A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 145 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Garnet Hill Rehabilitation and Skilled Care has a middle-range Medicare overall rating. Strengths include top-notch physical therapy and rehab programs. Some reviewers note concerns about medication errors and mismanagement (mentioned by 4 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Garnet Hill Rehabilitation and Skilled Care is highly regarded by many for its exceptional physical therapy department and a clean, pleasant-looking facility. However, families should be extremely cautious regarding serious allegations of medication errors, neglectful hygiene care, and significant understaffing, particularly on weekends.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 146 analyzed
The owner provides highly personalized and warm responses to 5-star reviews, often mentioning specific staff members or family members named in the text. For negative reviews, they use a professional, standardized approach focused on directing the reviewer to administrative or compliance channels for resolution.
Personalized based on this facility's data
Key Review Excerpts
“The Physical Therapy program is one of the best ones we have used. On a scale of 1 to 10 Garnet Hill Rehabilitation and skilled Care is a10++.”
“The leadership and staff loved on my mother (AND our family) and were true advocates for her. She required the highest level of care in her advanced state.”
“The nurses lost my step father's hospital discharge paperwork and the nursing home refuses to make doctors appointments.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
5
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Garnet Hill has a concerning pattern of serious care deficiencies, with over half triggered by family complaints including a severe abuse incident in December 2024. Recurring problems span medication management, basic personal care assistance, and safety hazards, with issues persisting across multiple years despite reported corrections. The facility struggles with fundamental care standards including protecting residents from abuse and ensuring proper daily care assistance.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 6, 2024
$18,179
Fine
Dec 8, 2023
$13,780
South Limestone Hospital District
for profit
PF GH SNF OPS, LLC
SYLVIA ANENE
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.9/5 · Rank 11 of 13
Owners
South Limestone Hospital District
Owner · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Chance, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fisher, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Langdon, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgehee, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Taylor, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
145 reviews from families & visitors
Official Website
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