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C
Below Standard

FOUR COUNTY HEALTH AND REHABILITATION

124 OVERBY DRIVE · RICHLAND, GA 31825

2298872021 · Non profit - Other

85 beds75.4 residents98 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
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

FOUR COUNTY HEALTH AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.4878 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4178 HPRD, below the recommended 0.75. It is 0.41 HPRD below the national average.

Weekend staffing drops significantly — dropping 26.74% compared to weekdays. The facility has low agency staff usage (1.06% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (2)

⚠️RN staffing (0.4178 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.74% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.06%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4878hrs/resident/day▼ 0.41
CMS benchmark: 3.48
RN HPRD
0.4178hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
26.74%
3.7729 weekday → 2.764 weekend
⚠ Significant weekend reduction
Agency Staff
1.06%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4445hrs/resident/day
Direct care aides
LPN HPRD
0.6917hrs/resident/day
Licensed practical nurses
Consistency
0.6113std 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. Stewart County Average+0.00 HPRD
3.49
03.49 HPRD
vs. Georgia State Average-0.10 HPRD
3.59
03.49 HPRD
vs. National Average-0.41 HPRD
3.90
03.49 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
FOUR COUNTY HEALTH AND REHABILITATION ★
RICHLAND · This facility
—
C
3.48780.4178★★★★☆
Lillian Carter Health Center by Harborview
PLAINS
16.5 mi
D
3.61580.3037★★★☆☆
JOE-ANNE BURGIN HEALTH AND REHABILITATION
CUTHBERT
22.2 mi
B
3.72340.6035★★★★☆
DAWSON HEALTH AND REHABILITATION
DAWSON
25.6 mi
C
3.3620.544★☆☆☆☆
MAGNOLIA MANOR METHODIST NSG C
AMERICUS
26.2 mi
C
3.84970.4729★★★★☆
MUSCOGEE MANOR & REHABILITATION CTR
COLUMBUS
30.9 mi
B
5.22570.6174★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
3
Total Deficiencies
$0
Fines Assessed
May 1, 2025Health
2 deficiencies cited
▼
Sep 22, 2022Health
1 deficiency 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.