Deficiency Index

Westbury Center of Jackson for Nursing and Healing

Jackson, Georgia · CCN 115563

14 surveys since 2011. The first finding at harm level was recorded in 2024.

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

Citations on record
36
Surveys
14
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/14

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

The facility

Certified beds
196
Ownership
For profit - Corporation
Chain
EMPIRE CARE CENTERS
County
Butts
Medicare-certified since
1994

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Mar 12, 2026

242 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 day3.043.38
Registered-nurse hours per resident day0.28—
Annual nurse turnover53.2%51.7%

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

Enforcement

Fines
$8,512 across 1 penalty

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 harmG19.1%H—I—
No harm, potential for more than minimalD1090.9%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 36 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F5541×

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

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

In the surveyor’s words

From the most serious findings on record at Westbury Center of Jackson for Nursing and Healing, in the surveyor’s own words.

  • Actual harm, isolatedF600Jul 12, 2024

    Based on staff interviews, record review, and a review of the facility policy titled Abuse, Neglect and Exploitation, the facility failed to protect the resident's right to be free from verbal and physical abuse by staff. The Certified Nursing Assistant (CNA) forcefully pushed the resident (R) (R1) down, grabbed the wheelchair, and prevented the resident from leaving the room. Psychosocial harm occurred on 7/13/2023 when a CNA voiced racial comments causing R1 to become distraught, scared, and crying. Due to the verbal abuse, R1 left the facility and did not return. […]

  • No harm, potential for more than minimal, isolatedF880Mar 12, 2026

    Based on observations, staff interviews, and the facility policy titled Infection Prevention and Control Program, the facility failed to maintain sanitary conditions to prevent the transmission of communicable diseases and infections. This deficient practice created a potential for infection and cross contamination for 53 sampled residents (R).Findings Include:Review of the Facility's Infection Prevention and Control Program Policy, implemented on 10/01/2022, showed that the Facility has established and maintains an infection prevention and control program designed to provide safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections as per accepted national standard and guidelines. 11. Linens: a. […]

  • No harm, potential for more than minimal, isolatedF550Feb 6, 2025

    Based on observations, staff interviews, record reviews, and review of the facility's policy titled Quality of Life- Dignity, the facility failed to provide care in a manner that maintained or enhanced a resident's dignity for one of 53 sampled residents (R) (R37). This failure had the potential to diminish R37's quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life. Finding include: Review of the facility's policy titled Quality of Life Dignity, dated December 2022, revealed the Policy Statement was Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individually. The Policy Interpretation and Implementation section included, 1. […]

  • No harm, potential for more than minimal, isolatedF554Feb 6, 2025

    Based on observations, resident and staff interviews, record review, and review of the facility's policy titled Resident Self-Administration of Medication, the facility failed to ensure medications were not left at the bedside of two of 53 sampled residents (R) (R86 and R287) who were not assessed for medication self-administration. This deficient practice had the potential to place R86 and R287 at risk of serious health complications, including medication misuse or overdose, and compromise their safety and well-being. Findings Include: A review of the facility's policy titled Resident Self-Administration of Medication, revised on 3/2024, revealed the Policy section was It is the policy of this facility to support each resident's right to self-administer medication. […]

  • No harm, potential for more than minimal, isolatedF584Feb 6, 2025

    Based on observations, staff interviews, record review, and review of the facility-provided document titled Logbook Documentation - Heating, Ventilation and Air Conditioning (HVAC)/ Packaged Terminal Air Conditioner (PTAC): Clean Air Filters, the facility failed to ensure that the PTAC filters were maintained in a clean condition for two of 120 resident rooms (rooms [ROOM NUMBERS] ). In addition, the facility failed to maintain a home-like environment in two of 120 resident rooms (rooms [ROOM NUMBERS]) observed with chipped paint and loose baseboards. […]

Read 20 findings in full →The most serious and the most recent: 20 of 36 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 12, 2026Standard1 finding
  • Feb 6, 2025Standard6 findings
  • Jul 12, 2024Complaint2 findings · 1 harm
  • Aug 31, 2023Standard2 findings
  • Aug 11, 2022Infection control2 findings
  • Jan 20, 2022Standard and complaint1 finding
  • Jun 18, 2020Infection control1 finding
  • Nov 7, 2019Standard4 findings
Show the 6 earlier surveys
  • Jul 27, 2017Standard4 findings
  • Sep 17, 2015Standard3 findings
  • Nov 20, 2014Standard3 findings
  • Mar 27, 2013—1 finding
  • Feb 21, 2013—4 findings
  • Sep 29, 2011—2 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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