nursing home in Richland, GA
Four County Health and Rehabilitation
124 Overby Drive, Richland, GA 31825 · (229) 887-2021
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Four County Health and Rehabilitation at a glance
Four County Health and Rehabilitation is a 85-bed non-profit nursing home in Richland, Georgia (Stewart County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Georgia average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.6 hours.
Its most recent standard health inspection (May 1, 2025) found 2 health citations. The Georgia average is 5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 57.3% per year (state average 46%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 85
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ethica Health
- Medicare-certified since
- October 1, 1989
- Resident/family council
- Resident
- County
- Stewart County
- CMS Certification Number
- 115481
Ratings
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.6 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.42 hrs | 3.56 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.50 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.24 hrs | 2.14 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.71 hrs | 3.10 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 57.3% | 46% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 44.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 9 | 50.6 | 80.6 | Better |
Penalties
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $12,749 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 85 | 111 | 107 | |
| Average residents per day | 69 | 90 | 86 | |
| Occupancy | 81.5% | 81.7% | 80.9% |
Long-stay residents
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8% | 5.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 19.2% | 19.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 2.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 15.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 8.5% | 15.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.3% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 11.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.7% | 20.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.6% | 15.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.7% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 91.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.4% | 78.4% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 79.6% | 80.3% | 82% | Average |
Inspection citations
State inspectors cited this home for 3 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 31, 2025 |
| May 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 31, 2025 |
| September 22, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 16, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BROWN, TRACY Individual | adp of the snf | NOT APPLICABLE | 12/30/2025 |
| CLINICAL SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 09/18/2025 |
| SATCHELL, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| HEALTH SYSTEMS FACILITIES INC Organization | direct ownership interest | NOT APPLICABLE | 10/01/2003 |
| COMMUNITY HEALTH SYSTEMS INC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2003 |
| SHEFFIELD, KIMBERLY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/11/2025 |
| CABLE, PAUL Individual | managing control - governing body | NOT APPLICABLE | 03/14/2003 |
| DENNIS, KATHRYN Individual | managing control - governing body | NOT APPLICABLE | 11/17/2015 |
| HODGES, KIMBERLY Individual | managing control - governing body | NOT APPLICABLE | 09/01/2023 |
| NICHOLS, JOSEPH Individual | managing control - governing body | NOT APPLICABLE | 11/19/2024 |
| PITTMAN, JACQUELINE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2026 |
| ROLLINS, RONNIE Individual | managing control - governing body | NOT APPLICABLE | 03/14/2003 |
| WALL, JOSEPH Individual | managing control - governing body | NOT APPLICABLE | 03/14/2003 |
| WARNOCK, RALPH Individual | managing control - governing body | NOT APPLICABLE | 06/23/2020 |
| BROWN, TRACY Individual | operational/managerial control | NOT APPLICABLE | 12/11/2025 |
| CLINICAL SERVICES INC Organization | operational/managerial control | NOT APPLICABLE | 09/30/2003 |
| HODGES, KIMBERLY Individual | operational/managerial control | NOT APPLICABLE | 09/01/2023 |
| LEMBRICK, AMANDA Individual | operational/managerial control | NOT APPLICABLE | 02/06/2025 |
| PITTMAN, JACQUELINE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2026 |
| SATCHELL, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
Other nursing homes near Four County Health and Rehabilitation
Lillian Carter Health Center By Harborview
225 Hospital Street, Plains, GA 31780 · 16.5 mi
For-profit · 100 beds · Part of Harborview Health Systems
- New owner (last 12 months)
★★★★★2Below averageMagnolia Manor of Marion County
349 Geneva Road, Buena Vista, GA 31803 · 19.3 mi
Non-profit · 70 beds · Part of Magnolia Manor Senior Living
★★★★★5Much above averageJoe-Anne Burgin Health and Rehabilitation
321 Randolph Street, Cuthbert, GA 39840 · 22.2 mi
Non-profit · 80 beds · Part of Ethica Health
- CMS high performer
★★★★★5Much above averageDawson Health and Rehabilitation
1159 Georgia Ave. S.E., Dawson, GA 39842 · 25.6 mi
Non-profit · 60 beds · Part of Ethica Health
★★★★★1Much below averageMagnolia Manor Methodist Nsg C
2001 South Lee Street, Americus, GA 31709 · 26.3 mi
Non-profit · 238 beds · Part of Magnolia Manor Senior Living
★★★★★3AverageMuscogee Manor & Rehabilitation Ctr
7150 Manor Road, Columbus, GA 31907 · 30.9 mi
Government · 196 beds
★★★★★3Average
Frequently asked questions
What is Four County Health and Rehabilitation's rating?
Four County Health and Rehabilitation has 5 out of 5 stars on the CMS overall star rating. The average for Georgia nursing homes is 2.7 stars.
How many inspection citations did Four County Health and Rehabilitation receive?
Its most recent standard health inspection found 2 citations, compared with a Georgia average of 5. Every citation is listed on this page with its severity.
Does Four County Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Four County Health and Rehabilitation?
It is non profit - other and part of Ethica Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Four County Health and Rehabilitation and how do I contact it?
Four County Health and Rehabilitation is at 124 Overby Drive, Richland, GA 31825. Phone: (229) 887-2021.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.