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Nursing HomeMedicaid Top Rated

Four County Health and Rehabilitation

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

124 Overby Drive, Richland, GA 3182585 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 20 Google reviews

5
4
3
2
1

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What this means for your family

This facility is frequently praised for its compassionate nursing staff and clean environment, making it a strong contender for clinical care. However, multiple families have reported significant issues with the loss of personal property and poor administrative communication. We strongly advise you to label all personal items clearly and establish a direct line of communication with a specific administrator upon admission.

Google Reviews

Google Reviews

20 reviews on Google
Four County Health and Rehabilitation receives polarized feedback, with many families praising the compassionate nursing staff and the facility's cleanliness. However, there are serious, recurring reports regarding the loss or theft of residents' personal belongings and difficulties with administrative communication. Families should be aware that while clinical care is often rated highly, operational issues regarding property management and staff responsiveness remain a significant concern.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean9.0Activities5.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Clean and well-maintained facility
  • Helpful administrative support for paperwork
  • Strong rehab and clinical care outcomes

Concerns

  • Loss or theft of residents' personal belongings (mentioned by 3 reviewers)
  • Difficulty reaching staff or poor administrative communication (mentioned by 2 reviewers)
  • Understaffing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'21(1)'23(1)'25(8)'26(2)

Distribution · 22 analyzed

5
12
4
1
3
2
2
3
1
4

How They Respond to Reviews

65%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's focus on clinical outcomes, how do you manage the balance between rehab therapy schedules and daily social activities to ensure residents stay engaged?
  • 2I noticed that staffing levels are a priority for you; could you walk me through your current staffing model and how you ensure consistent care coverage throughout the day and night?
  • 3We understand that personal items are very meaningful to residents; what specific protocols or systems do you have in place to help keep track of personal belongings and prevent them from being misplaced?
  • 4I appreciate that your team is active in responding to feedback online; what is the best way for family members to stay in direct contact with the care team to ensure we are always in the loop regarding our loved one's health?
  • 5With your strong rating in health inspections, how does your clinical team coordinate with local hospitals or emergency services if a resident requires urgent medical attention?
  • 6Since communication is a key part of the resident experience, what steps are you taking to improve how administrative updates and daily care notes are shared with families?

Personalized based on this facility's data


Key Review Excerpts

The facility is clean and the staff are all so nice, professional and helpful. They were upbeat and cheerful when interacting with her and she had nothing but the best to say about them.

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

Not the worst. Just make sure you monitor your loved ones and ask for their belongings to not be picked through and stolen after they pass.

Family member · 2024☆☆☆☆

The nurses are excellent but their administration sucks.

Family member · 2024★★☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
55%
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

11

measures

Worse Than Avg

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
GA
10.6%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
19.4%
GA
16.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.3%
GA
16.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
GA
91.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.1%
Worse than Avg
Here
20.1%
US
15.5%
GA
20.1%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility9.1%
Worse than Avg
Here
9.1%
US
4.9%
GA
5.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.4%
Better than Avg
Here
86.4%
US
79.8%
GA
78.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.2%
Better than Avg
Here
83.2%
US
81.8%
GA
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
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

2deficiencies
Well below state avg (6.1)

Four County Health and Rehabilitation has a relatively clean federal inspection record with only 3 deficiencies across 2 surveys, all of which have been corrected by the facility. The most recent survey in 2025 identified issues with medication labeling and infection control procedures, while a 2022 survey found safety hazards requiring better supervision. No families have filed complaints triggering federal investigations, suggesting generally satisfactory care quality.

May 1, 2025Routine
2
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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 22, 2022Routine
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Four County Health and Rehabilitation

Organization Type

nonprofit

Chain Affiliation

Chain Name

Ethica Health

Chain Size

50 facilities nationwide

Chain avg rating: 3.6/5 · Rank 18 of 48

Ownership & Management

Owners

Health Systems Facilities INC

Owner · Organization

Community Health Systems INC

Owner (parent company) · Organization

Sheffield, Kimberly

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

Key personnel

Cable, PaulManaging Control - Governing BodyDennis, KathrynManaging Control - Governing BodyHodges, KimberlyManaging Control - Governing BodyNichols, JosephManaging Control - Governing BodyPittman, JacquelineManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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