Comer Health and Rehabilitation
2430 Paoli Road, Comer, GA 30629 · Madison County · 116 certified beds · avg 69 residents/day · certified since Jan 24, 2009
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: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (11)
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 |
|---|---|---|
| Feb 26, 2026 | F · Potential for harm, facility-wide | 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. |
| Feb 26, 2026 | 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. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 16, 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | 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. |
| Jan 16, 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. |
| Jan 16, 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. |
| Sep 29, 2022 | E · Potential for harm, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Sep 29, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 29, 2022 | 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. |
| Sep 29, 2022 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 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)
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) | 3.80 | 3.54 | 3.95 | top 27% in Georgia; top 48% in the U.S. |
| Registered Nurse hours | 0.40 | 0.50 | 0.69 | bottom 43% in Georgia; bottom 23% in the U.S. |
| Weekend total nurse staffing | 3.36 | 3.09 | 3.50 | top 23% in Georgia; top 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.35 | 0.48 | bottom 31% in Georgia; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 48.6 | 46.0 | 45.8 | bottom 41% in Georgia; bottom 40% in the U.S. |
| RN turnover (%) | 25.0 | 44.5 | 42.9 | top 18% in Georgia; top 20% 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 3.49, RN 0.37, weekend 3.08. 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: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Community Health Systems INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2014 |
| Health Scholarships INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2014 |
| Akuko, Joanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/2025 |
| Akuko, Joanne | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2026 |
| 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 |
| Lambert, Reno | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Madison County Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2014 |
| Nichols, Joseph | Individual | Corporate Director | NOT APPLICABLE | 11/19/2024 |
| Ringer, Dave | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Ringer, Dave | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| 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 |
| Shiflet, Cecila | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/10/2025 |
| 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.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Pruitthealth - Spring Valley | 10.7 mi | Elberton, GA | ★★★★★ | 5/5 | |
| Brown Health and Rehabilitation | 11.0 mi | Royston, GA | ★★★★☆ | 4/5 | |
| Quiet Oaks Health Care Center | 16.8 mi | Crawford, GA | ★★★☆☆ | 4/5 | |
| Hartwell Health and Rehabilitation | 17.1 mi | Hartwell, GA | ★★★☆☆ | 3/5 | |
| Hart Care Center | 17.8 mi | Hartwell, GA | ★★★★★ | 5/5 | |
| Nancy Hart Operation LLC | 18.7 mi | Elberton, GA | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115289.