Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Pinewood Health and Rehabilitation runs 2.79 nursing hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. The 63% annual turnover means most of the aides working there this year likely won't be there next year, which matters more than any single rating. On the federal record, there are 50 deficiencies, 11 serious enough to involve harm or jeopardy, five tied to abuse, and $210,094 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection was February 19, 2025.
Rosewood at Tybee Island carries a federal Special Focus Facility designation, which CMS reserves for the homes with the most persistent problems. The inspection record backs that up: 25 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and two tied to abuse. Staffing sits at 2.76 nurse hours per resident per day against a national average of 3.86, and it thins out further on weekends, dropping about 13% below the home's own weekday level. Turnover runs 78.4% a year, well above the 45.8% norm, so the people caring for your family member are likely new and likely leaving soon. One fine on record totals $200,733.
Archbold Living Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Douglasville Center For Nursing And Healing runs 246 certified beds under for-profit LLC ownership, and the numbers here deserve a close look. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 58.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 40 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $13,787 and a June 2025 inspection. Ask about weekend coverage and how they retain aides before deciding.
Crestview runs 388 certified beds on 2.71 nursing hours per resident day, roughly 30% under the national average of 3.86. Weekends drop another 11% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year, and the ones who stay are stretched thin. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and six tied to abuse. CMS has placed the home in its Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems. Its last inspection was June 5, 2025.
Nurse Care of Buckhead is a 220-bed for-profit home in Atlanta that sits in CMS's Special Focus Facility program, the agency's watchlist for homes with a persistent record of poor care. The inspection history explains why: 80 deficiencies on the current record, including four at the harm or jeopardy level and eight tied to abuse. Its last inspection was June 9, 2025.
Staffing is thin in a way that matters day to day. At 3.57 nurse hours per resident, it runs about 8% under the national average, and weekends drop roughly 13% below its own weekday level. Annual turnover of 67.8% means most of the people caring for residents are new to the building and still learning it.
Perimeter Rehabilitation Suites By Harborview in Atlanta carries a record that should give any family pause. The 240-bed for-profit home has 60 deficiencies on file, including five at the harm or jeopardy level and eight tied to abuse, plus a single CMS fine of $201,403. It's one of a small number of homes the federal government places in its Special Focus Facility program, a designation reserved for the worst performers. Staffing sits at 3.75 nurse hours per resident day, slightly under the national average, and drops about 22% on weekends. Annual turnover of 55.4% runs well above the 45.8% national figure, meaning the people caring for residents are often brand new to the job.
Heardmont Health And Rehabilitation is a for-profit LLC home in Elberton with 60 certified beds, and its record is one of the more serious in the federal data. Twenty-eight deficiencies are on file, seven of them at the harm or jeopardy level and three tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends run about 20% thinner than weekdays. Annual turnover of 48.9% tops the national rate, and the single fine on record is $170,259. The most recent inspection was November 18, 2025.
Harborview Thomasville runs 68 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average, with weekends roughly 16% thinner than weekdays. Staff turnover of 47.5% edges past the national 45.8%. The inspection record is the bigger concern: 28 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $23,074, with the most recent inspection in June 2025. CMS gave it one star for health inspections and two for staffing, though quality measures scored three. If you're weighing this one, those harm-level and abuse-related findings deserve direct questions before anything else.
Hazelhurst Court runs on 2.77 nurse hours per resident day, roughly 28 percent under the national average of 3.86, and weekends are thinner still. The inspection record is the bigger concern: 21 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which is why CMS has placed the home in its Special Focus Facility program. Staff turnover, at 45 percent, sits right about where the national average does, so the problem here isn't retention so much as raw coverage and a documented pattern of care failures. The most recent inspection was March 29, 2026.
Folkston Park runs on 3.02 nursing hours per resident day, roughly a fifth below the national figure of 3.86, and weekends are thinner still. That shortfall shows up in the numbers CMS keeps: 60% annual staff turnover against a 45.8% national average, and 26 deficiencies on the current record, five of them serious enough to involve harm or jeopardy, including one abuse-related finding. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. It's currently for-profit corporate-owned, with 92 certified beds.
