Four County Health and Rehabilitation
124 Overby Drive, Richland, GA 31825 · Stewart County · 85 certified beds · avg 69 residents/day · certified since Oct 1, 1989
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: ★★★★★5/5 · CMS overall rating: 5/5
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 (3)
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 |
|---|---|---|
| May 1, 2025 | 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. |
| May 1, 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 22, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
| 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)
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) | 3.64 | 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, 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. 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: 3/5 · long-stay residents: 2/5 · 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 | 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 |
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?"
- "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 |
|---|---|---|---|---|---|
| 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 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115481.