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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeGeorgiaComfort Creek Nursing and Rehabilitation Center

Comfort Creek Nursing and Rehabilitation Center

10200 U.s. Hwy 1 South, Wadley, GA 304774782525254
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
98
certified
1 fine(s) totaling $15,880

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 98 certified beds with an average of 73.6 residents per day (75% occupancy)

• Last health inspection found 8 deficiencies (inspected Apr 17, 2025)

• Has been fined a total of $15,880 across 1 fine(s)

• Total nursing staff: 2.79 hours per resident per day

• Staff turnover rate: 34.8%

• Part of the Beacon Health Management chain (17 facilities)

Comfort Creek Nursing and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Wadley, Georgia with 98 certified beds. It has been operating since 2002. The facility scored below average compared to Georgia facilities.

Beds
98
Avg Residents/Day
73.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 2002
Sprinklers
Yes
Council
None
County
Jefferson
Last Inspection
Apr 17, 2025
Deficiencies (Cycle 1)
8
Weighted Score
67.3
Infection Citations
0

Deficiency Citations (32)

F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0580Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0678Immediate Jeopardy

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

Survey: Jun 7, 2024Corrected: NoCycle: 2
F0835Immediate Jeopardy

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Jun 7, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Oct 8, 2023Corrected: NoCycle: 2
F0644Potential for Harm

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

Survey: Oct 8, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 8, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0693Potential for Harm

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.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0655Potential for Harm

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

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0688Potential for Harm

Provide 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.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0727Potential for Harm

Have 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.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0841Potential for Harm

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0888Minimal Harm

Ensure staff are vaccinated for COVID-19

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0600Potential for Harm

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

Survey: Feb 2, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$15,880
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 7, 2024
$15,880

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.97 hrs
National avg: 2.35 hrs
LPN0.60 hrs
National avg: 0.86 hrs
RN0.22 hrs
National avg: 0.68 hrs
Total Nursing2.79 hrs
National avg: 3.89 hrs
Weekend Total2.64 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
34.8%
RN Turnover
20.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
HSP SOUTHERN HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 1, 2018
WERTHEIM, BRUCE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual100%Dec 1, 2018
BEACON HEALTH MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2018
WERTHEIM, BRUCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2018
WERTHEIM, BRUCECORPORATE OFFICERIndividualN/ADec 1, 2018
MCDOWELL, LYNETTEW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2018

Frequently Asked Questions

What is the CMS rating for Comfort Creek Nursing and Rehabilitation Center?▾
Comfort Creek Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Comfort Creek Nursing and Rehabilitation Center had any health inspection violations?▾
Comfort Creek Nursing and Rehabilitation Center had 8 deficiency citations in its most recent health inspection (Apr 17, 2025). The facility has been fined a total of $15,880 across 1 fine(s).
What are the staffing levels at Comfort Creek Nursing and Rehabilitation Center?▾
Comfort Creek Nursing and Rehabilitation Center provides 2.79 total nursing staff hours per resident per day, including 0.22 RN hours, 0.60 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 34.8%.
How many beds does Comfort Creek Nursing and Rehabilitation Center have?▾
Comfort Creek Nursing and Rehabilitation Center has 98 certified beds with an average of 73.6 residents per day, resulting in approximately 75% occupancy. The facility is For profit - Corporation owned and is part of the Beacon Health Management chain.

Part of Beacon Health Management

This chain operates 17 facilities. View all →