Comfort Creek Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 10200 U.S. Hwy 1 South, Wadley, GA 30477
- CCN
- 115679
- Ownership type
- For-profit, limited liability company
- Certified beds
- 98
- Residents per day
- 69
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Comfort Creek Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 30 Apr 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Georgia is 4. CMS lists 1 fine of $15,880 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Georgia median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 356 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Georgia median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Apr 2026 | 10 | 4 |
| Cycle 2 | 17 Apr 2025 | 8 | 5 |
| Cycle 3 | No date | 7 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 26 May 2026 |
| 30 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 May 2026 |
| 8 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 May 2026 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 30 May 2025 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jun 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 3 Jul 2024 |
| 7 Jun 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint investigation | 3 Jul 2024 |
| 30 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 1 Jan 2024 |
| 30 Nov 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 1 Jan 2024 |
| 8 Oct 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 20 Nov 2023 |
| 8 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Nov 2023 |
| 8 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Jun 2024 | Fine | $15,880 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Georgia median | Georgia average (CMS) |
|---|---|---|---|
| All nurse staff | 2.84 | 3.40 | 3.56 |
| Registered nurses (RN) | 0.21 | 0.50 | 0.50 |
| Licensed practical nurses (LPN) | 0.69 | 0.93 | |
| Nurse aides | 1.94 | 2.14 | |
| All nurse staff, weekends | 2.67 | 2.90 | 3.10 |
- Nurse staff turnover in a year
- 32.3%
- Nurse staff turnover, Georgia median
- 45.9%
- RN turnover in a year
- 20.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Georgia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | 14.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.8% | 13.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.6% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 42.9% | 18.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Wadley SNF Operator LLC
- Chain
- Beacon Health Management (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hsp Southern Healthcare LLC | 5% or greater direct ownership interest | 100% | 1 Dec 2018 |
| Beacon Health Management LLC | Operational/managerial control | 1 Dec 2018 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Georgia Department of Community Health: file a complaintThe complaint page of the State Survey Agency for Georgia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Comfort Creek Nursing and Rehabilitation Center (CCN 115679). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/comfort-creek-nursing-and-rehabilitation-center-wadley-ga-115679/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Comfort Creek Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a standard survey. It gave 9 citations. The standard survey before the last one was on 17 Apr 2025.
- Who operates Comfort Creek Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Beacon Health Management. The CMS ownership file names Beacon Health Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Comfort Creek Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Georgia as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.