1/5
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.
1/5
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.
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.
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.
| Staff type | Hours / Day / Resident | 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.
| 34m per day | ▲ 16% 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.
| 35m per day | ▼ 38% 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.
| 2h 21m per day | ▲ 9% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 15m per day | ▲ 5% State avg: 3h 6m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 2m per day | ▼ 29% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 24m per day | ▲ 19% State avg: 20m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Autumn Lane Health and Rehabilitation is administered by Edward Nelson.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 19 citations resulted from standard inspections; 1 of 19 resulted from complaint investigations; and 12 of 19 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 20 CNA Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
74 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 0 | 20 | 9,444 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,840 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,046 | 92 | 100% | 11.1 |
| Registered Nurse | 6 | 0 | 6 | 1,202 | 77 | 84% | 8.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,023 | 76 | 83% | 7.6 |
| Dietitian | 1 | 0 | 1 | 517 | 68 | 74% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 216 | 55 | 60% | 3.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 173 | 40 | 43% | 4.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 97 | 27 | 29% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 37 | 22 | 24% | 1.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 29 | 11 | 12% | 2.6 |
| Physical Therapy Assistant | 3 | 1 | 4 | 14 | 8 | 9% | 1.8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
| Qualified Social Worker | 1 | 0 | 1 | 6 | 5 | 5% | 1.1 |
Includes penalties issued in 2025
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)
203% higher than State averageState average: $40K
51% fewer fines than State averageState 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 State averageState average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 6, 2025 · $121K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2025Last updated: Jan 2026
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.
14.1
37% worse than State averageState average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
8% worse than State averageState 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
20.8%
23% worse than State averageState average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
26.8%
38% worse than State averageState average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.5%
47% better than State averageState average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
50% worse than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
10.9%
73% worse than State averageState average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.9%
16% worse than State averageState average: 2.5%
Percent of long-stay residents who lose too much weight
7.3%
22% worse than State averageState average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.5%
94% better than State averageState average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
24.4%
27% worse than State averageState average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.3%
12% worse than State averageState average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
5% worse than State averageState average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
4.53
108% worse than State averageState average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.63
68% better than State averageState 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
62.0%
23% worse than State averageState average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
19% better than State averageState average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.9%
13% worse than State averageState average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
In line with State averageState average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.9%
39% worse than State averageState average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
8.1%
953% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
3.5%
94% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.3%
5% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
81% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Autumn Lane Health and Rehabilitation from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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 #143 / 188Payroll — State benchmarkedThis home is ranked 143rd out of 188 homes in Georgia for Payroll. 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.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.
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 #16 / 188Payroll % — State benchmarkedThis home is ranked 16th out of 188 homes in Georgia for Payroll %. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 51–63% — the top third Statewide. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (81% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Gray's city center to Autumn Lane Health and Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Lenbrook | NH AL MC SNF | Ne Atlanta | - | 60 | A+ | 57 | - |
| Baptist Village, Inc. | NH AL IL SNF | Waycross | - | 254 | - | 60 | - |
| Magnolia Manor of Marion County | NH AL IL MC SNF | Buena Vista | - | 70 | A+ | 50 | - |
| Spring Harbor | NH AL IL MC | Columbus | - | 60 | - | 3 | 1 Bed |
| Autumn Lane Health and Rehabilitation | NH AL | East Gray | - | 85 | - | 41 | - |
Autumn Lane Health and Rehabilitation has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Autumn Lane Health and Rehabilitation's occupancy is 84.5%.
The team at Autumn Lane Health and Rehabilitation can be reached at cnelson@ethicahealth.org.
Autumn Lane Health and Rehabilitation is registered as a non-profit in GA.
Edward Nelson is the administrator of Autumn Lane Health and Rehabilitation.
Autumn Lane Health and Rehabilitation has 85 beds.
Yes — there are 4 photos of Autumn Lane Health and Rehabilitation in the photo gallery on this page.
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