Hartwell Health and Rehabilitation
94 Cade Street, Hartwell, GA 30643 · Hart County · 92 certified beds · avg 81 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: ★★★☆☆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 (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 |
|---|---|---|
| Feb 8, 2026 | 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. · from a complaint |
| Feb 8, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Feb 8, 2026 | 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. · from a complaint |
| Feb 8, 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 |
| Feb 8, 2026 | 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 |
| Feb 8, 2026 | 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. · from a complaint |
| Oct 24, 2024 | E · Potential for harm, repeated | 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 24, 2024 | 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. |
| Oct 24, 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Oct 24, 2024 | 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 24, 2022 | C · Minimal risk, facility-wide | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | C |
| 2024 | 7 | 0 | E |
| 2026 | 6 | 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) | 3.66 | 3.54 | 3.95 | top 36% in Georgia; bottom 45% in the U.S. |
| Registered Nurse hours | 0.32 | 0.50 | 0.69 | bottom 27% in Georgia; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.09 | 3.50 | top 25% in Georgia; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.35 | 0.48 | bottom 37% in Georgia; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 60.7 | 46.0 | 45.8 | bottom 13% in Georgia; bottom 15% 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 3.61, RN 0.32, weekend 3.28. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Buck, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2025 |
| Cable, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/26/2014 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Dennis, Kathryn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/17/2015 |
| Lambert, Reno | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2023 |
| Lambert, Reno | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Nichols, Joseph | Individual | Managing Control - Governing Body | 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 | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Sheffield, Kimberly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Simmons, Allyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2026 |
| Simmons, Allyn | Individual | ADP of the SNF | NOT APPLICABLE | 03/12/2026 |
| 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.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Hart Care Center | 1.2 mi | Hartwell, GA | ★★★★★ | 5/5 | |
| Brown Health and Rehabilitation | 11.1 mi | Royston, GA | ★★★★☆ | 4/5 | |
| Iva Post-Acute | 15.8 mi | Iva, SC | ★★★★☆ | 4/5 | |
| Comer Health and Rehabilitation | 17.1 mi | Comer, GA | ★★★☆☆ | 3/5 | |
| Pruitthealth - Spring Valley | 17.2 mi | Elberton, GA | ★★★★★ | 5/5 | |
| Achieve Rehabilitation and Nursing Center | 19.9 mi | Anderson, SC | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115435.