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Nursing HomeMedicaid

Brown Health and Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and friendly nursing staff. Still worth an in-person visit.

545 Cook Street, Royston, GA 30662144 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 99 Google reviews

5
4
3
2
1
Brown Health and Rehabilitation Nursing Home in Royston, GA — Street View
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What this means for your family

While many families report excellent, compassionate care and a clean facility, there are recurring, serious reports of patient falls and understaffing. When touring, ask specifically about the nurse-to-patient ratio during night shifts and the specific protocols in place to prevent falls for residents with limited mobility.

Google Reviews

Google Reviews

99 reviews on Google
Brown Health and Rehabilitation receives highly polarized feedback, with many families praising the compassionate staff and clean environment, while others report critical safety failures. Several reviewers have expressed serious concerns regarding patient falls and inadequate monitoring, particularly during off-hours. Prospective families should weigh the facility's strong reputation for kindness against these significant reports of understaffing and neglect.

Quality Themes

Tap a score for details
Food9.0Staff6.0Clean9.0Activities8.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Clean, well-maintained facility
  • Good communication with families
  • Effective rehabilitation and recovery support

Concerns

  • Patient falls due to lack of supervision (mentioned by 3 reviewers)
  • Understaffing leading to neglect or slow response times (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(2)'22(2)'24(4)'26(29)

Distribution · 77 analyzed

5
47
4
15
3
2
2
2
1
11
24 reviews posted between May 11, 2026May 20, 2026 · 22 were 5-star
10 reviews posted between May 18, 2026May 20, 2026 · 9 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that staffing levels are a primary focus for your team; could you walk me through how you ensure consistent supervision and timely response times for residents throughout the day?
  • 2With the facility's focus on rehabilitation, what specific protocols do you have in place to prevent falls and ensure resident safety during transitions?
  • 3I see that you actively engage with families online; how do you typically keep families updated on their loved one's daily progress and well-being?
  • 4Given the 4-star health inspection rating, what are the most important safety or care standards that your team prioritizes on a daily basis?
  • 5What does a typical afternoon look like for a resident here, and how do you tailor activities to keep them socially and physically engaged?
  • 6In the event of a medical emergency, what is the immediate process for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

My husband Tommy was there for 3 weeks of rehab and the experience was 5 star!!!! The staff including EVERYONE in the building were fantastic!! Food was delicious, rooms and all of the building is clean and smells nice.

Rehab patient's spouse · 2025★★★★★

They let my husband fall off the bed twice for not watching him like they should. He bruised his arm the first time and the second time he had to get stitches in his head and both arms skint and I am not going to let him stay another night.

Long-term resident's family · 2024☆☆☆☆

I have witnessed the excellent care my mother is receiving, even when they didn't know I was there or watching. Unfortunately my mom is now in hospice, but able to still be here at Brown.

Long-term resident's family · 2024★★★★★
Source: 99 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
57%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.5%
Worse than Avg
Here
28.5%
US
15.5%
GA
20.1%
Franklin
16.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
12.1%
GA
10.6%
Franklin
11.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
19.5%
GA
20.5%
Franklin
22.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
GA
91.2%
Franklin
95.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
14.4%
GA
15.7%
Franklin
14.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
GA
95.0%
Franklin
95.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
79.8%
GA
78.4%
Franklin
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
81.8%
GA
80.4%
Franklin
85.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.6%
Worse than Avg
Here
5.6%
US
1.6%
GA
2.4%
Franklin
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (6.1)
3 complaint-triggered

Brown Health and Rehabilitation shows recurring problems with fire safety systems and care planning across three surveys, with families filing complaints that triggered investigations into abuse reporting and infection control. The facility has persistent issues with fire safety equipment, emergency systems, and resident care planning that appear across multiple inspections. While all deficiencies show correction dates, the pattern of repeated fire safety violations and complaint-triggered investigations regarding resident protection warrants careful consideration during your visit.

Sep 11, 2025Complaint
2
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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 11, 2025Routine
5
0200Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Apr 5, 2024Routine
8
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for 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.

0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0541Potential for harm · IsolatedCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Apr 5, 2024Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Feb 16, 2023Routine
18
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0689Potential for 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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0241Potential for harm · IsolatedCorrected

Egress Deficiencies

Have correct number of accessible exits for each story.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0300Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brown Health and Rehabilitation

Organization Type

nonprofit

Chain Affiliation

Chain Name

Ethica Health

Chain Size

50 facilities nationwide

Chain avg rating: 3.6/5 · Rank 26 of 48

Ownership & Management

Owners

Sheffield, Kimberly

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Franklin County Holdings, LLC5% or Greater Mortgage InterestCable, PaulOfficer / DirectorDennis, KathrynOfficer / DirectorNichols, JosephOfficer / DirectorRollins, RonnieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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