River Brook Healthcare Center
Homerville, Georgia · CCN 115635
26 surveys since 2010, 17 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
- 129
- Surveys
- 26
- Harm or worse
- 17
- Immediate jeopardy
- 13
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 92
- Ownership
- For profit - Limited Liability company
- Chain
- BEACON HEALTH MANAGEMENT
- County
- Clinch · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 1
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 49 for-profit facilities of 66–99 beds in Georgia.
Last survey on record
Apr 2, 2026
221 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.20 | 3.30 |
| Registered-nurse hours per resident day | 0.36 | — |
| Annual nurse turnover | 42.3% | 46.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,720 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G210.5% | H— | I— |
| No harm, potential for more than minimal | D1157.9% | E210.5% | F421.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F5831×
Keep residents' personal and medical records private and confidential.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at River Brook Healthcare Center, in the surveyor’s own words.
- Actual harm, isolatedF656Sep 28, 2025
Based on staff interview, record review, and review of the facility policy titled The Care Plan, the facility failed to implement the care plan interventions related to falls for one of five residents (R) (R12). This failure resulted in actual harm on 9/19/2025, when R12 had a fall from her bed, resulting in two fractured ribs, a hematoma to the right side of her head, and a laceration to her upper lip.Findings included:Review of the facility policy titled, The Care Plan, dated January 2025, under Standard: Care plans are to be accessible for clinical staff in order to facilitate care plan interventions or to update as indicated due to resident condition change.Record review for R12 revealed the resident was admitted to the facility with the diagnoses of, but not limited to, seizures,… […]
- Actual harm, isolatedF689Sep 28, 2025
Based on staff interview and record review, the facility failed to ensure one of five residents (R) (R12) was free from falls with major injury. This failure resulted in actual harm on 9/19/2025 when R12 had a fall from her bed, resulting in two fractured ribs, a hematoma to the right side of her head, and a laceration to her upper lip. Findings included:Record review for R12 revealed the resident was admitted to the facility with the diagnoses of, but not limited to, seizures, anxiety disorder, major depressive disorder, and generalized muscle weakness. Review of the Quarterly Minimum Data Set, dated [DATE], Section C (Cognitive Patterns) revealed a Brief Interview for Mental Status (BIMS) score not assessed due to the resident rarely/never understood. […]
- No harm, potential for more than minimal, widespreadF761Sep 28, 2025
Based on observations, staff interviews, and review of the facility policy titled Medication Administration, the facility failed to ensure the disposal of expired and discharged medications in one of one drug storage rooms. Findings included:A review of the facility's policy titled Medication Administration, dated January 2025, documented that medication destruction is per pharmacy policy. The Consultant Pharmacist and the Director of Nursing (DON) follow the policy for destruction of medications. […]
- No harm, potential for more than minimal, widespreadF921Sep 28, 2025
Based on observations, staff interview, and review of facility documentation, the facility failed to ensure a safe/clean and comfortable environment by not initiating roof repairs required after known damage following most recent hurricane activity in 2024. The facility also failed to ensure air condition units in residents' rooms (2B and 3B)on one of three halls (200 Hall) were maintained to include cleaning and repair. Findings included:1. Review of the roof replacement proposal revealed estimate was prepared on 6/2/2025 for the facility to include the following: The labor, material, and equipment required to finish this job will be for the total of: 1)System Plus/2 year workmanship- $99,455.00, Silver Pledge/10 year workmanship -$102, 125.00, and Golden Pledge/25 year workmanship -… […]
- No harm, potential for more than minimal, widespreadF882Jul 11, 2024
Based on record review and staff interview, the facility failed to ensure that the person in the role of the Infection Preventionist (IP) completed specialized training in Infection Prevention and Control. This failure placed all residents at risk for the potential transmission of infections and communicable diseases. The facility had a census of 68 residents. Findings include: Review of the job description for the Infection Control Preventionist dated 2020, noted a requirement of certification in Infection Control Preventionist training. During an interview with Unit Manager AA on 7/11/2024 at 11:35 am, she stated she started working at the facility about a week ago as the Unit Manager and was filling in as the IP until the position was filled. […]
Read 35 findings in full →The most serious and the most recent: 35 of 129 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 2, 2026Complaint2 findings
- Sep 28, 2025Standard and complaint8 findings · 2 harm
- Jul 11, 2024Complaint2 findings
- Feb 29, 2024Standard7 findings
- Jan 25, 2023Complaint5 findings
- Apr 8, 2022Standard12 findings
- Oct 21, 2021Standard6 findings
- Apr 22, 2021Standard1 finding
Show the 18 earlier surveys
- Aug 25, 2020Complaint2 findings · 2 harm
- Jan 15, 2020Standard7 findings
- Oct 1, 2019Complaint1 finding
- Jul 24, 2019Standard7 findings
- Jun 10, 2019Complaint1 finding
- Jul 19, 2018Standard3 findings
- Jul 13, 2018Complaint3 findings
- Jul 20, 2017Standard7 findings
- Mar 29, 2017Complaint8 findings · 8 harm
- Feb 16, 2017Complaint2 findings
- Sep 28, 2016Complaint7 findings
- Sep 11, 2015Standard and complaint4 findings
- Aug 26, 2015Complaint3 findings
- Dec 18, 2014Standard2 findings
- Mar 21, 2013—5 findings
- Sep 6, 2012—3 findings
- Dec 8, 2011—9 findings
- Apr 30, 2010—12 findings · 5 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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