The nurse staffing numbers at this 200-bed Brunswick home are where I'd start: 3.04 hours per resident per day against a national average of 3.86, and weekends run about 9% thinner than weekdays, which is when families tend to visit and notice. Annual turnover of 66.4% sits well above the 45.8% national figure, so the people providing care change often. Inspectors have cited 38 deficiencies, six of them at the level where harm or jeopardy to a resident occurred and three tied to abuse, with two fines totaling $16,801 on record. The most recent inspection was July 29, 2025. The quality measure score of 4 out of 5 looks strong on paper, but the staffing and inspection results point a different direction, and that gap is worth asking about directly.
Carrollton Crossing runs on 3.22 nurse hours per resident day, about 17% under the national average, and weekend coverage drops another 12% below its own weekday level. Staff turnover sits at 100%, roughly double the national figure, meaning the aides and nurses caring for residents are largely new or on their way out. The inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a 2/5 health inspection rating and a 1/5 on quality measures. Fines so far total $3,728, which is modest, but the last inspection was April 2026. Ask about weekend coverage and how long current staff have actually been on the floor.
The numbers at Woodstock Center are hard to dress up. Nurse staffing sits at 3.04 hours per resident per day against a national average of 3.86, and weekends run thinner still, about 8% below the home's own weekday level. Staff turnover is 63.9%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, fairly new to the building.
Its current inspection record carries 20 deficiencies, five of them serious enough to involve harm or jeopardy, and five tied to abuse. CMS gave it 2 out of 5 stars on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was August 2025, so that record is current, not stale.
Harborview Tifton runs on thinner staffing than most homes in the country, 3.54 nurse hours per resident day against a national average of 3.86, and weekends get about 15 percent leaner than its own weekdays, which is when families tend to visit and notice. The inspection record is the harder read: 34 deficiencies on file, four of them serious enough to reach harm or jeopardy, four tied to abuse, and $22,032 in fines across three penalties. Staff turnover sits at 50 percent, above the 45.8 percent national figure, meaning the people caring for residents are often new. Ownership is a for-profit limited liability company. The most recent inspection was December 3, 2025.
Pine View runs thin on nursing hours, 2.73 per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday pace. The federal stars reflect that: one out of five for staffing, one for quality measures, two for health inspections. Turnover sits at 42%, a touch better than the 45.8% national figure, and the current record shows 19 deficiencies with none at harm level, though one is abuse-related, plus a single $4,017 fine. The most recent inspection was February 2026, so the picture is current. For-profit, LLC-owned, 128 beds. Families should ask directly how weekend coverage is handled and what that abuse citation involved.
Pruitthealth - Swainsboro runs on 3.09 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections, two for quality measures. The current inspection record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit dated April 2026. Turnover sits at 41.8 percent, actually a bit better than the 45.8 percent national figure, which tells you the problem here isn't retention so much as how few hands are scheduled on any given shift.
Mountain View Health Care runs 117 certified beds in Clayton under corporate for-profit ownership, and the numbers tell a consistent story. Nurse staffing sits at 3.08 hours per resident day, about 20 percent under the national average, and weekends drop another 13 percent below what the home itself provides on weekdays, meaning coverage thins out exactly when families tend to visit. The inspection record is heavy: 37 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, with CMS giving the home its lowest mark across health inspections, quality measures, and staffing alike. Staff turnover, at 36.1 percent, is actually better than the national 45.8 percent, which is the one bright spot here.
Pruitthealth - Augusta runs 100 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop roughly 31% below its own weekday coverage, the exact stretch when families tend to visit and when problems surface.
The inspection record is heavier: 33 deficiencies, 2 at harm or jeopardy level, 3 tied to abuse, plus six fines totaling $180,483. The most recent inspection was June 26, 2025, so the picture is current. Annual turnover of 49.3% means nearly half the staff leaves within a year. Resident outcome measures score well, but a 1/5 on health inspections and staffing tells you where the risk concentrates.
Southland Health and Rehabilitation runs on thinner nursing coverage than most homes, 3.29 hours per resident day against a national average of 3.86, with weekends dipping roughly 15 percent below its own weekday levels. Staff turnover is where it separates itself, at 23 percent against a national 45.8, so the people who are there tend to stay. But its inspection record is the real story: 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent survey in August 2025. Quality measures score well; the hands-on care and the survey history are what pull the overall picture down.
