263 E May Street, Winder, GA 30680 (opens Google Maps) · Barrow County · (770) 867-2108· 163 certified beds · avg 141 residents/day · certified since Jan 1, 1993 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EMPIRE CARE CENTERS (20 facilities, chain avg rating 1.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
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). F-0628
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. F-0812
The facility did not dispose of garbage and refuse properly. F-0814
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2026 | F · Potential for more than minimal harm, widespread | 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). · F-0628 |
| Jan 22, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jan 22, 2026 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jan 22, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0881 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Jan 22, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0887 |
| Oct 18, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0656 |
| Oct 18, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0686 |
| Oct 18, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0578 |
| Oct 18, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0582 |
| Oct 18, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Oct 18, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0691 |
| Aug 11, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Aug 11, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
2 fines totaling $17,074.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 18, 2024 | Fine | $8,537 |
| Oct 18, 2024 | Fine | $8,537 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Winder Center for Nursing and Healing. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Empire Care Centers — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 115536.
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