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Nursing HomeMedicaid Investigative

Coastal Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

128 Coastal Manor Drive Se, Ludowici, GA 31316108 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 38 Google reviews

5
4
3
2
1

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2/ 10
low Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)

Bottom 25% in GA · Below recommended RN staffing · Above recommended total nurse staffing · Low staff turnover (stable workforce) · No penalties on record · Very few deficiencies

Source: Medicare data

What this means for your family

While many families report positive experiences with the rehab and nursing staff, there is a recurring pattern of poor administrative communication and slow response times to call buttons. We strongly recommend visiting during off-hours to observe staffing levels and asking management directly about their protocols for family communication and incident reporting.

Google Reviews

Google Reviews

38 reviews on Google
Coastal Manor receives polarized feedback, with many reviewers praising the facility's cleanliness and the kindness of the nursing and rehab staff. However, significant concerns exist regarding administrative responsiveness, inconsistent care standards, and reports of neglect or unprofessionalism. Families should be aware of the stark contrast between the positive experiences of some and the serious complaints regarding communication and basic patient care.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean7.0Activities8.0MedsN/AMemory5.0Comms2.0Value3.0

Strengths

  • Clean, well-maintained facility
  • Kind and professional rehab therapy staff
  • Attentive and caring nursing staff
  • Engaging activities for residents

Concerns

  • Slow response times to call buttons (mentioned by 2 reviewers)
  • Lack of administrative communication and responsiveness (mentioned by 2 reviewers)
  • Unprofessional or neglectful staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(2)'21(1)'23(7)'25(5)'26(1)

Distribution · 43 analyzed

5
26
4
4
3
3
2
2
1
8
12 reviews posted between Feb 8, 2024Feb 8, 2024 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your rehab therapy and nursing staff; how do you ensure that same level of attentive care is maintained during shift changes?
  • 2With the great variety of activities mentioned by others, how do you help new residents find groups that match their specific interests?
  • 3What is your process for ensuring that call buttons are answered promptly, especially during the busier evening hours?
  • 4How does the administration keep families updated on any changes in a resident's care or health status?
  • 5In the event of a medical emergency after hours, what are the specific protocols for notifying the family and coordinating with doctors?
  • 6How do you manage the facility's budget to ensure that the high quality of care and cleanliness is maintained without compromising resident services?

Personalized based on this facility's data


Key Review Excerpts

The rehab staff were great, kind and patient. Speech therapist was also a very kind person. ... If we pressed the call button, it might be 15 minutes or it might be over 2 hours before someone comes in

Long-term resident's family · 2025☆☆☆☆

The nurses on the main side are non caring. The nurses on the mentally challenged side were a lot more attentive to the patients and their needs

Family member · 2023★★☆☆☆

Lack of communication on a consistent basis is unacceptable. Refusal to answer emails or return phone calls; no dental care provided though we’re paying for a dental plan; feet not cared for properly; multiple items stolen.

Family member · 2024★★☆☆☆
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
4.08hrs
100%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
29%
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
1/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
14.4%
GA
15.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
15.5%
GA
20.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
15.3%
GA
16.6%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility10.4%
Worse than Avg
Here
10.4%
US
1.6%
GA
2.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
GA
91.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.1%
Worse than Avg
Here
15.1%
US
12.1%
GA
10.6%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.5%
Better than Avg
Here
93.5%
US
79.8%
GA
78.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.9%
Better than Avg
Here
94.9%
US
81.8%
GA
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

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

Coastal Manor has faced significant safety concerns, with families filing complaints about abuse/neglect handling and medication management that triggered federal investigations. The facility shows recurring problems with fire safety systems, emergency preparedness, and building safety across multiple surveys from 2023 to 2025, suggesting persistent operational challenges. While all deficiencies show correction dates, the pattern of repeated safety violations warrants careful consideration during your visit.

May 16, 2025Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0001Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Feb 22, 2025Complaint
4
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Mar 10, 2023Routine
15
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.

0700Potential for harm · WidespreadCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909Potential for harm · WidespreadCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coastal Manor

Organization Type

nonprofit

Ownership & Management

Key personnel

Badea, CalinOfficer / DirectorMckettrick, WilliamOfficer / DirectorRozier, DerekOfficer / DirectorRozier, DerekManagerBadea, CalinAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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