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
Data as of July 1, 2026
4 of 5 overall
Gateway Health and Rehab in Cleveland, GA has an overall 4-star rating, with a 5-star health inspection rating but a 1-star staffing rating and 2-star quality measures rating. Reported nurse staffing is 3.00 hours per resident per day, below the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0018 hrs/resident/day
Quality measures
Last inspection: April 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0018.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 0.80
- Nurse aides
- 1.96
- Weekend nursing
- 2.70
Hours per resident per day.
Total staff turnover: 33%
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
5.7%11.1%Worsening
Residents with a fall causing major injury
6.2%8.6%Worsening
Residents with pressure ulcers (bedsores)
2.1%0%Improving
Residents with a urinary tract infection
4.8%3.7%Improving
Residents who lost too much weight
5.1%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
45.2%38.3%Improving
Residents whose ability to walk got worse
32%27.3%Improving
Long-stay residents on antianxiety or sleep medication
33.3%31.5%Improving
Short-stay residents newly given an antipsychotic
—2.3%—
Residents with a long-term catheter
1.8%1.6%No change
Residents with new or worsening incontinence
21.3%25.5%Worsening
Residents with depressive symptoms
8.5%3.6%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
100%100%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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- 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
- 59.4 residents on an average day (99% 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.