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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.
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 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.
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 35th out of 190 homes in Georgia for nurse hours. 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.
| 24m per day | ▼ 18% 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.
| 1h 5m per day | ▲ 18% State avg: 55m 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 16m per day | ▲ 5% 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 3m per day | ▼ 3% State avg: 3h 9m per day · National avg: 3h 27m 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.
| 4m per day | ▲ 18% 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.
| 25m per day | ▲ 25% State avg: 20m per day · National avg: 29m per day |
Lower than the Georgia average: 78.1%Florence Hand Home is administrated by Ms Elizabeth Fritchely.
Key information about the people who lead and staff this community.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 21 | This facility has 29% fewer total deficiencies than a typical Georgia nursing home (15 vs. GA avg 21).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 1.7 | 2.3 | This facility has 26% fewer deficiencies per year than a typical Georgia nursing home (1.7 vs. GA avg 2.3).↓ 26% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Georgia average 3.4
Last Health inspection on Jul 2024
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.
All 4 citations resulted from standard inspections.
100% better than Georgia averageGeorgia average: 0.7
100% better than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% more staff per resident than Georgia average
6% better than Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
40 total: 39 full-time employees and 1 contractor.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
90 total: 88 full-time employees and 2 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
463 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 88 | 2 | 90 | 28,683 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 39 | 1 | 40 | 13,850 | 92 | 100% | 9.3 |
| Registered Nurse | 16 | 0 | 16 | 4,616 | 92 | 100% | 8.7 |
| Dental Services Staff | 3 | 0 | 3 | 969 | 65 | 71% | 8.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 781 | 86 | 93% | 5.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 458 | 57 | 62% | 8 |
| Administrator | 1 | 0 | 1 | 434 | 60 | 65% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 423 | 57 | 62% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 411 | 57 | 62% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 370 | 61 | 66% | 6.1 |
| Feeding Assistant | 0 | 1 | 1 | 244 | 54 | 59% | 4.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 198 | 48 | 52% | 4.1 |
| Speech Language Pathologist | 2 | 0 | 2 | 135 | 22 | 24% | 6.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 86 | 15 | 16% | 5.7 |
| Medical Director | 0 | 1 | 1 | 52 | 26 | 28% | 2 |
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.
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.
7.3
29% better than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.2
24% better than Georgia averageGeorgia average: 17.4
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
8% better than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
8.4%
57% better than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.7%
In line with Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
12% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.4%
31% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.9%
26% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
5.4%
10% better than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
4.3%
51% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
22.2%
16% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.9%
5% better than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with Georgia averageGeorgia average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.1%
In line with Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.8%
27% worse than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.5%
25% worse than Georgia averageGeorgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
108Residents meet regularly to discuss policies, care quality, and activities
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.
6.7 miles from city center
Estimated distance in miles from Lagrange's city center to Florence Hand Home's address, calculated via Google Maps.
Add your location
Florence Hand Home is located in LAGRANGE, Georgia.
Here are the financial assistance programs available to residents in Georgia.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Cedar Valley Nursing & 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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cedartown | 100
Facility
100
GA AVG
88
Rank
#194 / 672 | 78.0% | 0% | 3.57 | +3% | 0% | $0 | 3 | 1.0 | - | 78 | - |
63
Facility
63
GA AVG
39
Rank
#168 / 873 | Rhonda Blankenship | $11.4M | $2.4M | 21.3% | 115436 | ||||
| Spring Harbor |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus | 60
Facility
60
GA AVG
88
Rank
#455 / 672 | 71.4% | -9% | 5.70 | -35% | +60% | $0 | 9 | 3.0 | - | 30 | - |
3
Facility
3
GA AVG
39
Rank
#812 / 873 | Maurice S Hill | $23.0M | $5.8M | 25.3% | 115716 | ||||
| Cumming Health and Rehab |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cumming | 87
Facility
87
GA AVG
88
Rank
#308 / 672 | 100.0% | +28% | 4.70 | +110% | +32% | $0 | 7 | 3.5 | - | 87 | - |
32
Facility
32
GA AVG
39
Rank
#510 / 873 | - | $10.8M | $5.0M | 46.2% | 115551 | ||||
| Florence Hand Home |
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. | Lagrange | 150
Facility
150
GA AVG
88
Rank
#69 / 672 | 72.0% | -8% | 4.07 | +10% | +14% | $0 | 4 | 2.0 | - | 108 | A+ |
9
Facility
9
GA AVG
39
Rank
#741 / 873 | - | - | - | - | 115277 | ||||
| Chestnut Ridge Nursing and Rehabilitation |
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. | Cumming (Samaritan Drive) | 150
Facility
150
GA AVG
88
Rank
#69 / 672 | 90.0% | +15% | 3.15 | -2% | -12% | $0 | 30 | 6.0 | 4 | 135 | C+ |
29
Facility
29
GA AVG
39
Rank
#548 / 873 | - | $20.0M | $2.8M | 14% | 115423 |
Florence Hand Home has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Florence Hand Home's occupancy is 72%.
The team at Florence Hand Home can be reached at [email protected].
Ms ELIZABETH FRITCHELY is the administrator of Florence Hand Home.
Florence Hand Home has 150 beds.
Yes — there is 1 photo of Florence Hand Home in the photo gallery on this page.
Florence Hand Home is located at 200 MEDICAL DRIVE.
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