with oral diets. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) LL were informed of the Immediate Jeopardy (IJ) on [DATE] at 1:55 p.m. The noncompliance related to the first IJ was identified to have existed on [DATE]. […]

Read 32 findings in full →The most serious and the most recent: 32 of 78 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 25, 2026Complaint4 findings · 3 harm
  • Jul 24, 2025Standard and complaint5 findings
  • Feb 25, 2024Standard2 findings
  • Sep 1, 2022Standard and complaint9 findings
  • Nov 16, 2021Infection control11 findings · 9 harm
  • May 16, 2019Standard6 findings
  • Apr 27, 2018Standard20 findings
  • May 25, 2017Standard1 finding
Show the 5 earlier surveys
  • Oct 6, 2016Complaint2 findings
  • Jul 17, 2015Standard6 findings
  • Apr 2, 2015Complaint3 findings · 3 harm
  • Aug 14, 2014Standard6 findings
  • Oct 12, 2012—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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