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Four County Health and Rehabilitation
124 Overby Drive, Richland, GA 31825 (opens Google Maps) · Stewart County · (229) 887-2021· 85 certified beds · avg 69 residents/day · certified since Oct 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ETHICA HEALTH (50 facilities, chain avg rating 3.6★)
5/5
Health inspection rating (on-site)
inspected May 1, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.64
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
3 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 22, 2022 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
Inspection trend by year
All citationsSerious citations (G–L)
2022
All citations: 1
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityGeorgia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.64
Georgia average: 3.54
U.S. average: 3.95
Registered Nurse hours
This facility: 0.55
Georgia average: 0.50
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.88
Georgia average: 3.09
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Georgia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.64 | 3.54 | 3.95 | top 39% in Georgia; bottom 44% in the U.S. |
| Registered Nurse hours | 0.55 | 0.50 | 0.69 | top 36% in Georgia; bottom 45% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.09 | 3.50 | bottom 43% in Georgia; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.35 | 0.48 | bottom 43% in Georgia; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 57.3 | 46.0 | 45.8 | bottom 20% in Georgia; bottom 21% 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.42, RN 0.52, weekend 2.71.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Four County Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Community Health Systems INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2003 |
| Health Systems Facilities INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2003 |
| Brown, Tracy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2025 |
| Brown, Tracy | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2025 |
| Cable, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2003 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/18/2025 |
| Dennis, Kathryn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/17/2015 |
| Hodges, Kimberly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2023 |
| Hodges, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Lembrick, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/06/2025 |
| Nichols, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/19/2024 |
| Pittman, Jacqueline | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Pittman, Jacqueline | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Rollins, Ronnie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Satchell, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Satchell, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Sheffield, Kimberly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/11/2025 |
| Wall, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Warnock, Ralph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/23/2020 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Ethica Health — 50 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Gordon Health and Rehabilitation — Calhoun, GA · overall 4/5
- Green Acres Health and Rehabilitation — Milledgeville, GA · overall 5/5
- Greene Point Health and Rehabilitation — Union Point, GA · overall 4/5
- Harrington Park Health and Rehabilitation — Augusta, GA · overall 3/5
- Hartwell Health and Rehabilitation — Hartwell, GA · overall 3/5
- Heritage Inn Health and Rehabilitation — Statesboro, GA · overall 4/5
- Heritage Inn of Barnesville Health and Rehab — Barnesville, GA · overall 3/5
- Heritage Inn of Sandersville Health and Rehab — Sandersville, GA · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 49 others, continuing from this facility's own place in that list.
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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Georgia midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 57% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lillian Carter Health Center by Harborview | 16.5 mi | Plains, GA | ★★☆☆☆ | 3/5 | |
| Magnolia Manor of Marion County | 19.3 mi | Buena Vista, GA | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 115481.