COMFORT CREEK NURSING AND REHABILITATION CENTER

CCN 115679 · WADLEY SNF OPERATOR LLC · For profit - Limited Liability company · BEACON HEALTH MANAGEMENT chain · 98 certified beds · Jefferson · GA


COMFORT CREEK NURSING AND REHABILITATION CENTER is a 98-bed nursing home in WADLEY, Georgia. CMS has certified it for Medicare and Medicaid since 2002-09-01. It averages 69.2 residents a day.

What harm was found in the violations cited at COMFORT CREEK NURSING AND REHABILITATION CENTER?

CMS lists 25 health-inspection deficiencies for COMFORT CREEK NURSING AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-30.

Survey dateTagDeficiencySeverity
2026-04-30F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-04-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-04-30F0550, F0554, F0584, F0641, F0656, F0698, F0755Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-04-08F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-04-17F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2025-04-17F0580, F0600, F0625, F0657, F0684, F0695, F0758Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Notify 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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.D
2024-06-07F0678, F0835Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.J
2023-11-30F0677, F0693Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure 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.D
2023-10-08F0584, F0644, F0684Honor 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D

Why was COMFORT CREEK NURSING AND REHABILITATION CENTER fined?

DateTypeAmount
2024-06-07Fine$15,880

How is COMFORT CREEK NURSING AND REHABILITATION CENTER staffed relative to the GA average?

MeasureThis facilityGA average
Total nurse staffing hours per resident per day2.836583.56408
Total nursing staff turnover (%)32.346.0
Average number of residents per day69.290.0

Who owns COMFORT CREEK NURSING AND REHABILITATION CENTER, and what chain is it in?

COMFORT CREEK NURSING AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name WADLEY SNF OPERATOR LLC and belongs to the BEACON HEALTH MANAGEMENT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHSP SOUTHERN HEALTHCARE LLCsince 12/01/2018
W-2 MANAGING EMPLOYEEMCDOWELL, LYNETTEsince 12/01/2018
CORPORATE OFFICERWERTHEIM, BRUCEsince 12/01/2018
OPERATIONAL/MANAGERIAL CONTROLBEACON HEALTH MANAGEMENT LLC, WERTHEIM, BRUCEsince 12/01/2018

Were you or a family member harmed at COMFORT CREEK NURSING AND REHABILITATION CENTER?