PlainNursing
2026 data Public-data reference. official source

RETREAT, THE

Open-data reference.

RETREAT, THE is a non profit - corporation facility in MONTICELLO, GA with 55 certified beds and a 3-star overall CMS rating. The facility has 7 deficiency records on file. Total penalties: $15K.

898 COLLEGE ST, MONTICELLO, GA 31064

Phone: 7064688826

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
115675
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
55
Residents
53
In Hospital
Yes
County
Jasper
Last Inspection
Mar 3, 2025

Staffing Data

RN Hours
0.54 (nat'l avg: 0.68)
LPN Hours
1.02
CNA Hours
2.32
Total Nursing Hours
3.88 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
41.0%
RN Turnover
25.0%

What the CMS Record Reveals About RETREAT, THE

RETREAT, THE operates 55 certified beds in MONTICELLO, GA with approximately 53 residents currently in care, and carries a CMS overall rating of 3 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 (3★), staffing levels (4★), and quality measures (3★). 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 7 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $15K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.88 total nursing hours per resident day (national average 3.89), with RN coverage at 0.54 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, RETREAT, THE 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 41.0%, 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 (7 most recent)

D — Isolated - Minimal harm Mar 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 17, 2025

F — Widespread - Minimal harm Mar 3, 2025 Tag: 0812

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: Apr 17, 2025

D — Isolated - Minimal harm Mar 3, 2025 Tag: 0761

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: Apr 17, 2025

D — Isolated - Minimal harm Mar 3, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 17, 2025

D — Isolated - Minimal harm Nov 12, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 27, 2023

J — Isolated - Jeopardy May 26, 2023 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2023

D — Isolated - Minimal harm May 8, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 22, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 9.5% 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 3.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.4% Yes

Penalty History 1 penalties totaling $15K

Date Type Amount
May 26, 2023 Fine $15K

Frequently Asked Questions

What is the overall CMS rating for RETREAT, THE?
RETREAT, THE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at RETREAT, THE?
RETREAT, THE reports 3.88 total nursing hours per resident day (national average: 3.89). RN hours are 0.54 per resident day (national average: 0.68). Nursing staff turnover is 41.0%.
How many beds does RETREAT, THE have?
RETREAT, THE has 55 certified beds with approximately 53 residents. The facility is located at 898 COLLEGE ST, MONTICELLO, GA 31064.
Does RETREAT, THE have any deficiencies on record?
Yes, RETREAT, THE has 7 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has RETREAT, THE received any fines or penalties?
Yes, RETREAT, THE has received 1 penalties totaling $15K.
Who owns RETREAT, THE?
RETREAT, THE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was RETREAT, THE last inspected?
The most recent health inspection for RETREAT, THE was on Mar 3, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for RETREAT, THE?
RETREAT, THE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial