3450 New High Shoals Rd, Bishop, GA 30621 · Oconee County · (706) 769-7738
100 certified beds, about 83 residents a day · Non profit - Other · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115279 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 11, 2026, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 10 health citations since November 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 2.98 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
36.2% 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.
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.
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 10 health citations on file.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure respiratory equipment was maintained in a clean and sanitary manner for one resident (R) (R20) of 19 sampled residents reviewed for respiratory care. This deficient practice had the potential to expose respiratory equipment to environmental contamination and increased the risk of respiratory complications and infection.
Inspectors wroteBased on observations, staff interviews, and review of the facility's policy titled, Transmission-Based Precautions (Contact, Enhanced Barrier Precautions, Droplet, Airborne), the facility failed to follow Enhanced Barrier Precautions (EBP) by not using the required personal protective equipment (PPE) during catheter care for one of 12 residents resident (R) (R71) on EBP. This had the potential to increase the risk of infection transmission to residents and staff.
Inspectors wroteBased on observations, staff interviews, record reviews, and review of the facility's policy titled Pharmacy Services - Medication Administration: General, the facility failed to follow professional standards of nursing practice for two of 39 sampled Residents (R) (R386 and R17). Specifically, the facility failed to document an explanation for a missed dose of enoxaparin (a blood thinner used to prevent and treat blood clots) for R386 and failed to follow prescribed blood pressure parameters outlined in a physician's order and to ensure that an antihypertensive medication was transcribed accurately for R17 observed during medication administration.
Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to cover clean laundry when transporting to prevent the spread of infection on one of five halls. These failures had the potential to increase the risk of infection transmission.
Inspectors wroteBased on resident and staff interviews, record review, and review of the facility's policy titled, Notice of Transfer or Discharge from Center, the facility failed to ensure five of five Residents (R) (R11, R16, R64, R74 and R79) reviewed for facility initiated emergent hospital transfers were provided with written transfer notice that contained all required information. This failure has the potential to affect the residents and/or the Resident Representatives (RR) by not having the knowledge of where and why a resident was transferred, and/or how to appeal the transfer, if desired.
Inspectors wroteBased on staff and resident interviews, record review, and review of the facility's policy titled, Bed Hold During Hospital Stays and Therapeutic Leaves, the facility failed to ensure the resident and/or the Resident Representative (RR) was provided with the notice of the facility's notice of bed-hold policy for five of five Residents (R) (R11, R16, R64, R74, and R79) reviewed for hospital transfers. This failure had the potential to contribute to possible denial of re-admission and loss of the resident's home following a hospitalization for residents transferred to the hospital.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure meaningful activities were offered for three of five Residents (R) (R3, R65, and R68) reviewed for dependent activities. This failure created the potential for the residents to experience a decreased quality of life.
Inspectors wroteBased on staff interview and record review, the facility failed to ensure four of four Certified Nurse Aides (CNA) (CNA 1, CNA3, CNA4 and CNA5) and one of one Licensed Practical Nurses (LPN) (LPN 4) reviewed had received behavioral health training to care for residents diagnosed with mental health illnesses. This failure had the potential for direct care staff to lack current knowledge to work with the unique challenges mental health illnesses present.
Inspectors wroteBased on staff interviews, record reviews, and review of the facility's policy titled, Abuse Prohibition, the facility failed to report an allegation of abuse reported immediately, but no later than two (2) hours after the allegations of abuse for one of five Residents (R) (R 17) reviewed for alleged abuse. This failure had the potential for allegations of abuse to not be identified and reported as required.
Inspectors wroteBased on staff interviews, record reviews, and review of the facility's policy titled, Abuse Prohibition, the facility failed to conduct a thorough investigation following an allegation of abuse for one of five Residents (R) (R17) reviewed for alleged abuse. This failure not to conduct a thorough abuse investigation had the potential to result in other residents not being identified as potential victims of abuse.
7 fire safety citations on file: 7 on March 27, 2025.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 2.98 | 3.56 | 3.86 |
| Registered nurses | 0.42 | 0.50 | 0.69 |
| All nursing staff on weekends | 2.76 | 3.10 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 36.2% | 46.0% | 45.8% |
| Registered nurse turnover | 30.0% | 44.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.57 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.07 on weekdays and 2.76 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 3.39 in April to June 2025 to 2.98 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 | 2.98 | 0.42 | 3.07 | 2.76 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.10 | 0.45 | 3.23 | 2.78 | 0.0% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.04 | 0.48 | 3.23 | 2.57 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 3.39 | 0.48 | 3.65 | 2.75 | 0.0% | 0 of 91 | 82 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Georgia, all employers | |||
| CNAs (nursing assistants) | $18.12 | $17.06 to $20.66 | 43,440 |
| LPNs and LVNs | $29.82 | $25.43 to $33.99 | 21,060 |
| Registered nurses | $44.98 | $38.02 to $51.12 | 100,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 13.7 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.5 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.4 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.3 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 11.6 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for High Shoals Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.4% this home
No different from the national rate
US median of homes 51.5% · Georgia: 49 better, 27 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 70 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Georgia: 2 better, 17 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 77 eligible stays.
8.0% this home
No different from the national rate
US median of homes 7.1% · Georgia: 0 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 49 eligible stays.
26.9% this home
Median of homes: Georgia46.9% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 26 residents counted.
0.0% this home
Median of homes: Georgia0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Georgia2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 33 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Georgia97.4% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: OCONEE 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 | Share | Since |
|---|---|---|---|---|
| Cable, Paul | Managing control - governing body | Individual | 03/14/2003 | |
| Dennis, Kathryn | Managing control - governing body | Individual | 11/17/2015 | |
| Lambert, Reno | Managing control - governing body | Individual | 09/01/2023 | |
| Nichols, Joseph | Managing control - governing body | Individual | 11/19/2024 | |
| Rollins, Ronnie | Managing control - governing body | Individual | 03/14/2003 | |
| Wall, Joseph | Managing control - governing body | Individual | 03/14/2003 | |
| Warnock, Ralph | Managing control - governing body | Individual | 06/23/2020 | |
| Clinical Services Inc | Operational/managerial control | Organization | 10/01/2014 | |
| Harrison, Brandi | Operational/managerial control | Individual | 05/17/2019 | |
| Lambert, Reno | Operational/managerial control | Individual | 09/01/2023 | |
| Peters, Laura | Operational/managerial control | Individual | 10/07/2021 | |
| Ringer, Dave | Operational/managerial control | Individual | 03/01/2025 | |
| Sheffield, Kimberly | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Clinical Services Inc | Adp of the SNF | Organization | 07/17/2025 | |
| Harrison, Brandi | Adp of the SNF | Individual | 09/03/2025 | |
| Ringer, Dave | Adp of the SNF | Individual | 03/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.