Spanish Oaks Retreat
Nursing Home, Assisted Living, Hospice Care & Memory Care · Savannah, 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.

Spanish Oaks Retreat

Nursing Home, Assisted Living, Hospice Care & Memory Care · Savannah, 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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Spanish Oaks Retreat 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 1 deficiency

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 (95% below)
• Deficiencies per year (96% below)
Latest Inspection October 15, 2025 Complaint Investigation

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. 121 This facility has 95% fewer total deficiencies than a typical Georgia assisted living residence (1 vs. GA avg 21).↓ 95% better
Deficiencies per year Info Average deficiencies per year since 2017. 0.12.3 This facility has 96% fewer deficiencies per year than a typical Georgia assisted living residence (0.1 vs. GA avg 2.3).↓ 96% better

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

  • The most recent inspection on October 15, 2025, found no rule violations or deficiencies during the complaint investigation.
  • A September 9, 2019, inspection cited one deficiency for hot water temperature exceeding 120°F in Room #126 bathroom sink.
  • Multiple complaint investigations from 2017 through 2025 consistently found no rule violations or deficiencies.

Health Inspection History

Inspections since 2022
Total health inspections 3

Georgia average 3.4


Last Health inspection on Oct 2024

Total health citations
30 Rank #167 / 203Health citations — State benchmarkedThis home is ranked 167th 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.

Georgia average 16.6

Citations per inspection
10 Rank #197 / 203Citations per inspection — State benchmarkedThis home is ranked 197th 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.

Georgia average 4.68


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

12 of 30 citations resulted from standard inspections; and 18 of 30 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Georgia average

Georgia average: 0.7


Serious health citations
4
700% worse than Georgia average

Georgia average: 0.5

0 critical citations Georgia average: 0.7

4 serious citations Georgia average: 0.5

26 moderate citations Georgia average: 15.2

0 minor citations Georgia average: 0.2
Citations history (last 4 years)
Environmental moderate citation Oct 28, 2024
Corrected

Infection Control moderate citation Oct 28, 2024
Corrected

Nutrition moderate citation Oct 28, 2024
Corrected

Nutrition moderate citation Oct 28, 2024
Corrected

Staffing Data

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

Total staff 36
Employees 9
Contractors 27
Staff to resident ratio 0.73 : 1
48% fewer staff per resident than Georgia average
Georgia average ratio: 1.42 : 1 Georgia average ratio: 1.42 : 1See full Georgia ranking
Avg staff/day 10
Average shift 7 hours
16% worse than Georgia average
Georgia average: 8.3 hours Georgia average shift: 8.3 hoursSee full Georgia ranking
Total staff hours (quarter) 6,443

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 15 total: 1 full-time employee and 14 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 3 total: 1 full-time employee and 2 contractors. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 7 total: 6 full-time employees and 1 contractor. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 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

38.8%

2,499 contractor hours this quarter

Registered Nurse: 14 Licensed Practical Nurse: 2 Physical Therapy Aide: 2 Qualified Social Worker: 2 Certified Nursing Assistant: 1 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Administrator: 1 Respiratory Therapy Technician: 1 Nurse Practitioner: 1 Clinical Nurse Specialist: 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 Assistant6172,4309199%7.6
Registered Nurse114151,4408896%9.5
RN Director of Nursing1015375459%9.9
Licensed Practical Nurse1235244347%11.4
Administrator0114446672%6.7
Respiratory Therapy Technician0112244751%4.8
Physical Therapy Aide0222236874%3.3
Speech Language Pathologist0112215661%3.9
Qualified Social Worker0221464549%3.2
Clinical Nurse Specialist0111041314%8
Nurse Practitioner011841314%6.5
Physical Therapy Assistant011663336%2
7 Certified Nursing Assistant
% of Days 99%
15 Registered Nurse
% of Days 96%
1 RN Director of Nursing
% of Days 59%
3 Licensed Practical Nurse
% of Days 47%
1 Administrator
% of Days 72%
1 Respiratory Therapy Technician
% of Days 51%
2 Physical Therapy Aide
% of Days 74%
1 Speech Language Pathologist
% of Days 61%
2 Qualified Social Worker
% of Days 49%
1 Clinical Nurse Specialist
% of Days 14%
1 Nurse Practitioner
% of Days 14%
1 Physical Therapy Assistant
% of Days 36%

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. 10.3
In line with Georgia average

Georgia average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.6
22% better than Georgia average

Georgia 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 17.7%
5% worse than Georgia average

Georgia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.4%
10% better than Georgia average

Georgia 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 5.6%
65% better than Georgia average

Georgia average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.5%
83% better than Georgia average

Georgia average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
14% better than Georgia average

Georgia average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
56% better than Georgia average

Georgia average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.3%
72% worse than Georgia average

Georgia average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 24.4%
179% worse than Georgia average

Georgia average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 47.7%
149% worse than Georgia average

Georgia average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 73.9%
19% worse than Georgia average

Georgia average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
In line with Georgia average

Georgia average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 12.3%
85% worse than Georgia average

Georgia average: 80.6%

Breakdown by payment type

Medicare

28% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

4% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

68% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Facility Characteristics

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

Total residents 49
Medicare
6
12.2% of residents
Medicaid
41
83.7% of residents
Private pay or other
2
4.1% 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.

