The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
FOUR COUNTY HEALTH AND REHABILITATION
RICHLAND, GA · Medicare-certified · 85 beds
In good standing
Non-profitChain member
5 of 5 overall
Four County Health and Rehabilitation in Richland, GA has an overall 5-star rating, with 5 stars for health inspections but only 2 stars for staffing and quality measures. Reported nurse staffing is 3.58 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5842 hrs/resident/day
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5842.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.50
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 55%
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
18.2%18.2%No change
Residents with a fall causing major injury
1.5%1.4%No change
Residents with pressure ulcers (bedsores)
7.3%12.8%Worsening
Residents with a urinary tract infection
4.7%2.9%Improving
Residents who lost too much weight
0%3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%16.7%Worsening
Residents whose ability to walk got worse
5.6%8.4%Worsening
Long-stay residents on antianxiety or sleep medication
19.7%22.1%Worsening
Short-stay residents newly given an antipsychotic
4.5%0%Improving
Residents with a long-term catheter
1.7%1.5%No change
Residents with new or worsening incontinence
5.2%11.6%Worsening
Residents with depressive symptoms
0%0%No change
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
—98.7%—
Long-stay residents given the pneumonia vaccine
97%98.6%Improving
Short-stay residents given the seasonal flu vaccine
—86.4%—
Short-stay residents given the pneumonia vaccine
86.4%76.2%Worsening
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
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 May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
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 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of ETHICA HEALTH · 49 homes · 3.6 stars avg
- Occupancy
- 70.6 residents on an average day (83% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.