Winthrop Health and Rehabilitation
Rome, Georgia · CCN 115395
5 surveys since 2010. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 21
- Surveys
- 5
- Harm or worse
- 6
- Immediate jeopardy
- 6
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
- 80
- Ownership
- Non profit - Other
- Chain
- ETHICA HEALTH
- County
- Floyd
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 2
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
Sep 18, 2025
417 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 | 3.38 | 3.50 |
| Registered-nurse hours per resident day | 0.70 | — |
| Annual nurse turnover | 55.3% | 41.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J633.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1055.6% | E— | F211.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6102×
Respond appropriately to all alleged violations.
- F7592×
Ensure medication error rates are not 5 percent or greater.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6071×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6081×
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
In the surveyor’s words
From the most serious findings on record at Winthrop Health and Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600May 16, 2022
Based on observations, record review, interviews, and review of the facility policy titled, Abuse Prohibition, the facility failed to effectively address the sexually aggressive behavior of one of four residents (R#364). The facility failed to put effective interventions in place to protect three of four residents (R#17, R#55, R#42) from resident-to-resident sexual abuse. The deficient practice had the potential to affect all 61 residents residing in the facility On 04/14/2022, 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, isolatedF607May 16, 2022
Based on interview, record review, document review, and review of facility policies titled, Reporting and Investigating Abuse, and Abuse Prohibition - Screening, Hiring and Training Practices, the facility failed to develop and/or implement the protection, reporting, training components of their abuse for three of four (R#17, R#42, R#55) residents reviewed for sexual abuse. On 04/14/2022, 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 was informed of the Immediate Jeopardy (IJ) on 04/14/2022 at 7:46 PM. […]
- Immediate jeopardy, isolatedF608May 16, 2022
Based on interviews, document review, and review of facility policies titled, Reporting and Investigating Abuse, the facility failed to ensure allegations of sexual abuse were reported to the police for three of four [R#17, R#55 R#42,] sampled residents reviewed for sexual abuse. On 04/14/2022, 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 was informed of the Immediate Jeopardy (IJ) on 04/14/2022 at 7:46 PM. The noncompliance related to the immediate jeopardy was identified to have existed on 05/23/2021. […]
- Immediate jeopardy, isolatedF610May 16, 2022
Based on observations, record review, staff and family interviews, and review of facility policies titled, Reporting and Investigating Abuse, the facility failed to ensure allegations of sexual abuse were thoroughly investigated and failed to implement protective measures to prevent further incidences of sexual abuse for three of four (R#17, R#55, R#42) residents reviewed for sexual abuse. On 04/14/2022, 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 was informed of the Immediate Jeopardy (IJ) on 04/14/2022 at 7:46 PM. […]
- Immediate jeopardy, isolatedF656May 16, 2022
Based on observations, interviews, record review, document review, and review of the facility policy titled, Patient's Plan of Care, the facility failed to ensure person-centered, comprehensive care plans were developed to meet the safety and psychological needs of four of 16 (R#364, R#17, R#42 and R#55) whose care plans were reviewed. Specifically, the facility failed to ensure the comprehensive care plan for R#364 addressed the resident's sexually abusive behaviors to prevent further sexual abuse of other facility residents; and the comprehensive care plans for R#17, R#42, and R#55 failed to address protective measures and the necessary care, assessments and monitoring related to having been sexually assaulted by R#364. […]
Read 20 findings in full →The most serious and the most recent: 20 of 21 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 18, 2025Standard3 findings
- Jun 9, 2024Standard and complaint3 findings
- May 16, 2022Standard12 findings · 6 harm
- Feb 8, 2018Standard1 finding
- Dec 16, 2010—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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