Carlyle Place
5300 Zebulon Road, Macon, GA 31210 · Bibb County · 40 certified beds · avg 30 residents/day · certified since Dec 9, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Apr 19, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Apr 19, 2024 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 19, 2024 · F-0603 · triggered by a complaint
The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment.
Why it matters: Forced isolation is emotionally harmful and can hide neglect or abuse from view.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 19, 2024 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 19, 2024 · F-0610 · triggered by a complaint
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 21, 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. |
| Sep 21, 2025 | 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. |
| Aug 25, 2024 | 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. |
| Aug 25, 2024 | 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. |
| Apr 19, 2024 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Apr 19, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Apr 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint |
| Apr 19, 2024 | ▲ J · Immediate jeopardy, 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 |
| Apr 19, 2024 | ▲ J · Immediate jeopardy, 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 30, 2023 | 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 30, 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. |
| Apr 30, 2023 | 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 30, 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. |
| Apr 30, 2023 | 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 (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 7 | 5 | K ▲ |
| 2025 | 2 | 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)
1 fine totaling $105,498, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 19, 2024 | Fine | $105,498 |
| Apr 19, 2024 | Payment Denial | 43 days from Apr 25, 2024 |
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) | 5.41 | 3.54 | 3.95 | top 3% in Georgia; top 8% in the U.S. |
| Registered Nurse hours | 0.67 | 0.50 | 0.69 | top 18% in Georgia; top 40% in the U.S. |
| Weekend total nurse staffing | 4.63 | 3.09 | 3.50 | top 4% in Georgia; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.35 | 0.48 | top 21% in Georgia; top 43% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 46.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 44.5 | 42.9 | — |
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 4.91, RN 0.61, weekend 4.20. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ah Georgia INC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2020 |
| Navicent Health INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/02/1977 |
| The Charlotte-Mecklenburg Hospital Authority | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2019 |
| Advocate Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/02/2022 |
| Advocate Health INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Assist Healthcare Services, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/19/2024 |
| Assist Healthcare Services, INC | Organization | Trustee of the SNF | NOT APPLICABLE | 09/19/2024 |
| Assist Healthcare Services, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Atrium Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/09/2020 |
| Atrium Health INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Baralatei, Florence | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Baralatei, Florence | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Biek, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Broad River Rehabilitation | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Broad River Rehabilitation | Organization | Trustee of the SNF | NOT APPLICABLE | 06/01/2023 |
| Broad River Rehabilitation | Organization | ADP of the SNF | NOT APPLICABLE | 05/05/2025 |
| Cannaday, Troy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/16/2024 |
| Cannaday, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Collier, Ronnie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/12/2020 |
| Collier, Ronnie | Individual | Trustee of the SNF | NOT APPLICABLE | 06/12/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Zebulon Park Health and Rehabilitation | 1.2 mi | Macon, GA | ★★★★☆ | 4/5 | |
| Pruitthealth - Peake | 1.4 mi | Macon, GA | ★★★☆☆ | 3/5 | |
| Bolingreen Health and Rehabilitation | 4.5 mi | Macon, GA | ★★☆☆☆ | 2/5 | |
| Pruitthealth - Macon | 5.2 mi | Macon, GA | ★☆☆☆☆ | 2/5 | |
| Medical Management Health and Rehab Center | 5.5 mi | Macon, GA | ★☆☆☆☆ | 2/5 | |
| Cherry Blossom Health and Rehabilitation | 6.4 mi | Macon, GA | ★★★☆☆ | 3/5 | |
| Macon Rehabilitation and Healthcare | 7.4 mi | Macon, GA | ★★★☆☆ | 3/5 | |
| Archway Transitional Care Center | 8.0 mi | Macon, GA | ★☆☆☆☆ | 1/5 | abuse |
| Pruitthealth - Eastside | 9.4 mi | Macon, GA | ★★★★☆ | 4/5 | |
| Pruitthealth - Lakeside, LLC | 10.0 mi | Macon, GA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115680.