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C
Below Standard

ORCHARD HEALTH AND REHABILITATION

1321 PULASKI SCHOOL ROAD · PULASKI, GA 30451

9126855072 · Non profit - Other

89 beds71.7 residents85 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

ORCHARD HEALTH AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.442 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4148 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.14% compared to weekdays. The facility has low agency staff usage (0.4% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.442 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.4148 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 (0.4%) — mostly permanent, familiar staff
Total Nurse HPRD
3.442hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.4148hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
21.14%
3.6606 weekday → 2.8869 weekend
⚠ Significant weekend reduction
Agency Staff
0.4%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6543hrs/resident/day
Direct care aides
LPN HPRD
0.8333hrs/resident/day
Licensed practical nurses
Consistency
0.4499std 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. Candler County Average+0.13 HPRD
3.31
03.44 HPRD
vs. Georgia State Average-0.15 HPRD
3.59
03.44 HPRD
vs. National Average-0.45 HPRD
3.90
03.44 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
ORCHARD HEALTH AND REHABILITATION ★
PULASKI · This facility
—
C
3.4420.4148★☆☆☆☆
PLEASANT VIEW NURSING CENTER
METTER
5.4 mi
F
2.96860.228★☆☆☆☆
Twin View Health and Rehab
TWIN CITY
17.6 mi
D
2.77040.3017★☆☆☆☆
PRUITTHEALTH - SWAINSBORO
SWAINSBORO
20.8 mi
D
2.9730.5221★★★★☆
OXLEY PARK HEALTH AND REHABILITATION
LYONS
25.5 mi
C
3.38540.5464★★★★☆
PINE VIEW NURSING AND REHAB CENTER
SYLVANIA
30.5 mi
D
2.70390.2929★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
7
Total Deficiencies
$57,161
Fines Assessed
Apr 3, 2025Health
4 deficiencies cited· Includes actual harm
▼
Jul 15, 2021Health
3 deficiencies cited
▼

Penalty History

Apr 3, 2025Fine
$57,161
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.