Brentwood Health Center by Harborview
115 Brentwood Drive, Waynesboro, GA 30830 · Burke County · (706) 554-4425
103 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115361 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 15, 2025, inspectors cited 9 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 11 health citations since November 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 1.17 of those hours.
CMS links it to Harborview Health Systems, an affiliated group of 22 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.
011/21
208/23
906/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
3F
Potential for minimal harm
0A
0B
1C
June 15, 2025Standard inspection, Complaint inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policies titled Labeling and Dating Guidelines and Standard of the Week Labeling and Dating, the facility failed to ensure food items were labeled with open and/or discard dates and discarded on or before the discard dates. This had the potential to place 64 residents who received an oral diet from the kitchen at risk of food-borne illness.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policy titled Garbage and Rubbish Disposal, the facility failed to maintain two of three facility dumpsters in a sanitary condition by ensuring the dumpsters had fitted lids and doors to prevent exposure to insects and rodents. The deficient practice created the potential to promote the harboring of pests, insects, and other organisms, and create the potential for disease transmission by pests and rodents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled Infection Prevention and Control Program, the facility failed to ensure soiled and clean linen carts were not stored together on three of five halls (300 Hall, 400 Hall, and 500 Hall). The deficient practice had the potential to increase the probability of the spread of infection from the soiled linen to the clean linen used while care services were being provided to residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to ensure that one of 29 sampled residents (R) (R6) was treated in a manner that maintained or enhanced his/her dignity. Specifically, staff provided care to R6 without providing full visual privacy. This deficient practice had the potential to place R6 at risk of a diminished quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview and record review, the facility failed to ensure one of five residents (R) (R28) with a qualifying diagnosis was referred to the Georgia Preadmission Screening and Resident Review (PASRR) Utilization Management for review. This deficient practice had the potential to increase the probability of R28 not having her mental and psychological care needs met.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote2. Review of R11's EHR revealed diagnoses including, but not limited to, chronic obstructive pulmonary disease with acute exacerbation, pulmonary candidiasis, and unspecified atrial fibrillation. Review of R11's Care Plan Report revealed a Focus Area, created 6/5/2024, for oxygen therapy. Interventions included oxygen as ordered. Review of R11's Physician Order revealed an order dated 517/2024 for O2 at 5 LPM every shift. Observations on 6/13/2025 at 10:07 am and at 1:04 pm revealed R11 receiving O2 therapy by oxygen concentrator at 3.5 LPM via a NC. Observation on 6/14/2025 at 10:13 am, with LPN EE, revealed R11 receiving O2 therapy by oxygen concentrator at 7 LPM via a NC. LPN EE confirmed that the flow rate was set in error and against the physician's order of 5 liters per minute, and adjusted the flow rate. 3. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to ensure one of 29 sampled residents (R) (R6) received care and services to avoid preventable falls. This deficient practice had the potential to place R6 at risk of injury related to avoidable falls.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wrote2. Review of R11's EHR revealed diagnoses including, but not limited to, chronic obstructive pulmonary disease with acute exacerbation, pulmonary candidiasis, and unspecified atrial fibrillation. Review of R11's Annual MDS assessment, dated 5/21/2025, revealed Section J (Health Conditions) revealed R31 exhibited shortness of breath or trouble breathing with exertion, when sitting at rest, and when lying flat. Section O (Special Treatments, Procedures, and Programs) revealed R31 received O2 therapy while a resident. Review of R11's Physician's Orders included an order dated 5/17/2024 for O2 via NC at 5LPM continuous every shift. Observations on 6/13/2025 at 10:07 am and at 1:04 pm revealed R11 receiving O2 therapy by oxygen concentrator at 3.5 LPM via a NC. Observation on 6/14/2025 at 10:13 am, with LPN EE, revealed R11 receiving O2 therapy by oxygen concentrator at 7 LPM via a NC. [...]
- C Post nurse staffing information every day.
Inspectors wroteBased on observations, staff interviews, review of facility documentation, and review of the facility policy titled Posting Direct Care Daily Staffing Numbers, the facility failed to ensure the number of nursing personnel responsible for providing direct care to residents was posted daily for staff and visitors to review while in the facility.
August 24, 2023Standard inspection · 2 citations
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on staff interviews, record review, and a review of the facility's policy titled, MDS Completion and Submission Timeframes, the facility failed to ensure that the Minimum Data Sets (MDS) assessments were submitted to the Centers for Medicare and Medicaid Services (CMS) within 14 days after completion to ensure current and accurate data for five of 27 Residents (R) (#19, R#20, R#145, R#3, and R#17) reviewed for MDS assessments.
- D 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.
Inspectors wrote2. Record review revealed R#244 had a diagnosis of depression, anxiety disorder, and chronic pain syndrome. Record review of the Physician Orders for R#244 revealed an order for lorazepam oral concentrate 2 milligrams (mg)/milliliters (ml), give 0.5 ml by mouth every 3 hours as needed for restlessness. The stop date on the order stated indefinite. Record review of the Medication Administration Record (MAR) for R#244, dated August 2023, revealed that the resident had received a one-time dose of lorazepam upon admission, and a subsequent lorazepam PRN order had been received on 8/17/2023. The MAR indicated a start date for the lorazepam, but no end date. An interview on 08/24/2023 at 2:00 p.m. with DON confirmed that the physician order for R#244 regarding the PRN lorazepam did not have an expiration date. [...]
