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C
Below Standard

Brown Health and Rehabilitation

545 COOK STREET · ROYSTON, GA 30662

7062451900 · Non profit - Other

144 beds94.4 residents109 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Brown Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.3724 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5134 HPRD, below the recommended 0.75. It is 0.52 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.38% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3724 HPRD — needs 0.11 more hours per resident per day.
⚠️RN staffing (0.5134 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3724hrs/resident/day▼ 0.52
CMS benchmark: 3.48
RN HPRD
0.5134hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
22.38%
3.6001 weekday → 2.7945 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2775hrs/resident/day
Direct care aides
LPN HPRD
0.4676hrs/resident/day
Licensed practical nurses
Consistency
0.4466std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Franklin County Average+0.00 HPRD
3.37
03.37 HPRD
vs. Georgia State Average-0.21 HPRD
3.59
03.37 HPRD
vs. National Average-0.52 HPRD
3.90
03.37 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Brown Health and Rehabilitation ★
ROYSTON · This facility
—
C
3.37240.5134★★★★☆
COMER HEALTH AND REHABILITATION
COMER
11 mi
D
3.45510.3778★★★★☆
HARTWELL HEALTH AND REHABILITATION
HARTWELL
11.1 mi
D
3.33070.3518★★★★☆
HART CARE CENTER
HARTWELL
12.3 mi
C
4.21280.4326★★★★★
PRUITTHEALTH - SPRING VALLEY
ELBERTON
18 mi
C
3.26320.5591★★★★★
PRUITTHEALTH - TOCCOA
TOCCOA
24.2 mi
D
2.7810.277★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
17
Total Deficiencies
$0
Fines Assessed
Sep 11, 2025Health
2 deficiencies cited
▼
Apr 5, 2024Health
6 deficiencies cited
▼
Feb 16, 2023Health
9 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.