Lillian Carter Health Center by Harborview
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 31 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (7 vs median 5.0)
Above average in GA · Critically understaffed (RN) · Above average staffing · Chain outperformer · No penalties on record
What this means for your family
This facility offers strong physical therapy outcomes, which may be beneficial for short-term recovery. However, given the serious reports of hygiene issues and communication failures, we strongly recommend conducting unannounced visits and closely monitoring your loved one's daily care if you choose this facility.
Google Reviews
Google Reviews
31 reviews on Google“Lillian Carter Health Center receives highly polarized feedback, with many families praising the dedicated nursing and therapy staff, while others report severe concerns regarding patient neglect and hygiene. While some visitors highlight a warm, personalized environment, multiple critical reports describe issues with basic care, such as uncharged communication devices and poor room cleanliness. Families should carefully weigh these contrasting experiences when considering this facility for long-term or rehabilitative care.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing and therapy staff
- Effective physical therapy programs
- Personalized care approach
- Clean and welcoming environment (reported by some)
Concerns
- Poor hygiene and room cleanliness (mentioned by 3 reviewers)
- Difficulty with communication and responsiveness (mentioned by 2 reviewers)
- Missing or mishandled personal belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy programs; could you tell us more about how you tailor those plans to each resident's specific needs?
- 2What specific steps is the facility taking to ensure consistent communication between the nursing staff and family members?
- 3How does the team manage daily room cleaning and hygiene routines to ensure a comfortable environment for everyone?
- 4Can you walk us through the process for tracking and managing medications to ensure everything is administered accurately and on time?
- 5What is the protocol for handling medical emergencies or sudden changes in a resident's health during the night?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“When I first arrived, three weeks ago, I couldn’t walk, get out of bed without help, or use the bathroom without help. I will be leaving in a couple of weeks and now I can walk, and I’ve been able to get in and out of bed without assistance.”
“My mother was there and had dementia she was treated ok but after she passed away in the hospital I went to pick up her belongings. I was not allowed to go to her room the staff packed up her items in 2 boxes and brought out her TV no power cord and no remote.”
“If you have a love one that needs help i STRONGLY advise you don’t go here. My uncle was basically STARVED to death here. His room was disgusting. Sat in a pop diaper bc they wouldn’t change him.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
4
measures
8
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has 19 deficiencies across 3 surveys with no complaint-driven investigations, suggesting basic oversight issues rather than serious resident harm. The most recurring problems involve fire safety systems, care planning and assessments, and general quality of care including nutrition and respiratory care. All deficiencies show correction dates, but fire safety issues have persisted across multiple surveys, indicating ongoing compliance challenges in this area.
Sep 12, 2025Routine9
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Mar 10, 2024Routine9
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
May 19, 2022Routine1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Ownership & Operations
Who Operates This Facility
Lillian Carter Health Center by Harborview
for profit
Chain Affiliation
Harborview Health Systems
22 facilities nationwide
Chain avg rating: 2.0/5 · Rank 5 of 20
Ownership & Management
Owners
Mid Ga Health Properties LLC
Owner · Organization
Davis III, William C
Owner (parent company)
Davis, William
Owner (parent company)
Orne, David
Owner (parent company)
Parker, David
Owner (parent company)
Westbury, James R
Owner (parent company)
Windham, Ashton
Owner (parent company)
Windham, Spencer
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Official Website
Visit lilliancarterhealthandrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.