Nursing homeActive

Comfort Creek Nursing And Rehabilitation Center

10200 U.S. Hwy 1 South, Wadley, GA 30477478252525498 certified beds · 69 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
25
0232
Penalties · 3 yrs
$15,880
1 fine
Last survey
2026-04-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Georgia Department of Community Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-30Standard090CMS-2567 (Care Compare)
2026-04-08Complaint010CMS-2567 (Care Compare)
2025-04-17Standard080CMS-2567 (Care Compare)
2024-06-07Complaint002CMS-2567 (Care Compare)
2023-11-30Complaint020CMS-2567 (Care Compare)
2023-10-08Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Georgia Department of Community Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-30Standard survey · 9 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F550
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F554
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 115679-20260430-F812
2026-04-08Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-06Record 115679-20260408-F580
2025-04-17Standard survey · 8 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F600
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F625
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F695
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 115679-20250417-F758
2024-06-07Complaint survey · 2 deficienciesOfficial report
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-03Record 115679-20240607-F678
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-03Record 115679-20240607-F835
2023-11-30Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 115679-20231130-F677
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 115679-20231130-F693
2023-10-08Standard survey · 3 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 115679-20231008-F584
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 115679-20231008-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 115679-20231008-F684

Penalties & enforcement

DateActionAmountSource
2024-06-07Civil money penalty$15,880CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.21
Facility
Georgia
National
Georgia 0.50 · National 0.69
Total nurse hours per resident day2.84
Facility
Georgia
National
Georgia 3.56 · National 3.86
Weekend total nurse hours2.67
Facility
Georgia
National
Georgia 3.10 · National 3.42
Total nursing staff turnover32%
Facility
Georgia
National
Georgia 46% · National 46%
Registered nurse turnover20%
Facility
Georgia
National
Georgia 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityGeorgiaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.6%5.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.4%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
42.9%19.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.4%2.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
22.5%15.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.1%5.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
21.6%20.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Hsp Southern Healthcare LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Beacon Health Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wertheim, Bruce
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcdowell, Lynette
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Wertheim, Bruce
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Beacon Health Management11 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Georgia.

No county cost figures on file for Jefferson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Pruitthealth - Old Capitol
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9.5 mi2025-11-18083
Emanuel County Nursing Home
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18.9 mi2025-04-03040
Wrightsville Manor Health and Rehab
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20.9 mi2026-02-050122
Twin City Trails of Journey LLC
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01