Haralson Nsg & Rehab Center
315 Field Street, Bremen, GA 30110 · Haralson County · 120 certified beds · avg 97 residents/day · certified since Oct 1, 1989
Part of chain: CYPRESS SKILLED NURSING (5 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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)
▲ Actual harm, one-off · Apr 15, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 6, 2025 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Jul 21, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 23, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 21, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 23, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 7, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| May 7, 2026 | 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 |
| May 7, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Sep 11, 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 11, 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 |
| Sep 11, 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 |
| Sep 11, 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 |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint |
| Apr 15, 2025 | ▲ G · Actual 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 15, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 15, 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 |
| May 30, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 30, 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. · from a complaint |
| Jul 21, 2022 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 21, 2022 | ▲ G · Actual 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. |
| Jul 21, 2022 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jul 21, 2022 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 21, 2022 | 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. |
| Jul 21, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 21, 2022 | E · Potential for harm, repeated | 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jul 21, 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Jul 21, 2022 | 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. |
| Jul 21, 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jul 21, 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 17 | 2 | G ▲ |
| 2024 | 2 | 0 | E |
| 2025 | 8 | 1 | G ▲ |
| 2026 | 3 | 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)
1 fine totaling $8,948, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2025 | Fine | $8,948 |
| Apr 15, 2025 | Payment Denial | 23 days from Jun 14, 2025 |
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) | 3.51 | 3.54 | 3.95 | top 45% in Georgia; bottom 37% in the U.S. |
| Registered Nurse hours | 0.25 | 0.50 | 0.69 | bottom 13% in Georgia; bottom 5% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.09 | 3.50 | top 28% in Georgia; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.35 | 0.48 | bottom 19% in Georgia; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 61.5 | 46.0 | 45.8 | bottom 11% in Georgia; bottom 14% 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 3.35, RN 0.24, weekend 3.14. Staffing rating: 1/5.
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
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bender, Sara | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/2025 |
| Bender, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
| Caldwell, Leighana | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/18/2024 |
| Caldwell, Leighana | Individual | ADP of the SNF | NOT APPLICABLE | 06/18/2024 |
| Cotton, Kesha | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2023 |
| Cotton, Kesha | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2023 |
| Cypress Skilled Nursing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Cypress Skilled Nursing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/20/2025 |
| Langley, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/29/2021 |
| Langley, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 11/29/2021 |
| Macatula, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/31/2017 |
| Macatula, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2017 |
| McKey, Jenna | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/14/2022 |
| McKey, Jenna | Individual | ADP of the SNF | NOT APPLICABLE | 12/14/2022 |
| Moore, Xavier | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/26/2023 |
| Moore, Xavier | Individual | ADP of the SNF | NOT APPLICABLE | 08/26/2023 |
| Mote, Kayla | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/15/2022 |
| Mote, Kayla | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2022 |
| Nordholm, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Nordholm, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Countryside Post Acute | 6.3 mi | Buchanan, GA | ★☆☆☆☆ | 2/5 | |
| Buchanan Healthcare Center | 6.6 mi | Buchanan, GA | ★☆☆☆☆ | 3/5 | |
| Pine Knoll Path of Journey LLC | 10.0 mi | Carrollton, GA | ★☆☆☆☆ | 3/5 | |
| Pruitthealth - Carrollton | 11.0 mi | Carrollton, GA | ★★★★☆ | 4/5 | |
| Carrollton Crossing of Journey LLC | 13.6 mi | Carrollton, GA | ★☆☆☆☆ | 2/5 | abuse |
| Carrollton Manor, Incorporated | 14.2 mi | Carrollton, GA | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115431.