Deficiency Index

Riverview Health & Rehab CTR

Savannah, Georgia · CCN 115641

16 surveys since 2011. The first finding at harm level was recorded in 2025.

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

Citations on record
72
Surveys
16
Harm or worse
5
Immediate jeopardy
5
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/16

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

The facility

Certified beds
284
Ownership
Non profit - Corporation
Chain
Independent
County
Chatham
Medicare-certified since
1989

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

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 22 not-for-profit facilities with 128 or more beds in Georgia.

Last survey on record

Mar 18, 2026

236 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 day3.173.54
Registered-nurse hours per resident day0.25—
Annual nurse turnover45.7%37.3%

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

Enforcement

Fines
$92,794 across 1 penalty
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 jeopardyJ311.1%K27.4%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1451.9%E518.5%F311.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 27 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5542×

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

  • 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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Riverview Health & Rehab CTR, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Feb 12, 2025

    Based on record review, staff and resident interviews, and review of the facility policy titled Abuse Policy, the facility failed to protect residents from verbal, sexual and physical abuse. Specifically, the facility failed to protect three residents (R) (R30, R60, and R125) of four sampled residents safe from sexual abuse from R64. In addition, the facility to protect R30 from physical and verbal abuse from Certified Nursing Assistant (CNA) AA. The failure of the facility to keep residents safe had the potential to diminish their quality of life and likelihood of resident abuse to continue. […]

  • Immediate jeopardy, patternF835Feb 12, 2025

    Based on record review, staff interviews, review of the Administrator and Director of Nursing job descriptions, and review of the policy titled Abuse Policy, the facility administration failed to provide protective oversight to attain the highest practicable physical and psychosocial wellbeing of the residents. Specifically, Administration failed to take appropriate action on allegations of employee-to-resident physical and verbal abuse for resident (R) R60; and failed to protect R30, R60, and R125 from sexual abuse from R64. The failures of the Administration to take appropriate action has the likelihood to lead to future allegations of abuse, that are not identified, reported, or investigated. The facility census was 161. Specifically: 1. […]

  • Immediate jeopardy, isolatedF609Feb 12, 2025

    Based on record review, staff and family interviews, and review of the policy titled Abuse Policy, the facility failed to ensure that allegations of verbal, sexual, and physical abuse were reported to the State Survey Agency (SSA). Specifically, residents (R) R30 and R125 were sexually abused by R64; and R60 was verbally and physically abused by Certified Nursing Assistant (CNA AA). The sample size was 57 residents. On 2/5/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on 2/5/2025 5:54 pm. […]

  • Immediate jeopardy, isolatedF610Feb 12, 2025

    Based on record review, staff interview, and review of the facility policy titled, Abuse Policy, the facility failed to ensure allegations of abuse were thoroughly investigated for two of four residents (R) R30 and R60 reviewed for abuse. Specifically, the facility failed to investigate allegations of resident-to-resident sexual abuse for R30 perpetrated by R64 and an allegation of employee to resident abuse for R60, perpetrated by Certified Nursing Assistant (CNA)AA. On 2/5/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF740Feb 12, 2025

    Based on record review, resident and staff interviews, and review of the facility policy titled Specialized Services the facility failed to ensure one resident (R) R64 received necessary behavioral health services to address repeated verbal abuse and hypersexuality behaviors towards other residents in the facility. The sample size was 57. On 2/5/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on 2/5/2025 at 5:54 pm. […]

Read 20 findings in full →The most serious and the most recent: 20 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 18, 2026Standard and complaint9 findings
  • Feb 12, 2025Standard9 findings · 5 harm
  • Sep 8, 2022Standard and complaint9 findings
  • Jun 23, 2022Complaint1 finding
  • Aug 25, 2021Infection control1 finding
  • Aug 6, 2020Complaint2 findings
  • Jun 15, 2018Standard5 findings
  • Jun 8, 2017Standard8 findings
Show the 8 earlier surveys
  • Jan 16, 2017Complaint2 findings
  • Sep 24, 2015Standard1 finding
  • Nov 21, 2014Standard4 findings
  • Feb 28, 2013—3 findings
  • Aug 17, 2012—1 finding
  • Dec 13, 2011—1 finding
  • Sep 29, 2011—15 findings
  • Jul 20, 2011—1 finding

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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