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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 122nd out of 180 homes in Georgia.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 13m per day | ▼ 55% State avg: 29m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 36% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 58m per day | ▼ 9% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 39m per day | ▼ 15% State avg: 3h 6m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 40% State avg: 20m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
41% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #124 / 175Payroll — state benchmarkedThis home is ranked 124th out of 175 homes in Georgia.Shows total annual staff payroll benchmarked to the Georgia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Georgia average: 78.1%Comfort Creek Nursing and Rehabilitation Center is administrated by Ms ASHLEY COOPER.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Georgia average: 15 visits/inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Georgia average: 21 deficiencies
The most recent inspection on June 4, 2025, found no deficiencies, confirming correction of prior issues cited in April 2025. Earlier inspections showed a pattern of deficiencies primarily related to resident care communication, medication monitoring, and safety concerns such as fire safety code compliance and tracheostomy care. Complaint investigations from 2025 included one substantiated case involving failure to follow physician’s orders for CPR, while most other complaints were unsubstantiated or resolved without ongoing deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to be improving, as recent revisit surveys consistently found previously cited deficiencies corrected.
Georgia average 3.4
Last Health inspection on Apr 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 32 citations resulted from standard inspections; 5 of 32 resulted from complaint investigations; and 9 of 32 came from combined inspections (standard and complaint).
186% worse than Georgia averageGeorgia average: 0.7
0
100% better than Georgia averageGeorgia average: 0.5
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 17, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 17, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 17, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| Anderson Mill Center for Nursing and Healing LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Austell | 170 | 81.7% | +5% | 3.34 | +63% | -6% | 0 | 11 | 3.7 | 0 | 124 | - | - | Empire Ga 3 Holdco Llc | $18.1M | $6.9M | 38.1% | 115145 | ||||
| Comfort Creek Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Wadley | 98 | 90.4% | +16% | 3.13 | -17% | -12% | 2 | 32 | 6.4 | 2 | 77 | - | - | Mcdowell, Lynette | $10.3M | $3.3M | 31.8% | 115679 | ||||
| Altamaha Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jesup | 62 | 86.3% | +10% | 2.76 | +3% | -22% | 1 | 20 | 5.0 | 1 | 54 | - | - | Mukwindidza, Chido | $6.6M | $2.1M | 31.1% | 115577 | ||||
| Alzheimer’s Outreach Center of South Ga Inc | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Albany | 32 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Alzheimer’s Services Center | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Morrow | 50 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
0.0 miles from city center
Estimated distance in miles from WADLEY's city center to Comfort Creek Nursing and Rehabilitation Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
26% worse than Georgia averageGeorgia average ratio: 1.45:1
0% compared with Georgia averageGeorgia average: 8.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Total hours from contractors
39 contractor hours this quarter
| Certified Nursing Assistant | 49 | 0 | 49 | 12,046 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,300 | 91 | 100% | 9.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,460 | 89 | 98% | 8.5 |
| RN Director of Nursing | 2 | 0 | 2 | 1,135 | 68 | 75% | 8.9 |
| Registered Nurse | 6 | 0 | 6 | 1,035 | 91 | 100% | 8.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 687 | 64 | 70% | 7.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 489 | 61 | 67% | 8 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 39 | 25 | 27% | 1.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
In line with Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
7% worse than Georgia averageGeorgia average: 17.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.8%
36% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
14.4%
26% better than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.6%
16% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
68% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
7% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.7%
72% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
7.1%
19% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
4.0%
54% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
43.3%
126% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
9% better than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.32
6% worse than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.10
44% better than Georgia averageGeorgia average: 1.97
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
23% better than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
25% better than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.4%
24% better than Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.6%
54% better than Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.6%
47% worse than Georgia averageGeorgia average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
48% lower than Georgia averageGeorgia average: $40K
In line with Georgia averageGeorgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Georgia averageGeorgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 7, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2023Last updated: Jan 2026
Historical financial and operational data for Comfort Creek Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
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