November 4, 2021Standard inspection · 0 citations
Fire safety inspections
14 fire safety citations on file: 2 on June 15, 2025, 12 on August 24, 2023.
Every fire safety citation14 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have restrictions on the use of highly flammable decorations.
- F Install a fire alarm system that can be heard throughout the facility.
- E Have an enclosure around a vertical opening shaft.
- D Establish roles under a Waiver declared by secretary.
- D List the names and contact information of those in the facility.
- D Establish staff and initial training requirements.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.56 | 3.86 |
| Registered nurses | 1.17 | 0.50 | 0.69 |
| All nursing staff on weekends | 3.88 | 3.10 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.62 | ||
| Nursing staff turnover (share who left in a year) | not reported | 46.0% | 45.8% |
| Registered nurse turnover | not reported | 44.5% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.71 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 3.92 on weekdays and 3.88 on weekends, 1% 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 3.73 in April to June 2025 to 3.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.91 | 1.17 | 3.92 | 3.88 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.79 | 0.79 | 3.89 | 3.55 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 4.10 | 0.25 | 4.30 | 3.57 | 13.5% | 0 of 92 | 70 |
| Apr to Jun 2025 | 3.73 | 0.23 | 3.88 | 3.33 | 13.3% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 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.
| Measure | This home | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.7 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.5 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.2 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.6 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.9 | 1.8 |
Owners and operators
Legal business name: MGHP-BRENTWOOD LLC. CMS links this home to Harborview Health Systems, a group of 22 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mid Ga Health Properties LLC | Direct ownership interest | Organization | 05/01/2023 | |
| Davis III, William C | Indirect ownership interest | Individual | 05/01/2023 | |
| Davis, William | Indirect ownership interest | Individual | 05/01/2023 | |
| Orne, David | Indirect ownership interest | Individual | 05/01/2023 | |
| Parker, David | Indirect ownership interest | Individual | 05/01/2023 | |
| Westbury, James R | Indirect ownership interest | Individual | 05/01/2023 | |
| Windham, Ashton | Indirect ownership interest | Individual | 05/01/2023 | |
| Windham, Spencer | Indirect ownership interest | Individual | 05/01/2023 | |
| Davis III, William C | Operational/managerial control | Individual | 05/01/2023 | |
| Davis, William | Operational/managerial control | Individual | 05/01/2023 | |
| Orne, David | Operational/managerial control | Individual | 05/01/2023 | |
| Parker, David | Operational/managerial control | Individual | 05/01/2023 | |
| Westbury, James R | Operational/managerial control | Individual | 05/01/2023 | |
| Windham, Ashton | Operational/managerial control | Individual | 05/01/2023 | |
| Windham, Spencer | Operational/managerial control | Individual | 05/01/2023 | |
| Crossroads Medical Management, Inc. | Adp of the SNF | Organization | 05/01/2023 | |
| Davis & Cleveland Cpas, LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Mghp Re Brentwood LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Mid Ga Health Properties LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Parker Financial Solutions, LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Windcorp Consultants LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Davis III, William C | Adp of the SNF | Individual | 05/01/2023 | |
| Davis, William | Adp of the SNF | Individual | 05/01/2023 | |
| Orne, David | Adp of the SNF | Individual | 05/01/2023 | |
| Parker, David | Adp of the SNF | Individual | 05/01/2023 | |
| Stafford, Elise | Adp of the SNF | Individual | 02/09/2024 | |
| Westbury, James R | Adp of the SNF | Individual | 05/01/2023 | |
| Windham, Ashton | Adp of the SNF | Individual | 05/01/2023 | |
| Windham, Spencer | Adp of the SNF | Individual | 05/01/2023 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 15, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 15, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 June 15, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 15, 2025: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Keysville Nursing Home & Rehab Blythe, 19.3 mi · 4 of 5 stars · 5 citations
- Gracewood Nsg Facility(unit 9) Gracewood, 20.1 mi · 5 of 5 stars · 0 citations
- Pruitthealth - Bethany Millen, 20.1 mi · 3 of 5 stars · 15 citations
- Place at Deans Bridge, the Augusta, 23.5 mi · 3 of 5 stars · 7 citations
- Pruitthealth - Old Capitol Louisville, 23.7 mi · 1 of 5 stars · 13 citations
- Pruitthealth - Creekside Augusta, 24 mi · 4 of 5 stars · 3 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is Brentwood Health Center by Harborview's Medicare star rating?
- CMS rates Brentwood Health Center by Harborview 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brentwood Health Center by Harborview get at its last inspection?
- 9 health deficiencies at the standard inspection on June 15, 2025. The Georgia average is 5.
- Has Brentwood Health Center by Harborview been fined?
- CMS lists no fines in the last three years.
- Does Brentwood Health Center by Harborview 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 Brentwood Health Center by Harborview?
- CMS lists 29 owners and managers, and links the home to Harborview Health Systems. Legal business name: MGHP-BRENTWOOD LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.