Westbury Center of McDonough runs 210 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 38.7%, better than the 45.8% national figure, which is the one clear bright spot here. Inspections are the bigger concern: 12 deficiencies on the current record, 5 at harm or jeopardy level and 3 abuse-related, with the most recent survey in June 2025. The health inspection rating of 2 out of 5 reflects that, and quality measures land at 3. Ask about the abuse-related findings specifically before you decide.
Providence Healthcare runs 2.74 nurse hours per resident day against a national average of 3.86, roughly 29% lighter, with weekends another 9% below its own weekday level. Turnover is genuinely low at 32.6% versus 45.8% nationally, so the staff who are there tend to stay. But the current inspection record carries 20 deficiencies, three at harm or jeopardy level and five abuse-related, with the most recent survey dated July 2025. A 110-bed for-profit owned by an individual, it earns top marks on quality measures while scoring 1 out of 5 on both inspections and staffing. Ask to see the plan of correction before you visit.
Orchard Health And Rehabilitation runs 89 certified beds in Pulaski as a nonprofit, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends running about 14% thinner than weekdays. Turnover is genuinely better than most: 30% against a national 45.8%. The problem isn't the workforce, it's the record. Seven deficiencies are on file, four of them at harm or jeopardy level and two tied to abuse, plus a $57,161 fine. The last inspection was April 2025. Staffing and quality measures both land mid-range at three stars, but that inspection history is what drags the overall picture down. Ask about those abuse-related findings specifically before you visit.
Avalon Health and Rehabilitation runs 90 certified beds in Newnan under nonprofit ownership, and its strongest signal is consistency on the clinical side, staff turnover sits at 36.1% against a national average of 45.8%, and six deficiencies on the current record with none at the harm or jeopardy level is a relatively clean inspection history, verified as recently as April 2025. The tradeoff is time at the bedside: 3.49 nurse hours per resident day lands about 10% under the national average of 3.86, and weekend coverage drops roughly 8% below the home's own weekday level. The abuse-related deficiency and $3,728 fine are worth asking about directly, but the quality measure rating is the number that stands out most, one out of five against a four-out-of-five inspection score suggests the day-to-day care metrics aren't keeping pace with how the building is run.
Carrollton Manor runs 100 beds under corporate ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86. That thin margin disappears on weekends, when coverage drops about 11% below the home's own weekday level, and nearly half the staff turns over each year, slightly worse than the 45.8% national figure. The inspection record is where the real concern lives: 21 deficiencies, including one tied to abuse, and one-star ratings on both health inspections and quality measures. The most recent inspection was April 2025, so the picture is current. Ask about weekend coverage and what changed after that abuse citation before you decide.
Roselane Health Center By Harborview runs 137 certified beds in Marietta under for-profit LLC ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. That looks close enough on paper, but weekends run about 14% thinner than weekdays, so the coverage your relative gets depends heavily on which day it is. Inspectors have logged 25 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which helps explain the middling inspection score and the $6,682 fine on file. Turnover at 27.1% is genuinely better than the 45.8% national figure, though, staff here tend to stay longer than at the typical home.
Westminster Commons runs 3.65 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 16% below its own weekday staffing. That gap matters more than the weekly total, since weekends are when families often visit and when problems surface. Staff turnover sits at 61.4% against a national 45.8%, so many of the people caring for residents are new to the building. The inspection record shows 35 deficiencies, none at harm level but seven tied to abuse, plus two fines totaling $23,472; the last inspection was May 2025. For-profit, LLC-owned, 90 beds.
Jeffersonville Care Center runs 131 beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is actually a bright spot at 34.6%, well under the 45.8% national figure. The inspection record is the concern: 19 deficiencies, including one at the harm level and three tied to abuse, with a $4,119 fine. The last inspection was February 2025. Quality measures rate mid-range; inspection and staffing ratings both sit at 2 out of 5.
Archway runs on 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 10% below its own weekday coverage. Turnover matches the national rate almost exactly, so the problem isn't a churning workforce, it's thin staffing that gets thinner on Saturdays and Sundays. What stands out most is the inspection record: 11 deficiencies, two of them harm-level and three tied to abuse, with a 1-out-of-5 inspection rating. The last survey was August 2024, so that record is recent, not stale. Quality measures and staffing each score a middling 3, meaning the day-to-day numbers aren't the red flag. The safety and compliance history is.