Finances and operations

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

For-profit
Operated by a single business entity.
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."
$3.9M
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."
$175.6K
For-profit Operated by a single business entity.
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."
$3.9M Rank #191 / 197Revenue — State benchmarkedThis home is ranked 191st out of 197 homes in Georgia. Shows this facility's annual revenue compared to the Georgia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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."
$175.6K
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.
$167.1K
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 #189 / 197Payroll — State benchmarkedThis home is ranked 189th out of 197 homes in Georgia. 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.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.
$2.0M 50.2% 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 #130 / 197Payroll % — State benchmarkedThis home is ranked 130th out of 197 homes in Georgia. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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).
$1.8M
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).
$3.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (68% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Admissions
96 total

Coverage residents most often arrive under.

Medicare 28%
Private pay 4%
Medicaid 68%
Discharges
175 total

Coverage residents most often leave under.

Medicare 15%
Private pay 9%
Medicaid 77%

Places of interest near Spanish Oaks Retreat

Address 6.6 miles from city center Info Estimated distance in miles from Savannah's city center to Spanish Oaks Retreat's address, calculated via Google Maps.

Calculate Travel Distance to Spanish Oaks Retreat

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Address

Compare Assisted Living around Savannah

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

Spanish Oaks Retreat
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GA AVG 88
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31
Facility 31
GA AVG 88
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Cottages / Town Homes / Villas
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Signature HealthCARE of Savannah
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120
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GA AVG 88
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-

Financial Assistance for
Assisted Living in Georgia

Spanish Oaks Retreat is located in SAVANNAH, Georgia.
Here are the financial assistance programs available to residents in Georgia.

Get Financial aid guidance

Community Care Services Program

Georgia Medicaid CCSP

Age 65+ or disabled
General Georgia resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
GA

High rural demand; waitlists possible.

Benefits
Personal care (5-7 hours/day) Adult day care (~$75/day) Respite (240 hours/year) Meals

Respite Care Program

Georgia NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)
General Georgia resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
GA

Focus on metro and rural balance.

Benefits
In-home aide (4-6 hours/day) Adult day care (~$75/day) Facility stay (up to 5 days)

Home and Community Services (HCS)

Georgia Home and Community Services (Non-Medicaid)

Age 60+
General Georgia resident, functionally impaired, at risk of nursing home placement.
Income Limits (2025) No strict limit; prioritizes ~$41,000/year; cost-sharing for higher incomes.
Asset Limits Not specified; need-based.
GA

Non-Medicaid; AAA-managed.

Benefits
Personal care (4-6 hours/day) Homemaker Adult day care ($80/day) Respite (~5 days/year)

Medicare Savings Program (MSP)

Georgia Medicare Savings Program

Age 65+ or disabled
General Georgia resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI).
Asset Limits $9,430 (individual), $14,130 (couple).
GA

Three tiers; entitlement benefit.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Georgia Medicaid PACE

Age 55+
General Georgia resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
GA

Limited areas (e.g., Macon, Augusta).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

SOURCE (Service Options Using Resources in a Community Environment)

Georgia Medicaid SOURCE Program

Age 65+ or disabled
General Georgia resident, Medicaid-eligible, frail but not necessarily nursing home-level.
Income Limits (2025) ~$914/month (SSI level); QIT allowed.
Asset Limits $2,000 (individual), $3,000 (couple).
GA

Enhanced primary care model; statewide via 12 sites.

Benefits
Personal care (4-6 hours/day) Case management Adult day health ($80/day) Respite (limited)

Optional State Supplementation (OSS)

Georgia Optional State Supplementation

Age 65+ or disabled
General Georgia resident, in approved facility, low-income/SSI recipient.
Income Limits (2025) ~$1,004/month including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
GA

~$20-$489/month based on facility type.

Benefits
Cash (~$20-$489/month) for room/board in personal care homes

Frequently Asked Questions about Spanish Oaks Retreat

Is Spanish Oaks Retreat in a walkable area?

Spanish Oaks Retreat has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Spanish Oaks Retreat?

Spanish Oaks Retreat's occupancy is 82%.

What is the best email address for Spanish Oaks Retreat?

The team at Spanish Oaks Retreat can be reached at kfmunger@aol.com.

Does Spanish Oaks Retreat operate as a for-profit or non-profit?

Spanish Oaks Retreat is registered as a for-profit in GA.

Who is the administrator of Spanish Oaks Retreat?

Mr KEITH MUNGER is the administrator of Spanish Oaks Retreat.

How many beds does Spanish Oaks Retreat have?

Spanish Oaks Retreat has 36 beds.

What is the address of Spanish Oaks Retreat?

Spanish Oaks Retreat is located at 8510 Whitfield Avenue, Savannah, GA 31406.

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