Brown Health and Rehabilitation
545 Cook Street, Royston, GA 30662 · Franklin County · 144 certified beds · avg 90 residents/day · certified since Dec 4, 1968
Part of chain: ETHICA HEALTH (50 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Georgia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.23 | 3.54 | 3.95 | bottom 36% in Georgia; bottom 23% in the U.S. |
| Registered Nurse hours | 0.41 | 0.50 | 0.69 | bottom 46% in Georgia; bottom 24% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.09 | 3.50 | bottom 40% in Georgia; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.35 | 0.48 | bottom 41% in Georgia; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 47.3 | 46.0 | 45.8 | bottom 45% in Georgia; bottom 44% in the U.S. |
| RN turnover (%) | 50.0 | 44.5 | 42.9 | bottom 42% in Georgia; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.28, RN 0.42, weekend 2.89. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cable, Paul | Individual | Corporate Director | NOT APPLICABLE | 03/14/2003 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Dennis, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 11/17/2015 |
| Franklin County Holdings, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/31/2014 |
| Franklin County Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2014 |
| Gipson, Tana | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2021 |
| Lambert, Reno | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Moody, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 09/06/2023 |
| Nichols, Joseph | Individual | Corporate Director | NOT APPLICABLE | 11/19/2024 |
| Rollins, Ronnie | Individual | Corporate Director | NOT APPLICABLE | 03/14/2003 |
| Sheffield, Kimberly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Sinha, Deanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/09/2025 |
| Sinha, Deanna | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2025 |
| Wall, Joseph | Individual | Corporate Director | NOT APPLICABLE | 03/14/2003 |
| Warnock, Ralph | Individual | Corporate Director | NOT APPLICABLE | 06/23/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Comer Health and Rehabilitation | 11.0 mi | Comer, GA | ★★★☆☆ | 3/5 | |
| Hartwell Health and Rehabilitation | 11.1 mi | Hartwell, GA | ★★★☆☆ | 3/5 | |
| Hart Care Center | 12.3 mi | Hartwell, GA | ★★★★★ | 5/5 | |
| Pruitthealth - Spring Valley | 18.0 mi | Elberton, GA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115090.