MCRAE MANOR NURSING HOME
Open-data reference.
MCRAE MANOR NURSING HOME is a for profit - limited liability company facility in MC RAE, GA with 133 certified beds and a 2-star overall CMS rating. The facility has 16 deficiency records on file. Total penalties: $41K.
160 SOUTH FIRST AVENUE, MC RAE, GA 31055
Phone: 2298686473
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 115494
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 133
- Residents
- 84
- In Hospital
- No
- County
- Telfair
- Last Inspection
- Jul 12, 2024
Staffing Data
- RN Hours
- 0.53 (nat'l avg: 0.68)
- LPN Hours
- 0.95
- CNA Hours
- 2.05
- Total Nursing Hours
- 3.52 (nat'l avg: 3.89)
- PT Hours
- 0.02
- Nursing Turnover
- 37.1%
- RN Turnover
- 11.1%
What the CMS Record Reveals About MCRAE MANOR NURSING HOME
MCRAE MANOR NURSING HOME operates 133 certified beds in MC RAE, GA with approximately 84 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 6 penalties totaling $41K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.52 total nursing hours per resident day (national average 3.89), with RN coverage at 0.53 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, MCRAE MANOR NURSING HOME falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 21, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Aug 21, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 21, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 21, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 21, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Aug 21, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Aug 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Aug 21, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 25, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Dec 25, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 24, 2019
Ensure 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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 24, 2019
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 24, 2019
Plan the resident's discharge to meet the resident's goals and needs.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 24, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.7% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.3% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 72.7% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.3% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 32.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 69.2% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.2% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 8.2% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.0% | Yes |
Penalty History 6 penalties totaling $41K
| Date | Type | Amount |
|---|---|---|
| Jul 12, 2024 | Fine | $9K |
| May 23, 2023 | Fine | $5K |
| May 15, 2023 | Fine | $5K |
| May 8, 2023 | Fine | $5K |
| Apr 17, 2023 | Fine | $14K |
| Mar 20, 2023 | Fine | $5K |
| Feb 28, 2023 | Fine | $14K |
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Frequently Asked Questions
What is the overall CMS rating for MCRAE MANOR NURSING HOME?
What are the staffing levels at MCRAE MANOR NURSING HOME?
How many beds does MCRAE MANOR NURSING HOME have?
Does MCRAE MANOR NURSING HOME have any deficiencies on record?
Has MCRAE MANOR NURSING HOME received any fines or penalties?
Who owns MCRAE MANOR NURSING HOME?
When was MCRAE MANOR NURSING HOME last inspected?
What quality measures are tracked for MCRAE MANOR NURSING HOME?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.