Florence Hand Home
Nursing Home & Assisted Living · Lagrange, 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.

Florence Hand Home

Nursing Home & Assisted Living · Lagrange, 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.

Overview of Florence Hand Home

Florence Hand Home is a 150-bed skilled nursing facility located in LaGrange, Troup County, Georgia, serving residents across Troup County and surrounding areas. Operated as a government-funded facility with 46 years of operational history, it provides subacute rehabilitation, long-term care, and specialized nursing services. Current occupancy stands at 72%. The facility is car-dependent with a Walk Score of 9, located 6.7 miles from LaGrange’s city center. As a Medicare/Medicaid certified facility, Florence Hand Home maintains federal CMS quality ratings.

Florence Hand Home emphasizes personalized, physician-supervised care with specialized rehabilitation programs: physical, occupational, and speech therapy; cardiac and pulmonary rehabilitation; orthopedic care; stroke recovery; memory care; and wound and respiratory care. Hospice and palliative services address end-of-life and comfort-focused care. Staffing includes 16 registered nurses, 40 licensed practical nurses, and 90 certified nursing aides, providing 4 hours 4 minutes of nursing care per resident daily—13% above Georgia’s state average. The facility maintains A+ Better Business Bureau accreditation, reflecting operational standards and customer satisfaction.

Over nine years of inspections, Florence Hand Home averaged 1.7 deficiencies annually—26% better than Georgia’s average of 2.3 per year. The most recent inspection in September 2024 found zero deficiencies, with a revisit confirming correction of all citations from July 2024, which included dining assistance failures, unsafe chemical storage in a resident room, and improper kitchen food labeling. Life Safety Code and Emergency Preparedness standards remained compliant throughout 2024. An enforcement action for incomplete COVID-19 reporting was documented in August 2022; the facility has since demonstrated compliance with infection control requirements.

CMS quality ratings exceed state averages across all dimensions: health inspection performance is 49% above average, staffing 78% above average, and quality measures 33% above average. Resident outcomes are favorable. High-risk clinical event scores run 29% better than state average, functional decline scores 24% better. Pressure ulcer rates in high-risk residents are 31% below state average.

Florence Hand Home suits residents and families seeking skilled nursing with specialized rehabilitation in an established facility demonstrating strong staffing, above-average clinical performance, and consistent compliance. The facility’s 46-year operational history and government funding provide stability and community integration. Families should discuss current occupancy and service availability directly with the facility before admission.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 4m per day
Rank #38 / 202Nurse hours — State benchmarkedThis home is ranked 38th out of 202 homes in Georgia. Shows adjusted nurse hours per resident per day benchmarked to the Georgia average, with a ranking across 202 Georgia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 24m per day
LPN / LVN Info 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. 1h 5m per day
Nurse Aide Info 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. 2h 16m per day
Weekend Total Nursing Info 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. 3h 3m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 4m per day
Weekend RN Info 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. 25m per day
Bed community size
150-bed community Rank #68 / 672Bed count — State benchmarkedThis home is ranked 68th out of 672 homes in Georgia. Shows this facility's certified or reported bed count compared to other Georgia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
46 years in operation Rank #71 / 670Years in operation — State benchmarkedThis home is ranked 71st out of 670 homes in Georgia. Shows how long this facility has been in operation compared to other Georgia facilities. Longer operating histories may benefit residents, families, and staff.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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 9 / 100 Rank #741 / 873Walk Score — State benchmarkedThis home is ranked 741st out of 873 homes in Georgia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Georgia facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
72%
Rank #173 / 325Occupancy rate — State benchmarkedThis home is ranked 173rd out of 325 homes in Georgia. Shows this facility's occupancy rate versus the Georgia average, with its Statewide rank out of 325. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Georgia average: 78.1%
Occupied beds
108 / 150
Average occupied beds in Georgia homes 88 beds

License Details

Facility TypeNursing Home
StatusSnf/nf Dual Cert
IssuanceApril 22, 1981
CountyTroup

Ownership & Operating Entity

Florence Hand Home is administered by Ms. Elizabeth Fritchely.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Robin Lambeth, Administrative Assistant

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Library
ActivitiesA monthly schedule of recreational programs and activities is planned, including musical entertainment, games, exercise, and community outings
Wellness Program
Specific ProgramsPhysical Therapy, Occupational Therapy, Speech Therapy, Cardiac and Pulmonary Rehab, Telemetry Monitoring, Orthopedic Rehab, Hip Repair/Joint Replacement Recovery, Stroke Recovery Program, Memory Care/Dementia/Alzheimers, Wound Care, Respiratory Care, Tracheostomy Care, Recreational Therapy & Activities, Social Services & Discharge Planning, Hospice/Palliative Care

Contact Florence Hand Home

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 15 deficiencies

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 0 Worse No metrics in this bucket. 2 Better Metrics better than Georgia average:
• Total deficiencies (29% below)
• Deficiencies per year (26% below)
Latest Inspection September 10, 2024 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

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. 1521 This facility has 29% fewer total deficiencies than a typical Georgia assisted living residence (15 vs. GA avg 21).↓ 29% better
Deficiencies per year Info Average deficiencies per year since 2017. 1.72.3 This facility has 26% fewer deficiencies per year than a typical Georgia assisted living residence (1.7 vs. GA avg 2.3).↓ 26% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The September 10, 2024 re-inspection found all deficiencies from the July 25, 2024 survey were corrected with no new deficiencies cited.
  • The July 25, 2024 survey cited three deficiencies involving dining assistance, chemical hazards in a resident's bathroom, and improper food storage and sanitation.
  • The December 15, 2022 survey found one deficiency for failing to update a resident’s care plan to reflect current code status orders.

