High Shoals Health and Rehabilitation
3450 New High Shoals Rd, Bishop, GA 30621 · Oconee County · 100 certified beds · avg 83 residents/day · certified since Apr 6, 1981
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: ★★★★☆4/5 · CMS overall rating: 4/5
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 (10)
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 |
|---|---|---|
| Jun 11, 2026 | 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. |
| Jun 11, 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. |
| Mar 27, 2025 | 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 |
| Mar 27, 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. · from a complaint |
| Nov 16, 2023 | F · Potential for harm, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Nov 16, 2023 | F · Potential for harm, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2025 | 2 | 0 | D |
| 2026 | 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) | 3.20 | 3.54 | 3.95 | bottom 35% in Georgia; bottom 22% in the U.S. |
| Registered Nurse hours | 0.45 | 0.50 | 0.69 | bottom 49% in Georgia; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.09 | 3.50 | bottom 49% in Georgia; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.35 | 0.48 | bottom 42% in Georgia; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 36.2 | 46.0 | 45.8 | top 26% in Georgia; top 27% in the U.S. |
| RN turnover (%) | 30.0 | 44.5 | 42.9 | top 27% in Georgia; top 29% 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 2.98, RN 0.42, weekend 2.76. 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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cable, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/14/2003 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2014 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/17/2025 |
| Dennis, Kathryn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/17/2015 |
| Harrison, Brandi | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/17/2019 |
| Harrison, Brandi | Individual | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| 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 |
| Peters, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2021 |
| Ringer, Dave | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Ringer, Dave | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| 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 | 07/17/2025 |
| 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.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What training do your staff receive for caring for residents with dementia or mental health conditions?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| University Nursing & Rehab Center | 7.7 mi | Athens, GA | ★☆☆☆☆ | 2/5 | |
| Presbyterian Village - Athens | 8.3 mi | Athens, GA | ★★☆☆☆ | 2/5 | |
| Pruitthealth - Athens Heritage | 9.7 mi | Athens, GA | ★★★★☆ | 3/5 | |
| Pruitthealth - Grandview | 10.6 mi | Athens, GA | ★★★★★ | 5/5 | |
| Oaks - Athens Skilled Nursing, the | 11.2 mi | Athens, GA | ★☆☆☆☆ | 1/5 | |
| Park Place Nursing Facility | 13.8 mi | Monroe, GA | ★★☆☆☆ | 2/5 | |
| Quiet Oaks Health Care Center | 16.8 mi | Crawford, GA | ★★★☆☆ | 4/5 | |
| Winder Center for Nursing and Healing | 16.9 mi | Winder, GA | ★☆☆☆☆ | 1/5 | |
| Madison Health and Rehab | 17.5 mi | Madison, GA | ★★☆☆☆ | 3/5 | |
| Social Circle Nsg & Rehab Ctr | 18.2 mi | Social Circle, GA | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115279.