Comfort Creek Nursing And Rehabilitation Center

Name: Comfort Creek Nursing And Rehabilitation Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Wadley, Jefferson County, Georgia · CCN 115679 · For-profit (LLC) · part of Beacon Health Management (11 facilities, chain average 1.5 stars)

CMS rates Comfort Creek Nursing And Rehabilitation Center 1 of 5 overall as of August 2026. 98 certified beds, 69 residents a day on average. 25 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $15,880.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★★★☆☆ 3 of 5
Quality: long-stay / short-stay	2 / 4 of 5

Staffing

Total nurse staffing	2.83658 hours per resident per day
Registered nurses	0.20823 hours per resident per day
Weekend total	2.67213 hours per resident per day
Nursing staff turnover	32.3% (registered nurses 20%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-04-30	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-30	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-26
2026-04-08 complaint survey	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-06
2025-04-17	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	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. Resident Rights Deficiencies · tag F0625	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2025-04-17 complaint survey	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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-30
2024-06-07 complaint survey	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-07-03
2024-06-07 complaint survey	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-07-03
2023-11-30 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-01
2023-11-30 complaint survey	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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-01
2023-10-08	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-20
2023-10-08	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-20
2023-10-08	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-20

Fines and payment denials

Date	Penalty	Amount
2024-06-07	Fine	$15,880

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Hsp Southern Healthcare LLC Organization	5% or greater direct ownership interest	100%	2018-12-01
Beacon Health Management LLC Organization	operational/managerial control	—	2018-12-01
Wertheim, Bruce Individual	corporate officer	—	2018-12-01
Wertheim, Bruce Individual	operational/managerial control	—	2018-12-01
Mcdowell, Lynette Individual	w-2 managing employee	—	2018-12-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Comfort Creek Nursing And Rehabilitation Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.