The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COASTAL MANOR
LUDOWICI, GA · Medicare-certified · 108 beds
Needs attention
Non-profit
1 of 5 overall
COASTAL MANOR (LUDOWICI, GA) has a 1 out of 5 overall star rating, with the lowest overall rating flag and weak quality measures (1 star); health inspections are 2 stars and staffing is 4 stars, with reported nurse staffing at 4.08 hours per resident per day versus the 4.1 federal benchmark. There were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0805 hrs/resident/day
Quality measures
Last inspection: May 16, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0805.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 1.23
- Nurse aides
- 2.27
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
33.3%31%Improving
Residents with a fall causing major injury
2.4%1.2%Improving
Residents with pressure ulcers (bedsores)
10.9%6.9%Improving
Residents with a urinary tract infection
12%6.7%Improving
Residents who lost too much weight
18.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.6%42%Worsening
Residents whose ability to walk got worse
20.8%22.3%Worsening
Long-stay residents on antianxiety or sleep medication
21.9%26%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.2%1.7%Improving
Residents with new or worsening incontinence
19%15.4%Improving
Residents with depressive symptoms
22%37.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
96.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—93.5%—
Short-stay residents given the pneumonia vaccine
91.3%93%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited March 2023 — widespread issue, potential for harm.
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F-Tag 700 — 42 CFR §483.25(n) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 84.6 residents on an average day (78% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.