Comfort Creek Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Wadley, 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.

Comfort Creek Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Wadley, 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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Comfort Creek Nursing and Rehabilitation Center accepts Medicare, Medicaid, 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 119 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 2 Worse Metrics worse than Georgia average:
• Total deficiencies (467% above)
• Deficiencies per year (474% above)
0 Better No metrics in this bucket.
Latest Inspection June 4, 2025 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. 11921 This facility has 467% more total deficiencies than a typical Georgia assisted living residence (119 vs. GA avg 21).↑ 467% worse
Deficiencies per year Info Average deficiencies per year since 2017. 13.22.3 This facility has 474% more deficiencies per year than a typical Georgia assisted living residence (13.2 vs. GA avg 2.3).↑ 474% worse

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

  • The June 4, 2025 revisit survey found all deficiencies from April 17, 2025, recertification and complaint surveys fully corrected with no new deficiencies cited.
  • The April 17, 2025 annual survey cited seven deficiencies including failure to notify family timely of a resident’s condition change resulting in death, resident-to-resident abuse, and inadequate psychotropic medication monitoring.
  • Life Safety Code surveys in October 2023 and April 2025 found multiple fire safety violations including missing self-closing devices, penetrations in fire barriers, and improperly mounted exit signs allowing smoke migration.

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A


Last Health inspection on Apr 2025

Total health citations
32 Rank #174 / 194Health citations — State benchmarkedThis home is ranked 174th out of 194 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 194 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 N/A

Citations per inspection
6.4 Rank #151 / 194Citations per inspection — State benchmarkedThis home is ranked 151st out of 194 homes in Georgia for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 194 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 N/A


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).

Breakdown of citation severity (last 3 years)
Critical health citations
2
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

2 critical citations State average: N/A

0 serious citations State average: N/A

29 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Abuse/Neglect moderate citation Apr 17, 2025
Corrected

Pharmacy moderate citation Apr 17, 2025
Corrected

Quality of Care moderate citation Apr 17, 2025
Corrected

Quality of Care moderate citation Apr 17, 2025
Corrected

Staffing Data

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

Total staff 77
Employees 73
Contractors 4
Staff to resident ratio 0.95 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28
Average shift 7.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,187

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 4 RN Staff are full-time employees. No contractors work on this role. 4
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 12 LPN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 38 CNA Staff are full-time employees. No contractors work on this role. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 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

0.2%

38 contractor hours this quarter

Occupational Therapy Assistant: 4

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 Assistant3803810,13592100%7.7
Licensed Practical Nurse120123,37992100%8.9
Medication Aide/Technician120122,97792100%8.4
Other Dietary Services Staff3031,0118997%7.7
RN Director of Nursing2028725964%8.2
Registered Nurse40484092100%8.2
Administrator1014966267%8
Nurse Practitioner1014405560%8
Occupational Therapy Assistant044383134%1.2
38 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
12 Medication Aide/Technician
% of Days 100%
3 Other Dietary Services Staff
% of Days 97%
2 RN Director of Nursing
% of Days 64%
4 Registered Nurse
% of Days 100%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 60%
4 Occupational Therapy Assistant
% of Days 34%

Penalties and fines

Includes penalties issued in 2024

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)

Total fines amount $21K Rank #155 / 195Federal fines — State benchmarkedThis home is ranked 155th out of 195 homes in Georgia for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Georgia average among facilities with fines, and where it ranks among 195 facilities in the pool. Lower total dollars mean 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.
48% lower than State average

State average: $40K

Number of fines 2
In line with State average

State average: 2.1

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $21K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 7, 2024 · $16K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 7, 2024
$16K

Last updated: Jan 2026

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. 10.2
In line with 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. 18.6
7% worse than State average

State average: 17.4

Long-stay resident measures
Below average State 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 22.8%
36% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.4%
26% 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 18.6%
16% worse than State average

State average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
68% 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 5.9%
7% better than State average

State average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
72% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.1%
19% worse than State average

State average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.0%
54% better than State average

State average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 43.3%
126% worse than State average

State average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
9% better than State average

State average: 91.5%

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

State average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.32
6% worse than State average

State average: 2.18

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.10
44% better than State average

State average: 1.97

Short-stay resident measures
Significantly above average State 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 98.7%
23% better than State average

State average: 80.6%

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

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
25% better than State average

State average: 78.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.4%
24% better than State average

State average: 24.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.6%
54% better than State average

State 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 State average

State 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. 28.6%
47% worse than State average

State average: 53.7%

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

37% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

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

Total residents 81
Medicare
3
3.7% of residents
Medicaid
50
61.7% of residents
Private pay or other
28
34.6% of residents

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
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."
$6.9M
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."
-$345.6K
For-profit Corporation
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."
$6.9M Rank #114 / 188Revenue — State benchmarkedThis home is ranked 114th out of 188 homes in Georgia for Revenue. Shows this facility's annual revenue compared to the Georgia average. 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.Click the rank badge to see the full State ranking.Click here to see the full State 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."
-$345.6K
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.
$14.0K
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 #142 / 188Payroll — State benchmarkedThis home is ranked 142nd 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.
$3.8M 55.8% 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 #148 / 188Payroll % — State benchmarkedThis home is ranked 148th 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.
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).
$7.2M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
106 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 37%
Medicaid 23%
Discharges
98 total

Coverage residents most often leave under.

Medicare 28%
Private pay 35%
Medicaid 38%

Places of interest near Comfort Creek Nursing and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Wadley's city center to Comfort Creek Nursing and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Comfort Creek Nursing and Rehabilitation Center

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The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.

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Frequently Asked Questions about Comfort Creek Nursing and Rehabilitation Center

Is Comfort Creek Nursing and Rehabilitation Center in a walkable area?

Comfort Creek Nursing and Rehabilitation Center has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Comfort Creek Nursing and Rehabilitation Center?

Comfort Creek Nursing and Rehabilitation Center's occupancy is 78%.

Are pets allowed at Comfort Creek Nursing and Rehabilitation Center?

No, Comfort Creek Nursing and Rehabilitation Center has a no-pet policy.

What is the best email address for Comfort Creek Nursing and Rehabilitation Center?

The team at Comfort Creek Nursing and Rehabilitation Center can be reached at arussell@beaconhc.net.

Does Comfort Creek Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Comfort Creek Nursing and Rehabilitation Center is registered as a for-profit in GA.

Who is the administrator of Comfort Creek Nursing and Rehabilitation Center?

Rebecca * McDiffitt is the administrator of Comfort Creek Nursing and Rehabilitation Center.

How many beds does Comfort Creek Nursing and Rehabilitation Center have?

Comfort Creek Nursing and Rehabilitation Center has 98 beds.

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