The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Nursing home report
GATEWAY HEALTH AND REHAB
CLEVELAND, GA · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
Gateway Health and Rehab in Cleveland, GA has an overall rating of 4 out of 5 stars, with strong health inspection results at 5 stars but weak staffing at 1 star and quality measures at 2 stars. Reported staffing is 2.88 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8844 hrs/resident/day
Quality measures
Last inspection: March 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8844.
Staffing detail
- Registered nurses
- 0.18
- Licensed practical nurses
- 0.81
- Nurse aides
- 1.89
- Weekend nursing
- 2.59
Hours per resident per day.
Total staff turnover: 36%
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
17.1%12.8%Improving
Residents with a fall causing major injury
8.9%7%Improving
Residents with pressure ulcers (bedsores)
9.1%2%Improving
Residents with a urinary tract infection
5%5.7%Worsening
Residents who lost too much weight
0%2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.5%30%Worsening
Residents whose ability to walk got worse
23.4%25.6%Worsening
Long-stay residents on antianxiety or sleep medication
32.6%35.8%Worsening
Short-stay residents newly given an antipsychotic
—2.3%—
Residents with a long-term catheter
0%2.8%Worsening
Residents with new or worsening incontinence
27.5%22.1%Improving
Residents with depressive symptoms
7.3%2%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
97.8%98.2%No change
Short-stay residents given the pneumonia vaccine
96.2%96.3%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to make sure residents fully understood their health status, care, and treatments. Cited July 2021 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2021 — widespread issue, minimal harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: C
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of RELIABLE HEALTH CARE MANAGEMENT · 7 homes · 3.1 stars avg
- Occupancy
- 57.8 residents on an average day (96% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.