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Avalon Health and Rehabilitation

120 Spring Street, Newnan, GA 30263 · Coweta County · (770) 253-1475

90 certified beds, about 78 residents a day · Non profit - Other · Medicare and Medicaid since 1992

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 115528 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 10, 2025, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).

Of 7 health citations since April 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $3,728 in the last three years; the largest was $3,728, and the latest is dated October 6, 2023.

Nurses and nurse aides worked 3.49 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

36.1% of nursing staff left within the year CMS measured (Georgia average 46.0%).

CMS links it to Ethica Health, an affiliated group of 50 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
0E
1F
Potential for minimal harm
0A
0B
0C
July 27, 2026Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on staff interviews, record review, and review of the facility's policy titled Abuse Prohibition, the facility failed to protect one of 42 sampled residents (R) (R81) right to be free from physical abuse by another resident. Actual harm was identified to have occurred on July 6, 2026, when R87 physically assaulted R81, causing a laceration of the left palm and an open displaced fracture of the proximal phalanx of the right ring finger.
April 10, 2025Standard inspection, Complaint inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled, Labeling and Dating, the facility failed to discard food and seasonings by the expiration date. The deficient practice had the potential to promote foodborne illnesses associated with bacterial growth for 74 of 77 residents receiving an oral diet.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on observations, resident and staff interviews, and record review, the facility failed to ensure one of 18 residents (R) (R35) reviewed were free from accident hazards. Specifically, the facility failed to ensure R35 was free from exposure to harmful chemicals and aerosols.
October 6, 2023Standard inspection · 3 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 20, 2023
    Inspectors wroteBased on resident and staff interviews, observations, record review, and review of the facility policy titled, Abuse Prohibition Policy, the facility failed to ensure timely reporting of potential abuse and injuries of unknown origin to facility Administration and the State Agency related to two of 20 sampled residents (Resident (R) R55 and R5). Specifically, a staff member witnessed potential verbal abuse perpetrated against R55 by another resident residing in the facility (R18) and did not report the potential abuse to the Administrator, who was the facility's designated Abuse Coordinator. Also, R5's injury of unknown origin was not reported as an injury of unknown origin.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 20, 2023
    Inspectors wroteBased on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to encode and transmit a discharge Minimum Data Set (MDS) for one of one resident (Resident (R) 61) reviewed for Resident Assessment.
  3. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 20, 2023
    Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility policy titled, Skilled Nursing Services: Restorative Policy, the facility failed to provide Range of Motion (ROM) services for two of three Residents (Residents (R) R7 and R115) reviewed for positioning/mobility. Specifically, R7 and R115's splints were not applied consistently per their plans of care creating the potential for pain or worsening of contractures.
April 24, 2022Standard inspection · 1 citation
  1. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 8, 2022
    Inspectors wroteBased on observation, record review, review of facility policy titled Enteral Tube Medication Administration, and staff interviews, the facility failed to ensure the medication error rate was less than five percent (5%). A total number of 34 medication opportunities were observed, and there were three errors for one of four residents (R) (R #1) for an error rate of 8.82%.

Fire safety inspections

4 fire safety citations on file: 3 on April 10, 2025, 1 on October 6, 2023.

Every fire safety citation4 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 10, 2025 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 10, 2025 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 10, 2025 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · October 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 6, 2023Fine $3,728

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeGeorgiaUnited States
All nursing staff (RN, LPN and aides)3.493.563.86
Registered nurses0.480.500.69
All nursing staff on weekends3.223.103.42
Nurse aides2.36
Licensed practical nurses0.64
Nursing staff turnover (share who left in a year)36.1%46.0%45.8%
Registered nurse turnover20.0%44.5%42.9%
Administrators who left0

CMS expects 3.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.59 on weekdays and 3.22 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.490.483.593.22 0.0%0 of 9078
Oct to Dec 20253.430.523.493.29 0.0%0 of 9276
Jul to Sep 20253.480.493.603.18 0.0%0 of 9278
Apr to Jun 20253.410.463.523.13 0.0%0 of 9178
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Georgia, Jan to Mar 20263.500.463.683.033.3%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeGeorgiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.915.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.82.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.92.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.515.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.85.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
36.519.915.4

Owners and operators

Legal business name: AVALON HEALTH CARE LLC. CMS links this home to Ethica Health, a group of 50 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Cable, PaulManaging control - governing bodyIndividual03/14/2003
Dennis, KathrynManaging control - governing bodyIndividual11/17/2015
Nichols, JosephManaging control - governing bodyIndividual11/19/2024
Pittman, JacquelineManaging control - governing bodyIndividual01/01/2026
Rollins, RonnieManaging control - governing bodyIndividual03/14/2003
Wall, JosephManaging control - governing bodyIndividual03/14/2003
Warnock, RalphManaging control - governing bodyIndividual06/23/2020
Clinical Services IncOperational/managerial controlOrganization03/27/2009
Blake, WyattOperational/managerial controlIndividual11/01/2025
Caballero, ChristopherOperational/managerial controlIndividual10/17/2022
Diem, MarieOperational/managerial controlIndividual01/14/2025
Pittman, JacquelineOperational/managerial controlIndividual01/01/2026
Sheffield, KimberlyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/25/2025
Clinical Services IncAdp of the SNFOrganization09/05/2025
Blake, WyattAdp of the SNFIndividual11/01/2025
Caballero, ChristopherAdp of the SNFIndividual07/31/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 27, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 10, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 10, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 6, 2023: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."

Other nursing homes nearby

Georgia contacts for a concern about a nursing home

These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Avalon Health and Rehabilitation's Medicare star rating?
CMS rates Avalon Health and Rehabilitation 1 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avalon Health and Rehabilitation get at its last inspection?
2 health deficiencies at the standard inspection on April 10, 2025. The Georgia average is 5.
Has Avalon Health and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $3,728 in the last three years.
Does Avalon Health and Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avalon Health and Rehabilitation?
CMS lists 16 owners and managers, and links the home to Ethica Health. Legal business name: AVALON HEALTH CARE LLC.

Sources

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