With a score of 58 out of 100, Retreat, The earns a C grade — placing it near the middle of Georgia nursing facilities. Families should review the detailed metrics below when considering this Monticello location.
Staffing at Retreat, The is near the national average, with 3.88 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 7 deficiencies at Retreat, The, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.88 | 3.8 | Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.02 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.32 | 2.4 | Average |
| Weekend Total Nursing | 3.41 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Mar 2, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMar 2, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Mar 2, 2025 · Infection Control Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 11, 2023 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.6% | 4.5% | Better |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 24.4% | 14.5% | Worse |
| Urinary tract infections | 9.5% | 2.5% | Worse |
| ADL decline (daily activities) | 12.7% | 14.0% | Average |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 19.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,269
How This Grade Was Calculated
This facility's grade of C is based on a score of 58 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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