River Brook Healthcare Center
390 Sweat Street, Homerville, GA 31634 · Clinch County · 92 certified beds · avg 66 residents/day · certified since May 1, 1996
Part of chain: BEACON HEALTH MANAGEMENT (11 facilities, chain avg rating 1.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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 · Sep 28, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 28, 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: Dec 9, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 2, 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 |
| Apr 2, 2026 | 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. · from a complaint |
| Sep 28, 2025 | ▲ G · Actual 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. · from a complaint |
| Sep 28, 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 |
| Sep 28, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Sep 28, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Sep 28, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Sep 28, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 28, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Sep 28, 2025 | D · Potential for harm, one-off | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. |
| Jul 11, 2024 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint |
| Jul 11, 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. · from a complaint |
| Feb 29, 2024 | F · Potential for harm, facility-wide | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Feb 29, 2024 | E · Potential for harm, repeated | 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 29, 2024 | D · Potential for 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. |
| Feb 29, 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Feb 29, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 9 | 0 | F |
| 2025 | 8 | 2 | G ▲ |
| 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)
2 fines totaling $16,720, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 28, 2025 | Fine | $8,360 |
| Sep 28, 2025 | Fine | $8,360 |
| Sep 28, 2025 | Payment Denial | 13 days from Nov 13, 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) | 3.49 | 3.54 | 3.95 | top 46% in Georgia; bottom 36% in the U.S. |
| Registered Nurse hours | 0.39 | 0.50 | 0.69 | bottom 42% in Georgia; bottom 21% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.09 | 3.50 | top 48% in Georgia; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.35 | 0.48 | bottom 40% in Georgia; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 42.3 | 46.0 | 45.8 | top 39% in Georgia; top 42% in the U.S. |
| RN turnover (%) | 100.0 | 44.5 | 42.9 | bottom 2% in Georgia; bottom 1% 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 3.20, RN 0.36, weekend 2.74. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PWW Healthcare, LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 07/01/2016 |
| RWC Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2016 |
| Beacon Health Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Fennell, Leslie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2021 |
| Wertheim, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2016 |
| Wertheim, Bruce | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 |
|---|---|---|---|---|---|
| SGMC Health Villa | 20.1 mi | Lakeland, GA | ★★★★☆ | 4/5 | |
| Baptist Village, INC. | 23.4 mi | Waycross, GA | ★★☆☆☆ | 2/5 | |
| Waycross Health and Rehabilitation | 26.5 mi | Waycross, GA | ★★★★★ | 5/5 | |
| Harborview Satilla | 26.7 mi | Waycross, GA | ★☆☆☆☆ | 1/5 | |
| Berrien Oaks Nursing and Rehab Center | 31.3 mi | Nashville, GA | ★☆☆☆☆ | 3/5 | |
| Vista Park Health and Rehabilitation | 33.5 mi | Douglas, GA | ★★★★★ | 5/5 | |
| Pruitthealth - Crestwood, LLC | 34.1 mi | Valdosta, GA | ★★★★☆ | 4/5 | |
| Pruitthealth - Holly Hill, LLC | 34.1 mi | Valdosta, GA | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Valdosta, LLC | 34.2 mi | Valdosta, GA | ★★☆☆☆ | 3/5 | |
| Pruitthealth - Lakehaven, LLC | 34.3 mi | Valdosta, GA | ★☆☆☆☆ | 1/5 | |
| Suwannee Valley Nursing Center | 38.1 mi | Jasper, FL | ★★★★☆ | 4/5 | |
| Twin Oaks Convalescent Center | 38.3 mi | Alma, GA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115635.