Lillian Carter Health Center by Harborview

Name: Lillian Carter Health Center by Harborview
Address: 225 Hospital Street, Plains, GA, 31780, US
Telephone: 2298247796

225 Hospital Street, Plains, GA 31780 · Sumter County · 100 certified beds · avg 71 residents/day · certified since Jun 1, 1993

Part of chain: HARBORVIEW HEALTH SYSTEMS (22 facilities, chain avg rating 1.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.44

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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 (13)

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
Sep 12, 2025	F · Potential for harm, facility-wide	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Sep 12, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 12, 2025	E · Potential for harm, repeated	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.
Sep 12, 2025	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.
Sep 12, 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.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 10, 2024	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.
Mar 10, 2024	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.
Mar 10, 2024	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 10, 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.
Mar 10, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 19, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Worst severity that year
2022	1	D
2024	5	E
2025	7	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)	2.44	3.54	3.95	bottom 3% in Georgia; bottom 3% in the U.S.
Registered Nurse hours	0.32	0.50	0.69	bottom 26% in Georgia; bottom 11% in the U.S.
Weekend total nurse staffing	1.97	3.09	3.50	bottom 2% in Georgia; bottom 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.35	0.48	top 42% in Georgia; bottom 37% in the U.S.
Total nursing staff turnover (%)	0.0	46.0	45.8	—
RN turnover (%)	0.0	44.5	42.9	—

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 0.39, weekend 2.40. 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: 2/5

Who owns this facility

For profit - Limited Liability company · changed ownership in the last 12 months

Owner / manager	Type	Role	Stake	Since
CL 2022 Irrv Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/01/2025
De 2021 Irrv Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/01/2025
Plains Wanesboro Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	10/01/2025
Blaxton, Brandi	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Blaxton, Brandi	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Bledsoe, Rena	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Bledsoe, Rena	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Bridges, Teresa	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Bridges, Teresa	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Cedarwood Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Cedarwood Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Englander, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2025
Englander, David	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Englander, David	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Fendrich, Warren	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Fendrich, Warren	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
High, Renee	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
High, Renee	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Hunt, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Hunt, Heather	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025

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 often are beds and bed rails inspected, and who does those checks?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Magnolia Manor Methodist Nsg C	9.9 mi	Americus, GA	★★★☆☆	3/5
Four County Health and Rehabilitation	16.5 mi	Richland, GA	★★★★★	5/5
Dawson Health and Rehabilitation	18.8 mi	Dawson, GA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Plains →

Facility data as of CMS processing date 2026-08-01. CCN 115550.

The Care File

Visit checklist — Lillian Carter Health Center by Harborview

225 Hospital Street, Plains, GA 31780 · 2298247796

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 115550 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)