What is Comer Health and Rehabilitation's Medicare star rating?

CMS rates Comer Health and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Comer Health and Rehabilitation get at its last inspection?

2 health deficiencies at the standard inspection on February 26, 2026. The Georgia average is 5.

Has Comer Health and Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Comer 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 Comer Health and Rehabilitation?

CMS lists 18 owners and managers, and links the home to Ethica Health. Legal business name: MADISON COUNTY HEALTH & REHABILITATION, LLC.

Comer Health and Rehabilitation: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 26, 2026, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).

None of its 11 health citations since September 2022 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 3.49 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

48.6% 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.

409/22

501/25

202/26

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

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 26, 2026Standard inspection · 2 citations

F

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2026

Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled, Medication Storage in the Care Center, the facility failed to label and date an opened multidose medication vial, leaving no way for staff to determine its beyond-use date for one of one Medication Storage Rooms observed. This deficient practice could have caused the administration of expired or contaminated medication, placing 67 residents at risk for infection, reduced medication effectiveness and incorrect administration of medication.
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2026

Inspectors wroteBased on record review and staff interviews, the facility failed to provide appropriate infection control surveillance and to execute an organized and effective infection control prevention program to include surveillance monitoring. The deficient practice posed the potential for all 67 facility residents to be at increased risk for infection and medication ineffectiveness.

January 16, 2025Standard inspection · 5 citations

E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2025

Inspectors wroteBased on observation, staff interview, and review of facility policy titled Menus, the facility failed to properly prepare foods to conserve nutritive value during the preparation of puree food for nine residents who received a puree diet. The deficient practice had the potential to place nine of nine residents who received a pureed diet at risk of decreased nutritional intake.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2025

Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled Patient's Plan of Care, the facility failed to implement care plans for two of 20 sampled residents (R) (R42 and R2). Specifically, the facility failed to provide proper supervision for R42 and to assist with hearing aid placement for (R2). This deficient practice had the potential to affect the residents' health and safety.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2025

Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility's policies titled Patient Plan of Care and Care of Hearing Aids, the facility failed to assist one out of four sampled residents (R) (R2) with the use of hearing aids. Specifically, the facility failed to assist with the proper use of hearing aids by not placing them in and removing them. This failure to provide the necessary support could result in communication barriers.
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 · Corrected (the home has a date of correction) March 2, 2025

Inspectors wroteBased on observations, record review, staff interviews, and review of the facility's policy titled Skilled Nursing Services - Elopement, the facility failed to closely monitor one of 13 residents (R) R42 for elopement potential. This deficient practice had the potential to place residents at risk for safety concerns including but not limited to physical and/or mental distress.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2025

Inspectors wroteBased on observation, staff interviews and review of facility's policy titled, Infection Prevention Plan, the facility failed to prevent the spread of infections by not properly securing and storing clean linen in one out of three halls (Hall A). This deficient practice had the potential to cause the spread of infection throughout the facility. The facility census was 76 residents.

September 29, 2022Standard inspection · 4 citations

E

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 13, 2022

Inspectors wroteBased on observations, interviews, and review of the policy titled 'Restraints', the facility failed to ensure three residents (R) (R#36, R#64 and R#65) were free from the use of physical restraints. The sample size was 26.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2022

Inspectors wroteBased on record review, and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for two residents (R), (R#36 and R#65) of 23 sampled residents. Findings Include: 1. R#36 was admitted to the facility on [DATE] with diagnoses including but not limited to Huntington's disease, dementia, dysphagia, and aphasia. Review of Significant Change Minimum Data Set (MDS) dated [DATE] revealed Section C-Cognitive Patterns resident is rarely/never understood and has both short and long-term memory problems. Section G-Functional Abilities revealed R#36 is dependent on one-person physical assistance with activities of daily living (ADLs). Section P-Restraints revealed R#36 does not use physical restraints. Observation on 9/27/22 at 11:48 a.m. revealed R#36 lying in bed with full size bedrails in the up position on both sides of bed. Observation on 9/28/22 at 9: [...]
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2022

Inspectors wroteBased on record review, interviews and review of the facility policy titled Skilled Inpatient Services Patient's Plan of Care dated 12/4/21, the facility failed to evaluate and revise the care plan interventions and/or determine the need to identify additional interventions for fall prevention for one resident (R) (#64) who had been assessed to be at risk for falls and who sustained additional falls. The sample size was 26 residents.
D

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.

