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SOUTHWELL HEALTH AND REHABILITATION

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SOUTHWELL HEALTH AND REHABILITATION is a non profit - corporation facility in ADEL, GA with 95 certified beds and a 3-star overall CMS rating. The facility has 21 deficiency records on file.

260 MJ TAYLOR ROAD, ADEL, GA 31620

Phone: 2298968077

Overall Rating

3/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
115655
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
95
Residents
87
In Hospital
Yes
County
Cook
Last Inspection
Sep 13, 2024

Staffing Data

RN Hours
1.29 (nat'l avg: 0.68)
LPN Hours
0.86
CNA Hours
2.13
Total Nursing Hours
4.27 (nat'l avg: 3.89)
PT Hours
0.09

What the CMS Record Reveals About SOUTHWELL HEALTH AND REHABILITATION

SOUTHWELL HEALTH AND REHABILITATION operates 95 certified beds in ADEL, GA with approximately 87 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 (2★), staffing levels (3★), and quality measures (5★). 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 21 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.27 total nursing hours per resident day (national average 3.89), with RN coverage at 1.29 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, SOUTHWELL HEALTH AND REHABILITATION 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. 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 (21 most recent)

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Oct 28, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0700

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: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0690

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: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 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: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2024

E — Pattern - Minimal harm Nov 30, 2023 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: Jan 14, 2024

D — Isolated - Minimal harm Mar 23, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Mar 23, 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: May 7, 2023

D — Isolated - Minimal harm Mar 23, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Mar 23, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 11, 2022

E — Pattern - Minimal harm Oct 27, 2022 Tag: 0758

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 11, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 11, 2022

E — Pattern - Minimal harm Oct 27, 2022 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 11, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 11, 2022

F — Widespread - Minimal harm Dec 18, 2019 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 1, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.7% 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 0.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for SOUTHWELL HEALTH AND REHABILITATION?
SOUTHWELL HEALTH AND REHABILITATION has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at SOUTHWELL HEALTH AND REHABILITATION?
SOUTHWELL HEALTH AND REHABILITATION reports 4.27 total nursing hours per resident day (national average: 3.89). RN hours are 1.29 per resident day (national average: 0.68).
How many beds does SOUTHWELL HEALTH AND REHABILITATION have?
SOUTHWELL HEALTH AND REHABILITATION has 95 certified beds with approximately 87 residents. The facility is located at 260 MJ TAYLOR ROAD, ADEL, GA 31620.
Does SOUTHWELL HEALTH AND REHABILITATION have any deficiencies on record?
Yes, SOUTHWELL HEALTH AND REHABILITATION has 21 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has SOUTHWELL HEALTH AND REHABILITATION received any fines or penalties?
No, SOUTHWELL HEALTH AND REHABILITATION has no fines or penalties on record.
Who owns SOUTHWELL HEALTH AND REHABILITATION?
SOUTHWELL HEALTH AND REHABILITATION is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was SOUTHWELL HEALTH AND REHABILITATION last inspected?
The most recent health inspection for SOUTHWELL HEALTH AND REHABILITATION was on Sep 13, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for SOUTHWELL HEALTH AND REHABILITATION?
SOUTHWELL HEALTH AND REHABILITATION 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