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Nursing HomeMedicaid Investigative

Appling Nursing and Rehabilitation Pavilion

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

163 East Tollison Street, Baxley, GA 31513101 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Appling Nursing and Rehabilitation Pavilion Nursing Home in Baxley, GA — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5.0)
  • High RN turnover (57%)

Bottom 25% in GA · Critically understaffed (RN) · Above recommended total nurse staffing · $18,966 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. This facility is on Medicare Special Focus status, indicating a pattern of serious quality issues. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility76.9%
Worse than Avg
Here
76.9%
US
93.4%
GA
91.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
19.5%
GA
20.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
19.4%
GA
16.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
GA
10.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility9.7%
Worse than Avg
Here
9.7%
US
1.6%
GA
2.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.6%
Worse than Avg
Here
18.6%
US
14.4%
GA
15.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility49.7%
Worse than Avg
Here
49.7%
US
81.8%
GA
80.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.8%
Worse than Avg
Here
47.8%
US
79.8%
GA
78.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
GA
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
4penalties
Near state avg (6.1)
7 complaint-triggered
$18,966 in fines

This facility shows concerning patterns with families filing reports about safety hazards and care issues that persist across multiple years. The main problem areas are accident prevention and safety supervision, care planning, and infection control. While all deficiencies show correction dates, accident hazards triggered complaints in both 2024 and 2025, suggesting ongoing safety concerns that warrant careful evaluation during any visit.

May 23, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 13, 2025Routine
3
0656Immediate jeopardy · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Mar 13, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 27, 2024Complaint
3
0568Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Oct 9, 2022Routine
11
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0753Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

May 13, 2021Routine
3
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0570Minimal · WidespreadCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

Federal Penalties

Fine

Mar 13, 2025

$5,272

Fine

Mar 13, 2025

$5,272

Fine

Mar 13, 2025

$8,422

Payment Denial

Mar 13, 2025

58-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Appling Nursing and Rehabilitation Pavilion

Organization Type

nonprofit

Ownership & Management

Owners

The Baxley and Appling County Hospital Authority

Owner · Organization

100%

Key personnel

Dean, PamOfficer / DirectorMartin, ShannahOfficer / DirectorThe Baxley and Appling County Hospital AuthorityManagerFernando, OrlandoManagerHamilton, BeverlyManager
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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