Winder Center for Nursing and Healing
Winder, Georgia · CCN 115536
13 surveys since 2011, 4 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
- 53
- Surveys
- 13
- Harm or worse
- 4
- Immediate jeopardy
- 3
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
- 163
- Ownership
- For profit - Limited Liability company
- Chain
- EMPIRE CARE CENTERS
- County
- Barrow
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 1
- Health inspection
- 1
- 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=18, floor 20).
Last survey on record
Jan 22, 2026
291 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 | 3.40 | 3.38 |
| Registered-nurse hours per resident day | 0.32 | — |
| Annual nurse turnover | 51.2% | 51.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $17,074 across 2 penalties
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 | J211.8% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1058.8% | E— | F529.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6281×
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
In the surveyor’s words
From the most serious findings on record at Winder Center for Nursing and Healing, in the surveyor’s own words.
- Immediate jeopardy, isolatedF656Oct 18, 2024
Based on record review, review of facility policy titled Care Plan, Comprehensive Person-Centered, and staff interviews, the facility failed to follow the care plan for skin assessments for one resident (R) (R145) of six residents reviewed for pressure ulcers. On 10/10/2024, 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, Regional Director of Operations, Regional Director of Clinical Operations, and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on 10/10/2024 at 10:53 am. The noncompliance related to the IJ was identified to have existed on 2/16/2024. […]
- Immediate jeopardy, isolatedF686Oct 18, 2024
Based on observations, record review, review of facility policy titled Pressure Injury Prevention and Management, and staff interviews, the facility failed to provide the necessary care and services to prevent the development and worsening of pressure ulcers for one of six residents (R) (R145) reviewed for pressure ulcers. Specifically, the facility failed to ensure weekly skin assessments and wound observations were completed for R145 and failed to provide the recommended treatment for a sacral pressure ulcer. On 10/10/2024, 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, isolatedF678Dec 8, 2022
Based on record review, interviews, and review of the policy titled Cardiopulmonary Resuscitation (CPR) the facility failed to honor one of nine sample residents (R) (R#7) advanced directive to be a full code by failing to provide cardiopulmonary resuscitation when R#7 was found without a pulse or respiration. R#7 experienced a change in condition, was unresponsive, CPR was not initiated, the resident expired at the hospital. On [DATE], 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 Interim Director of Nursing were informed of the Immediate Jeopardy (IJ) on [DATE] at 10:07 a.m. […]
- No harm, potential for more than minimal, widespreadF628Jan 22, 2026
Based on interviews, record review, and a review of the facility policies titled Transfer and Discharge [including Against Medical Advice (AMA)] and Bed Hold Prior to Transfer, the facility failed to provide residents and their Resident Representatives (RR) with the required written transfer and bed-hold notices following emergent hospital transfers for four of four sampled residents (R) (R93, R10, R155, and R34). This failure limited residents' and representatives' ability to understand appeal rights and access Ombudsman information, placing all residents at risk for potential denial of readmission and loss of their residence after hospitalization.Findings included:A review of the facility's policy titled Transfer and Discharge [including Against Medical Advice (AMA)], dated March 2025,… […]
- No harm, potential for more than minimal, widespreadF812Jan 22, 2026
Based on observations, interviews, and a review of the facility policy titled Sanitation, the facility failed to ensure kitchen staff thoroughly cleaned and air-dried pots, pans, and food service equipment before storage. This failure increased the potential risk of foodborne illness and had the potential to affect 143 of the 146 residents receiving dietary services.Findings included:A review of the facility policy titled Sanitation, dated April 2024, revealed that the food service area shall be maintained in a clean and sanitary manner. All utensils, counters, shelves, and equipment shall be kept clean and maintained in good repair. […]
Read 21 findings in full →The most serious and the most recent: 21 of 53 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 22, 2026Standard9 findings
- Oct 18, 2024Standard and complaint6 findings · 2 harm
- Dec 8, 2022Complaint1 finding · 1 harm
- Aug 11, 2022Standard2 findings
- May 17, 2019Standard2 findings
- Apr 12, 2018Standard4 findings
- Nov 17, 2017Complaint1 finding
- Apr 20, 2017Standard9 findings
Show the 5 earlier surveys
- Jun 18, 2015Standard3 findings
- May 8, 2014Standard7 findings
- Mar 25, 2014Complaint1 finding
- May 2, 2011—2 findings · 1 harm
- Mar 25, 2011—6 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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