Health Inspection History

Inspections since 2022
Total health inspections 2

State average N/A


Last Health inspection on Jul 2024

Total health citations
4 Rank #14 / 203Health citations — State benchmarkedThis home is ranked 14th out of 203 homes in Georgia. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 203 GA facilities. Lower citation counts earn a better 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 N/A

Citations per inspection
2 Rank #15 / 203Citations per inspection — State benchmarkedThis home is ranked 15th out of 203 homes in Georgia. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 203 facilities with citation data. Lower is better.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 N/A


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

All 4 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Nutrition moderate citation Jul 25, 2024
Corrected

Quality of Care moderate citation Jul 25, 2024
Corrected

Resident Rights moderate citation Jul 25, 2024
Corrected

Care Planning moderate citation Dec 15, 2022
Corrected

Staffing Data

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

Total staff 166
Employees 161
Contractors 5
Staff to resident ratio 1.54 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 64
Average shift 8.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 51,709

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 16 RN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 40 total: 39 full-time employees and 1 contractor. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 90 total: 88 full-time employees and 2 contractors. 90
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 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

0.9%

463 contractor hours this quarter

Certified Nursing Assistant: 2 Licensed Practical Nurse: 1 Feeding 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 Assistant8829028,68392100%9.1
Licensed Practical Nurse3914013,85092100%9.3
Registered Nurse160164,61692100%8.7
Dental Services Staff3039696571%8.1
Respiratory Therapy Technician5057818693%5.8
Other Dietary Services Staff1014585762%8
Administrator1014346065%7.2
Occupational Therapy Aide1014235762%7.4
Nurse Practitioner1014115762%7.2
Qualified Social Worker1013706166%6.1
Feeding Assistant0112445459%4.5
Physical Therapy Aide2021984852%4.1
Speech Language Pathologist2021352224%6.1
Physical Therapy Assistant101861516%5.7
Medical Director011522628%2
90 Certified Nursing Assistant
% of Days 100%
40 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 100%
3 Dental Services Staff
% of Days 71%
5 Respiratory Therapy Technician
% of Days 93%
1 Other Dietary Services Staff
% of Days 62%
1 Administrator
% of Days 65%
1 Occupational Therapy Aide
% of Days 62%
1 Nurse Practitioner
% of Days 62%
1 Qualified Social Worker
% of Days 66%
1 Feeding Assistant
% of Days 59%
2 Physical Therapy Aide
% of Days 52%
2 Speech Language Pathologist
% of Days 24%
1 Physical Therapy Assistant
% of Days 16%
1 Medical Director
% of Days 28%

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. 7.3
29% better than State average

State average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.2
24% better than State average

State average: 17.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.6%
8% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.4%
57% better than State average

State 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 15.7%
In line with State average

State average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
12% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.4%
31% better than State average

State average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
26% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.4%
10% better than State average

State average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.3%
51% better than State average

State average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.2%
16% worse than State average

State average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
5% better than State average

State average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.3%
In line with State average

State average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.1%
In line with State average

State average: 80.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.8%
27% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 58.5%
25% worse than State average

State average: 78.2%

Facility Characteristics

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

Total residents 108
Medicare
8
7.4% of residents
Medicaid
87
80.6% of residents
Private pay or other
13
12% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Places of interest near Florence Hand Home

Address 6.7 miles from city center Info Estimated distance in miles from Lagrange's city center to Florence Hand Home's address, calculated via Google Maps.

Calculate Travel Distance to Florence Hand Home

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Address

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Frequently Asked Questions about Florence Hand Home

Is Florence Hand Home in a walkable area?

Florence Hand Home has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Florence Hand Home?

Florence Hand Home's occupancy is 72%.

What is the best email address for Florence Hand Home?

The team at Florence Hand Home can be reached at lambethro@wghealth.org.

Does Florence Hand Home operate as a for-profit or non-profit?

Florence Hand Home is registered as a non-profit in GA.

Who is the administrator of Florence Hand Home?

Ms ELIZABETH FRITCHELY is the administrator of Florence Hand Home.

How many beds does Florence Hand Home have?

Florence Hand Home has 150 beds.

Are there photos of Florence Hand Home?

Yes — there is 1 photo of Florence Hand Home in the photo gallery on this page.

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