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Gateway Health and Rehab

3201 Westmoreland Road, Cleveland, GA 30528 · White County · (706) 865-5686

60 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 115560 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 12, 2026, inspectors cited 0 health deficiencies (the Georgia average is 5, the national average 9.2).

None of its 2 health citations since February 2023 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 3.00 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.

33.3% of nursing staff left within the year CMS measured (Georgia average 46.0%).

CMS links it to Reliable Health Care Management, an affiliated group of 6 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 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
April 12, 2026Standard inspection · 0 citations
March 23, 2025Standard inspection, Complaint inspection · 1 citation
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on staff interviews, record review, and review of the facility's policy titled, Advance Directives, the facility failed to ensure that the electronic medical records, which included physician orders was consistent with the code status preference for one out of 25 sampled Residents (R) (R41).
February 8, 2023Standard inspection · 1 citation
  1. 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 25, 2023
    Inspectors wroteBased on document observations, resident and staff interviews, record review, and a review of the facility's policy titled, Completion of Accident and Incident Form, the facility failed to identify accident hazards and implement interventions to address/reduce hazards for 1of 3 sampled residents (R) (#25). Specifically, R#25's arm became stuck in the grab bar beside the toilet. The facility failed to identify the grab bar as an accident hazard for R#25 and failed to implement interventions that addressed the grab bar.

Fire safety inspections

6 fire safety citations on file: 3 on April 12, 2026, 2 on March 23, 2025, 1 on February 8, 2023.

Every fire safety citation6 citations
  1. D
    Have properly located and lighted "Exit" signs.
    K 293 · April 12, 2026 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 12, 2026 · Corrected (the home has a date of correction)
  3. D
    Have restrictions on the use of portable space heaters.
    K 781 · April 12, 2026 · Corrected (the home has a date of correction)
  4. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 23, 2025 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · March 23, 2025 · Corrected (the home has a date of correction)
  6. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 8, 2023 · 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.

MeasureThis homeGeorgiaUnited States
All nursing staff (RN, LPN and aides)3.003.563.86
Registered nurses0.240.500.69
All nursing staff on weekends2.703.103.42
Nurse aides1.96
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)33.3%46.0%45.8%
Registered nurse turnovernot reported44.5%42.9%
Administrators who left0

CMS expects 3.64 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 3.12 on weekdays and 2.70 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.03 in April to June 2025 to 3.00 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.000.243.122.70 6.3%1 of 9059
Oct to Dec 20252.880.183.002.59 0.0%0 of 9258
Jul to Sep 20253.030.193.162.71 1.5%1 of 9257
Apr to Jun 20253.030.243.182.67 0.0%0 of 9154
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
34.815.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.40.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.12.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.32.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.715.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.55.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.719.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.425.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.311.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.91.8

Owners and operators

Legal business name: GATEWAY HEALTH & REHAB LLC. CMS links this home to Reliable Health Care Management, a group of 6 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Select Health Care IncDirect ownership interestOrganization12/16/2025
Morris, JaniceIndirect ownership interestIndividual12/16/2025
Hehn, AngelenaManaging control - governing bodyIndividual11/01/2024
McGill, BrandyManaging control - governing bodyIndividual11/01/2024
Hamilton, JamesOperational/managerial controlIndividual01/01/2024
Hehn, AngelenaOperational/managerial controlIndividual11/01/2024
McGill, BrandyOperational/managerial controlIndividual02/09/2009
Morgan, KristyOperational/managerial controlIndividual08/15/2022
Morris, JaniceOperational/managerial controlIndividual07/18/2025
Reliable Health Care Management LLCAdp of the SNFOrganization07/01/2008
Hamilton, JamesAdp of the SNFIndividual01/01/2024
Hehn, AngelenaAdp of the SNFIndividual08/06/2001
McGill, BrandyAdp of the SNFIndividual02/09/2009
Morgan, KristyAdp of the SNFIndividual03/23/2026
Morris, JaniceAdp of the SNFIndividual07/18/2025

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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 23, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 8, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Georgia average of 3.10.

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 Gateway Health and Rehab's Medicare star rating?
CMS rates Gateway Health and Rehab 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gateway Health and Rehab get at its last inspection?
0 health deficiencies at the standard inspection on April 12, 2026. The Georgia average is 5.
Has Gateway Health and Rehab been fined?
CMS lists no fines in the last three years.
Does Gateway Health and Rehab 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 Gateway Health and Rehab?
CMS lists 15 owners and managers, and links the home to Reliable Health Care Management. Legal business name: GATEWAY HEALTH & REHAB LLC.

Sources

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