Lee County Health and Rehabilitation
214 Main Street, Leesburg, GA 31763 · Lee County · 60 certified beds · avg 58 residents/day · certified since Aug 13, 1996
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 18, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 16, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 18, 2024 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Apr 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 18, 2024 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Apr 18, 2024 | E · Potential for harm, repeated | 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 |
| Mar 12, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 12, 2023 | 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. |
| Mar 12, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 12, 2023 | 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. |
| Mar 12, 2023 | 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. |
| Sep 23, 2021 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 23, 2021 | 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. |
| Sep 23, 2021 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2023 | 5 | 0 | D |
| 2024 | 3 | 2 | J ▲ |
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)
2 fines totaling $16,800.
| Date | Type | Amount / length |
|---|---|---|
| Apr 18, 2024 | Fine | $5,346 |
| Apr 18, 2024 | Fine | $11,454 |
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) | 3.81 | 3.54 | 3.95 | top 26% in Georgia; top 48% in the U.S. |
| Registered Nurse hours | 0.76 | 0.50 | 0.69 | top 12% in Georgia; top 31% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.09 | 3.50 | top 26% in Georgia; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.35 | 0.48 | top 13% in Georgia; top 30% in the U.S. |
| Total nursing staff turnover (%) | 45.2 | 46.0 | 45.8 | top 47% in Georgia; bottom 49% in the U.S. |
| RN turnover (%) | 22.2 | 44.5 | 42.9 | top 16% in Georgia; top 17% 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 3.49, RN 0.70, weekend 3.03. Staffing rating: 4/5.
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: 4/5
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 Scholarships INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2003 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/19/2009 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| Dennis, Kathryn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/17/2015 |
| Hill, Stacey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Hill, Stacey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Johnston, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/09/2023 |
| Johnston, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| Nichols, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/19/2024 |
| 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 | 07/18/2025 |
| Sheffield, Kimberly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Talley, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/16/2022 |
| 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 an example care plan, and how are families included when it's created and updated?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Pruitthealth - Palmyra | 8.9 mi | Albany, GA | ★☆☆☆☆ | 1/5 | |
| Wynfield Park Health and Rehabilitation | 9.8 mi | Albany, GA | ★★☆☆☆ | 3/5 | |
| Dawson Health and Rehabilitation | 15.9 mi | Dawson, GA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115614.