Winder Center for Nursing and Healing
263 E May Street, Winder, GA 30680 · Barrow County · 163 certified beds · avg 141 residents/day · certified since Jan 1, 1993
Part of chain: EMPIRE CARE CENTERS (20 facilities, chain avg rating 1.9★)
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)
▲ Immediate jeopardy, one-off · Oct 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: Nov 21, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 18, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Nov 21, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Jan 22, 2026 | F · Potential for harm, facility-wide | 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). |
| Jan 22, 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. |
| Jan 22, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jan 22, 2026 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 22, 2026 | D · Potential for harm, one-off | 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. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 22, 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. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Oct 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 |
| Oct 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 18, 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. · from a complaint |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | F |
| 2024 | 6 | 2 | J ▲ |
| 2026 | 9 | 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)
2 fines totaling $17,074.
| Date | Type | Amount / length |
|---|---|---|
| Oct 18, 2024 | Fine | $8,537 |
| Oct 18, 2024 | Fine | $8,537 |
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) | 3.32 | 3.54 | 3.95 | bottom 42% in Georgia; bottom 27% in the U.S. |
| Registered Nurse hours | 0.31 | 0.50 | 0.69 | bottom 25% in Georgia; bottom 11% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.09 | 3.50 | bottom 41% in Georgia; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.09 | 0.35 | 0.48 | bottom 1% in Georgia; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 51.2 | 46.0 | 45.8 | bottom 33% in Georgia; bottom 34% in the U.S. |
| RN turnover (%) | 69.2 | 44.5 | 42.9 | bottom 16% in Georgia; bottom 12% 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 3.40, RN 0.32, weekend 2.93. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ensh Consulting LLC | Organization | 5% or Greater Direct Ownership Interest | 95% | 02/01/2023 |
| Donath, Barry | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2023 |
| Empire Care Centers LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/04/2023 |
| Heller, Shlomo | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Heller, Shlomo | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| NG, Scott | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2023 |
| NG, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Nussbaum, Ephraim | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Swerdloff, Aryeh | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
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?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| Park Place Nursing Facility | 12.4 mi | Monroe, GA | ★★☆☆☆ | 2/5 | |
| Mesun Health and Rehabilitation Center | 14.7 mi | Lawrenceville, GA | ★★☆☆☆ | 2/5 | |
| University Nursing & Rehab Center | 16.3 mi | Athens, GA | ★☆☆☆☆ | 2/5 | |
| Presbyterian Village - Athens | 16.6 mi | Athens, GA | ★★☆☆☆ | 2/5 | |
| High Shoals Health and Rehabilitation | 16.9 mi | Bishop, GA | ★★★★☆ | 4/5 | |
| Pruitthealth - Athens Heritage | 16.9 mi | Athens, GA | ★★★★☆ | 3/5 | |
| Life Care Ctr of Lawrenceville | 17.0 mi | Lawrenceville, GA | ★☆☆☆☆ | 1/5 | |
| Oaks - Athens Skilled Nursing, the | 17.5 mi | Athens, GA | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Grandview | 18.0 mi | Athens, GA | ★★★★★ | 5/5 | |
| Crossroads of Flowery Branch of Journey LLC, the | 18.5 mi | Flowery Branch, GA | ★☆☆☆☆ | 2/5 | |
| Parkside Post Acute and Rehabilitation | 19.7 mi | Snellville, GA | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Lanier | 19.8 mi | Buford, GA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115536.