nursing home in Wadley, GA
Comfort Creek Nursing and Rehabilitation Center
10200 U.S. Hwy 1 South, Wadley, GA 30477 · (478) 252-5254
CMS overall star rating
- Health inspections★★★★★1
- 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
Comfort Creek Nursing and Rehabilitation Center at a glance
Comfort Creek Nursing and Rehabilitation Center is a 98-bed for-profit nursing home in Wadley, Georgia (Jefferson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Georgia average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.6 hours.
Its most recent standard health inspection (April 30, 2026) found 10 health citations. The Georgia average is 5.
Federal regulators fined it 1 time in the past three years, totaling $15,880.
Nursing staff turnover is 32.3% per year (state average 46%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Beacon Health Management
- Medicare-certified since
- September 1, 2002
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 115679
Ratings
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| 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) | 4 / 5 | 2.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.84 hrs | 3.56 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.21 hrs | 0.50 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.94 hrs | 2.14 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 3.10 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 32.3% | 46% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 44.5% | 42.9% | Better |
| 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) | 10 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 84.3 | 50.6 | 80.6 | Average |
Penalties
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $15,880 | $12,749 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Georgia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 111 | 107 | |
| Average residents per day | 69 | 90 | 86 | |
| Occupancy | 70.6% | 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) | 1.4% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.6% | 5.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 42.9% | 19.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.4% | 2.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.7% | 0.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.5% | 15.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 12.8% | 15.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 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) | 21.6% | 20.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.1% | 15.8% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 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) | 97.9% | 78.4% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 80.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 26, 2026 |
| April 30, 2026 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 May 26, 2026 |
| April 30, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 30, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 8, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 6, 2026 |
| April 17, 2025 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 30, 2025 |
| April 17, 2025 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 30, 2025 |
| June 7, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | J Immediate jeopardy, isolated | Corrected July 3, 2024 |
| June 7, 2024 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected July 3, 2024 |
| November 30, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 1, 2024 |
| November 30, 2023 Complaint | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected January 1, 2024 |
| October 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 8, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 8, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 8, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 8, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 8, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 20, 2023 |
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 1 federal penalty in the past three years, including $15,880 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 7, 2024 | Fine | $15,880 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HSP SOUTHERN HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 100% | 12/01/2018 |
| WERTHEIM, BRUCE Individual | corporate officer | NOT APPLICABLE | 12/01/2018 |
| BEACON HEALTH MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| WERTHEIM, BRUCE Individual | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| MCDOWELL, LYNETTE Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2018 |
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Frequently asked questions
What is Comfort Creek Nursing and Rehabilitation Center's rating?
Comfort Creek Nursing and Rehabilitation Center has 1 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 Comfort Creek Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 10 citations, compared with a Georgia average of 5. Every citation is listed on this page with its severity.
Does Comfort Creek Nursing and Rehabilitation Center 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 Comfort Creek Nursing and Rehabilitation Center?
It is for profit - limited liability company and part of Beacon Health Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Comfort Creek Nursing and Rehabilitation Center and how do I contact it?
Comfort Creek Nursing and Rehabilitation Center is at 10200 U.S. Hwy 1 South, Wadley, GA 30477. Phone: (478) 252-5254.
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.