With a score of 28/100, Comfort Creek Nursing And Rehabilitation Center ranks in the bottom tier of Georgia nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 2.79 total nurse hours per resident per day, Comfort Creek Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 32 deficiencies at Comfort Creek Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.79 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.60 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.64 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0623 Severity EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aApr 16, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Apr 16, 2025 · Resident Rights Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Apr 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0625 Severity DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospiApr 16, 2025 · Resident Rights 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 | 6.8% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 41.2% | 14.5% | Worse |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 24.3% | 14.0% | Worse |
| Excessive weight loss | 5.9% | 7.5% | Better |
| New/worsened incontinence | 20.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,880
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 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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