COMFORT CREEK NURSING AND REHABILITATION CENTER
10200 U.S. HWY 1 SOUTH, WADLEY, GA 30477 · CCN 115679
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 98
- Avg residents/day
- 73.6
- Phone
- 4782525254
Inspection history vs Georgia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Georgia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-17 | 8 | 6.1 | 9.5 | +1.9 worse |
| 2 | 2023-10-08 | 5 | 5.8 | 9.8 | -0.8 better |
| 3 | 2023-02-02 | 19 | 4.8 | 9.3 | +14.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.79 | 34.8% |
| RN staffing (reported) | 0.22 | 20.0% |
| Total nurse staffing (adjusted) | 3.02 | — |
Fines & penalties
- Total fines
- $15,880
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- BEACON HEALTH MANAGEMENT
- Facilities in chain
- 17
- Chain avg overall
- 1.40 / 5
Inspection citations (32)2 immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0625Notify 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.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0758Implement 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.2025-04-17 · Health · corrected 2025-05-30
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-06-07 · Health · corrected 2024-07-03
Immediate jeopardy
- JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-06-07 · Health · corrected 2024-07-03
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-30 · Health · corrected 2024-01-01
Potential for more than minimal harm
- DF0693Ensure 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.2023-11-30 · Health · corrected 2024-01-01
Potential for more than minimal harm
- DF0584Honor 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.2023-10-08 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-08 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-08 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-02 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- DF0761Ensure 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.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- EF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
- CF0888Ensure staff are vaccinated for COVID-192023-02-02 · Health · corrected 2023-03-19
Potential for minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-02 · Health · corrected 2023-03-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HSP SOUTHERN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-12-01 |
| WERTHEIM, BRUCE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-12-01 |
| BEACON HEALTH MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| WERTHEIM, BRUCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| WERTHEIM, BRUCE | Individual | CORPORATE OFFICER | — | 2018-12-01 |
| MCDOWELL, LYNETTE | Individual | W-2 MANAGING EMPLOYEE | — | 2018-12-01 |
Other facilities in WADLEY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.