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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.
Riverside Health Care Center is a 159-bed skilled nursing facility located at 5100 West Street NW in Covington, Georgia. Operated by Senior Care Holdings Inc., the Newton County property maintains a high 97% occupancy level and has a 2-star overall rating from the Centers for Medicare & Medicaid Services (CMS). The facility coordinates 24-hour clinical nursing, short-term rehabilitation, and specialized medical programs.
State administrative logs from the Georgia Department of Community Health document persistent compliance challenges, with the property averaging 9.1 deficiencies annually over an eight-year tracking window. An April 3, 2025, recertification survey cited two deficiencies involving illegible medication labels, missing expiration dates across six medication carts, and an expired pneumococcal vaccine stored in a refrigerator.
A follow-up revisit on May 13, 2025, determined that these medication management and labeling failures persisted, revealing inadequate staff training and inconsistent internal audits. Historical records also note recurring infractions for incomplete resident self-administration assessments, care planning gaps, and employee fingerprint background check omissions. A subsequent July 3, 2025, reinspection verified that all prior medication and training tags were corrected, while a concurrent complaint audit concluded with a citations-per-inspection rate of zero.
On-site operations utilize a 24-hour staffing structure that delivers an average of three hours and 39 minutes of direct nursing care per resident daily. Specialized medical services incorporate intravenous therapy, pain management, wound care, PEG tube management, and outpatient dialysis. Residents also have access to physical, occupational, and speech therapies, alongside visiting podiatry, dental, vision, psychiatric, and audiology professionals.
Families investigating local skilled nursing or dementia care options must carefully weigh this high-occupancy facility’s history of recurring medication management and staff training infractions. This large-scale environment requires a resident’s sponsors to maintain close communication with the clinical team to ensure routine care plans and prescription safety protocols are actively followed. Prospective representatives are encouraged to schedule an on-site tour, request copies of recent pharmacy audit reports, and discuss ongoing staff training initiatives.
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 70th 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.
| 14m per day | ▼ 51% 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.
| 45m per day | ▼ 19% 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 28m per day | ▲ 15% 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 4m per day | ■ Avg 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.
| 8m per day | ▲ 166% 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.
| 8m per day | ▼ 61% State avg: 20m per day · National avg: 28m per day |
Higher than the Georgia average: 78.1%Riverside Health Care Center is administrated by Ms Starla Gleaton.
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.
| 107 | 21 | This facility has 410% more total deficiencies than a typical Georgia nursing home (107 vs. GA avg 21).↑ 410% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 11.9 | 2.3 | This facility has 417% more deficiencies per year than a typical Georgia nursing home (11.9 vs. GA avg 2.3).↑ 417% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Georgia average 3.4
Last Health inspection on Oct 2025
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.
21 of 30 citations resulted from standard inspections; 3 of 30 resulted from complaint investigations; and 6 of 30 came from combined inspections (standard and complaint).
100% better than Georgia averageGeorgia average: 0.7
300% worse 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.
12% fewer staff per resident than Georgia average
5% 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.
12 total: 11 full-time employees and 1 contractor.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 33 LPN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 79 CNA Staff are full-time employees. No contractors work on this role.
79
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
715 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 79 | 0 | 79 | 23,302 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 31 | 0 | 31 | 12,005 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 33 | 0 | 33 | 10,203 | 92 | 100% | 9.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,901 | 76 | 83% | 8.1 |
| Qualified Social Worker | 7 | 0 | 7 | 1,667 | 92 | 100% | 8 |
| Registered Nurse | 11 | 1 | 12 | 1,655 | 92 | 100% | 7.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,273 | 70 | 76% | 7.9 |
| Physical Therapy Aide | 6 | 0 | 6 | 965 | 83 | 90% | 6.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 952 | 71 | 77% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 916 | 70 | 76% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 899 | 73 | 79% | 8.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 802 | 67 | 73% | 6.7 |
| RN Director of Nursing | 1 | 0 | 1 | 562 | 66 | 72% | 8.5 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 443 | 62 | 67% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 320 | 40 | 43% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 73 | 12 | 13% | 6.1 |
| Medical Director | 0 | 1 | 1 | 34 | 18 | 20% | 1.9 |
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)
68% lower than Georgia averageGeorgia average: $40K
51% fewer fines than Georgia averageGeorgia 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 Georgia averageGeorgia average: 0.3
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.
10.8
5% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
In line with Georgia averageGeorgia 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
16.1%
In line with Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
21.3%
10% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.4%
In line with Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
32% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
18% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.1%
18% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
9.1%
52% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
2.7%
69% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
18.8%
In line with Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
5% better than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.69
22% better than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.82
8% better than Georgia averageGeorgia 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
91.9%
14% better than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
74% worse than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
54.6%
30% worse than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
7% better than Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.0%
10% better than Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.1%
29% worse than Georgia averageGeorgia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.8%
11% worse than Georgia averageGeorgia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
155Residents 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.
Historical financial and operational data for Riverside Health Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #38 / 185Payroll — State benchmarkedThis home is ranked 38th out of 185 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Covington's city center to Riverside Health Care Center's address, calculated via Google Maps.
Add your location
Riverside Health Care Center is located in COVINGTON, 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 | ||||
| Riverside Health Care 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. | Covington | 159
Facility
159
GA AVG
88
Rank
#60 / 672 | 96.9% | +24% | 3.65 | -29% | +2% | $0 | 30 | 6.0 | 2 | 155 | - |
74
Facility
74
GA AVG
39
Rank
#52 / 873 | Senior Care Holdings Inc | $21.6M | $7.8M | 36% | 115375 | ||||
| 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 |
Riverside Health Care Center has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Riverside Health Care Center's occupancy is 97%.
The team at Riverside Health Care Center can be reached at [email protected].
Ms STARLA GLEATON is the administrator of Riverside Health Care Center.
Riverside Health Care Center has 159 beds.
Riverside Health Care Center is located at 5100 WEST ST NW.
(770) 787-0211 will put you in contact with the team at Riverside Health Care Center.
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