Bryan County HLTH & Rehab Ctr
127 Carter St, Richmond Hill, GA 31324 · Bryan County · 100 certified beds · avg 88 residents/day · certified since Nov 1, 1996
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (23)
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 |
|---|---|---|
| Apr 1, 2026 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 1, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 1, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 1, 2026 | 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. |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 13, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Apr 13, 2025 | F · Potential for harm, facility-wide | 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 13, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Apr 13, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 13, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 13, 2025 | 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. · from a complaint |
| Apr 13, 2025 | 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. · from a complaint |
| Apr 13, 2025 | 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. · from a complaint |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Sep 15, 2022 | D · Potential for harm, one-off | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | E |
| 2025 | 9 | 0 | F |
| 2026 | 7 | 0 | F |
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) | 3.63 | 3.54 | 3.95 | top 39% in Georgia; bottom 43% in the U.S. |
| Registered Nurse hours | 0.29 | 0.50 | 0.69 | bottom 22% in Georgia; bottom 9% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.09 | 3.50 | top 19% in Georgia; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.35 | 0.48 | bottom 45% in Georgia; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 48.8 | 46.0 | 45.8 | bottom 40% in Georgia; bottom 40% in the U.S. |
| RN turnover (%) | 75.0 | 44.5 | 42.9 | bottom 10% in Georgia; bottom 9% 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 4.06, RN 0.33, weekend 3.85. 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: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cook, Sheila | Individual | Direct Ownership Interest | NOT APPLICABLE | 05/31/2013 |
| Cook, Sheila | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/21/2013 |
| Cook, Sheila | Individual | Corporate Director | NOT APPLICABLE | 05/21/2013 |
| Cook, Sheila | Individual | Corporate Officer | NOT APPLICABLE | 05/21/2013 |
| Cook, Sheila | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/21/2013 |
| Cook, Sheila | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2013 |
| Cook, Terry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/15/2013 |
| Cook, Terry | Individual | Corporate Director | NOT APPLICABLE | 05/15/2013 |
| Cook, Terry | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2011 |
| Cook, Terry | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/15/2013 |
| Cook, Terry | Individual | ADP of the SNF | NOT APPLICABLE | 05/15/2013 |
| Oldfield, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/14/2023 |
| Oldfield, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 09/14/2023 |
| Stanfield, Dana | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/19/1999 |
| Stanfield, Dana | Individual | ADP of the SNF | NOT APPLICABLE | 06/19/1999 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Magnolia Manor of Midway | 10.0 mi | Midway, GA | ★★☆☆☆ | 2/5 | |
| Abercorn Rehabilitation Center | 10.3 mi | Savannah, GA | ★☆☆☆☆ | 2/5 | |
| Pruitthealth - Savannah | 11.2 mi | Savannah, GA | ★★☆☆☆ | 2/5 | |
| Resorts at Pooler INC | 11.7 mi | Pooler, GA | ★★☆☆☆ | 2/5 | |
| Savannah Post Acute LLC | 12.8 mi | Savannah, GA | ★☆☆☆☆ | 2/5 | |
| Candler Skilled Nursing Unit | 14.1 mi | Savannah, GA | ★★★★★ | 4/5 | |
| Savannah Crossing of Journey LLC | 15.0 mi | Savannah, GA | ★★★☆☆ | 3/5 | |
| Riverview Health & Rehab Ctr | 15.6 mi | Savannah, GA | ★☆☆☆☆ | 1/5 | |
| Oaks Health Ctr at the Marshes of Skidaway Island | 15.9 mi | Savannah, GA | ★★★★☆ | 4/5 | |
| Pruitthealth - Seaside | 16.4 mi | Port Wentworth, GA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115621.