Nursing home report
MONTICELLO, GA · Medicare-certified · 55 beds
Retreat, The (Monticello, GA) has a 3 out of 5 overall rating, with average health inspection results and stronger staffing and quality ratings at 4 out of 5. It reports no fines in the last 24 months, but its nurse staffing is slightly below the federal benchmark (3.96 vs. 4.1 hours per resident per day), and recent inspection citations included CPR/basic life support, food handling, and medication error issues.
Health inspections
Staffing
3.9628 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9628.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited March 2025 — isolated incident, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited March 2025 — isolated incident, potential for harm.
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 March 2025 — isolated incident, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $15,269 in total fines.
Federal fine
May 26, 2023
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.