F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2022

Inspectors wroteBased on observations and interviews, the facility failed to obtain a Physician order for use of full size bedrails for one resident (R)#36. The sample size was 26.

Fire safety inspections

9 fire safety citations on file: 2 on February 26, 2026, 7 on January 16, 2025.

Every fire safety citation9 citations

F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

K 343 · February 26, 2026 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · February 26, 2026 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · January 16, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · January 16, 2025 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · January 16, 2025 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 16, 2025 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 16, 2025 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · January 16, 2025 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · January 16, 2025 · Corrected (the home has a date of correction)

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)	3.49	3.56	3.86
Registered nurses	0.37	0.50	0.69
All nursing staff on weekends	3.08	3.10	3.42
Nurse aides	2.48
Licensed practical nurses	0.64
Nursing staff turnover (share who left in a year)	48.6%	46.0%	45.8%
Registered nurse turnover	25.0%	44.5%	42.9%
Administrators who left	2

CMS expects 3.52 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 3.66 on weekdays and 3.08 on weekends, 16% 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 3.57 in April to June 2025 to 3.49 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	3.49	0.37	3.66	3.08	0.0%	0 of 90	69
Oct to Dec 2025	3.61	0.31	3.76	3.23	0.0%	0 of 92	69
Jul to Sep 2025	3.45	0.38	3.62	3.03	1.0%	0 of 92	71
Apr to Jun 2025	3.57	0.46	3.81	2.96	0.2%	0 of 91	75
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	16.9	15.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.0	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	4.5	2.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	10.0	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.5	2.6	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	18.3	15.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	5.3	5.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.6	19.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	23.0	25.0	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	7.3	11.6	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.9	1.8

Owners and operators

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

Name	Role	Type	Since
Health Scholarships Inc	Direct ownership interest	Organization	04/01/2014
Community Health Systems Inc	Indirect ownership interest	Organization	04/01/2014
Cable, Paul	Corporate director	Individual	03/14/2003
Dennis, Kathryn	Corporate director	Individual	11/17/2015
Nichols, Joseph	Corporate director	Individual	11/19/2024
Rollins, Ronnie	Corporate director	Individual	03/14/2003
Wall, Joseph	Corporate director	Individual	03/14/2003
Warnock, Ralph	Corporate director	Individual	06/23/2020
Clinical Services Inc	Operational/managerial control	Organization	04/01/2014
Akuko, Joanne	Operational/managerial control	Individual	08/09/2025
Lambert, Reno	Operational/managerial control	Individual	09/01/2023
Ringer, Dave	Operational/managerial control	Individual	07/01/2025
Shiflet, Cecila	Operational/managerial control	Individual	08/10/2025
Sheffield, Kimberly	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	04/14/2025
Clinical Services Inc	Adp of the SNF	Organization	04/14/2025
Madison County Holdings, LLC	Adp of the SNF	Organization	03/31/2014
Akuko, Joanne	Adp of the SNF	Individual	03/09/2026
Ringer, Dave	Adp of the SNF	Individual	07/01/2025

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.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 16, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on January 16, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 26, 2026: "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."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.08 hours per resident per day, below the Georgia average of 3.10.
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Pruitthealth - Spring Valley
Elberton, 10.7 mi · 5 of 5 stars · 6 citations
Brown Health and Rehabilitation
Royston, 11 mi · 4 of 5 stars · 17 citations
Quiet Oaks Health Care Center
Crawford, 16.8 mi · 3 of 5 stars · 12 citations
Hartwell Health and Rehabilitation
Hartwell, 17.1 mi · 3 of 5 stars · 14 citations
Hart Care Center
Hartwell, 17.8 mi · 5 of 5 stars · 1 citation
Nancy Hart Operation LLC
Elberton, 18.7 mi · 1 of 5 stars · 25 citations
Heardmont Health and Rehabilitation
Elberton, 20.5 mi · 1 of 5 stars · 28 citations
Pruitthealth - Grandview
Athens, 21.1 mi · 5 of 5 stars · 10 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 Comer Health and Rehabilitation's Medicare star rating?: CMS rates Comer Health and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Comer Health and Rehabilitation get at its last inspection?: 2 health deficiencies at the standard inspection on February 26, 2026. The Georgia average is 5.
Has Comer Health and Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Comer 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 Comer Health and Rehabilitation?: CMS lists 18 owners and managers, and links the home to Ethica Health. Legal business name: MADISON COUNTY HEALTH & REHABILITATION, 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.