High Shoals Health and Rehabilitation
Nursing Home & Assisted Living · Bishop, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

High Shoals Health and Rehabilitation

Nursing Home & Assisted Living · Bishop, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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High Shoals Health and Rehabilitation accepts Medicare and private pay.

Inspection History

In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.

Since 2017 · 9 years of data 82 deficiencies 38 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2017 vs. Georgia state average
Overall vs. GA average 2 Worse Metrics worse than Georgia average:
• Total deficiencies (290% above)
• Deficiencies per inspection (83% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityGA Averagevs. GA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8221 This facility has 290% more total deficiencies than a typical Georgia nursing home (82 vs. GA avg 21).↑ 290% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.21.2 This facility has 83% more deficiencies per inspection than a typical Georgia nursing home (2.2 vs. GA avg 1.2).↑ 83% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityGA Averagevs. GA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 3817 This facility has had 124% more total inspections than the Georgia average (38 vs. GA avg 17). More inspections can mean more regulatory scrutiny rather than worse care.↑ 124% more

Health Inspection History

Inspections since 2022
Total health inspections 3

State average 3.4


Last Health inspection on Mar 2025

Total health citations
10 Rank #50 / 183Health citations — State benchmarkedThis home is ranked 50th out of 183 homes in Georgia for health citations. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 183 GA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 16.6

Citations per inspection
3.33 Rank #48 / 183Citations per inspection — State benchmarkedThis home is ranked 48th out of 183 homes in Georgia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 183 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.68


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

2 of 10 citations resulted from standard inspections; and 8 of 10 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.7

0 serious citations State average: 0.5

10 moderate citations State average: 15.2

0 minor citations State average: 0.2
Citations history (last 4 years)
Infection Control moderate citation Mar 27, 2025
Corrected

Quality of Care moderate citation Mar 27, 2025
Corrected

Abuse/Neglect moderate citation Nov 16, 2023
Corrected

Abuse/Neglect moderate citation Nov 16, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 94
Employees 91
Contractors 3
Staff to resident ratio 1.16 : 1
18% fewer staff per resident than Georgia average
Georgia average ratio: 1.42 : 1 Georgia average ratio: 1.42 : 1See full Georgia ranking
Avg staff/day 36
Average shift 8 hours
0% compared with Georgia average
Georgia average: 8.3 hours Georgia average shift: 8.3 hoursSee full Georgia ranking
Total staff hours (quarter) 26,426

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 14 LPN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 33 CNA Staff are full-time employees. No contractors work on this role. 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.4%

97 contractor hours this quarter

Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3303311,49492100%7.8
Medication Aide/Technician130135,46592100%9.6
Licensed Practical Nurse140143,72392100%9
Registered Nurse110112,1239199%8.2
Clinical Nurse Specialist2029196975%8
Dietitian1015197076%7.4
Nurse Practitioner1014886166%8
Administrator1014565762%8
Mental Health Service Worker2024355762%7.3
Respiratory Therapy Technician3033296571%3.7
Physical Therapy Assistant3032125661%3.4
Occupational Therapy Aide011542830%1.9
Speech Language Pathologist202531011%5.3
Nurse Aide in Training1014667%7.7
Qualified Social Worker202432325%1.9
Occupational Therapy Assistant011381112%3.4
Physical Therapy Aide202251112%2.3
Medical Director011633%1.8
33 Certified Nursing Assistant
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 99%
2 Clinical Nurse Specialist
% of Days 75%
1 Dietitian
% of Days 76%
1 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 62%
2 Mental Health Service Worker
% of Days 62%
3 Respiratory Therapy Technician
% of Days 71%
3 Physical Therapy Assistant
% of Days 61%
1 Occupational Therapy Aide
% of Days 30%
2 Speech Language Pathologist
% of Days 11%
1 Nurse Aide in Training
% of Days 7%
2 Qualified Social Worker
% of Days 25%
1 Occupational Therapy Assistant
% of Days 12%
2 Physical Therapy Aide
% of Days 12%
1 Medical Director
% of Days 3%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.8
24% better than Georgia average

Georgia average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.1
36% better than Georgia average

Georgia average: 17.4

Long-stay resident measures
Above average Georgia avg: 3.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.4%
38% better than Georgia average

Georgia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.0%
28% better than Georgia average

Georgia average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 9.0%
44% better than Georgia average

Georgia average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
6% worse than Georgia average

Georgia average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
14% better than Georgia average

Georgia average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
60% better than Georgia average

Georgia average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.9%
In line with Georgia average

Georgia average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.8%
68% better than Georgia average

Georgia average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.6%
34% worse than Georgia average

Georgia average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
8% better than Georgia average

Georgia average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Georgia average

Georgia average: 95.0%

Short-stay resident measures
Significantly above average Georgia avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
21% better than Georgia average

Georgia average: 80.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Georgia average

Georgia average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.2%
15% better than Georgia average

Georgia average: 78.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 13.6%
44% better than Georgia average

Georgia average: 24.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.4%
64% better than Georgia average

Georgia average: 12.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Georgia average

Georgia average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 19.4%
64% worse than Georgia average

Georgia average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 57.4%
14% better than Georgia average

Georgia average: 50.6%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

69% of new residents, often for short stays.

Typical stay 6 - 7 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 81
Medicare
4
4.9% of residents
Medicaid
70
86.4% of residents
Private pay or other
7
8.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Other Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$155.8K
Nonprofit Other Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.2M Rank #122 / 169Net patient revenue — State benchmarkedThis home is ranked 122nd out of 169 homes in Georgia. Shows this facility's net patient revenue compared to the Georgia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$155.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$161.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #131 / 169Payroll costs — State benchmarkedThis home is ranked 131st out of 169 homes in Georgia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Georgia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.
$3.6M 50.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #100 / 169Payroll % of net patient revenue — State benchmarkedThis home is ranked 100th out of 169 homes in Georgia. Shows payroll as a percentage of net patient revenue versus the Georgia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.0M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 6 - 7 months.

Admissions
202 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 69%
Discharges
176 total

Coverage residents most often leave under.

Medicare 26%
Private pay 74%

Places of interest near High Shoals Health and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Bishop's city center to High Shoals Health and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to High Shoals Health and Rehabilitation

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Address

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Frequently Asked Questions about High Shoals Health and Rehabilitation

Is High Shoals Health and Rehabilitation in a walkable area?

High Shoals Health and Rehabilitation has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at High Shoals Health and Rehabilitation?

High Shoals Health and Rehabilitation's occupancy is 80%.

How long has High Shoals Health and Rehabilitation been in business?

High Shoals Health and Rehabilitation has been operating for approximately 45 years, based on available licensing and registration records.

Are pets allowed at High Shoals Health and Rehabilitation?

No, High Shoals Health and Rehabilitation has a no-pet policy.

What is the best email address for High Shoals Health and Rehabilitation?

The team at High Shoals Health and Rehabilitation can be reached at Bdharrison@ethicahealth.org.

Does High Shoals Health and Rehabilitation operate as a for-profit or non-profit?

High Shoals Health and Rehabilitation is registered as a non-profit in GA.

Who is the administrator of High Shoals Health and Rehabilitation?

Brandi Harrison is the administrator of High Shoals Health and Rehabilitation.

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