Montezuma Health and Rehabilitation
506 Sumter St., Montezuma, GA 31063 · Macon County · (478) 472-8168
100 certified beds, about 68 residents a day · Non profit - Other · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115364 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 18, 2026, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).
Of 9 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $15,593 in the last three years; the largest was $6,500, and the latest is dated November 30, 2023.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
61.4% 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.
307/23
311/23
109/24
009/24
201/26
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
4D
2E
1F
Potential for minimal harm
0A
0B
0C
January 18, 2026Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, and the policy titled Storage Areas, the facility failed to ensure food items were properly labeled, dated, and stored under sanitary conditions to prevent foodborne illness. The deficient practice had the potential to affect all 68 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, staff interviews, and review of the facility policy titled Use of Oxygen Therapy, the facility failed to follow Physician's Order for one of one resident (R) (R10) reviewed for receiving oxygen. The deficient practice had the potential to place R10 at risk of adverse clinical outcomes.
September 15, 2024Standard inspection · 0 citations
September 4, 2024Complaint inspection · 1 citation
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, staff interviews, record reviews, and review of the facility policy titled, Medication Administration-General, the facility failed to ensure the medication error rate was less than 5 percent (%). A total of 28 opportunities were observed, with four errors for two residents (R) (R6 and R11), resulting in an error rate of 14.2 %. This failure had the potential to result in medication not being given in accordance with the physician's orders and had the potential to adversely affect R6 and R11's clinical condition.
November 30, 2023Complaint inspection · 3 citations
- G Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that the care plan was followed for Activities of Daily Living (ADL) ensuring that care was provided by the appropriate number of staff, to prevent accidents, for one resident (R3), and that the care plan for wound treatments was followed related to treatments being provided as ordered by the physican, for one resident (R5), from a total sample of eight residents. Actual harm was identified to have occurred on 10/9/2023, when a Certified Nursing Assistant (CNA) provided ADL care to R3 by herself, instead of with the required two-person assistance. R3 fell from the bed and sustained a hematoma to the right side of the face.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that Activities of Daily Living (ADL) care was provided by the appropriate number of staff, to prevent accidents, for one resident (R3), from a total sample of eight residents. Actual harm was identified to have occurred on 10/9/2023, when a Certified Nursing Assistant (CNA) EE provided ADL care to R3 by herself, instead of with the required two-person assistance. R3 fell from the bed and sustained a hematoma to the right side of the face.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that pressure ulcer treatments were provided as ordered by the physician for two residents (R1 and R5), and that pressure ulcers were accurately assessed and monitored for two residents (R4 and R5) from a total sample of eight residents.
July 2, 2023Standard inspection · 3 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 observation, staff interviews, and a review of the facility's policy titled, Cleaning and Sanitizing, the facility failed to demonstrate the proper procedure to wash dishware in the three compartment sink to prevent food borne illness. The facility census was 69, with 67 residents consuming an oral diet.
- E 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.
Inspectors wroteBased on observations, staff interviews, and a review of the facility's policies titled Medication Storage in the Care Center, and Insulin Administration, a review of latanoprost ophthalmic solutions manufacturer packet insert, the facility failed to ensure drugs and biologicals used in the facility were labeled and stored properly for four of five medication carts (South Hall Certified Medication Aide (CMA) cart one, South Hall Nurse cart, South Hall CMA cart two, and North Hall Nurse cart).
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observation, staff interview, record review, and a review of the facility's policy titled, Intravenous Antibiotic, the facility failed to ensure all nursing staff had the competencies and skill set necessary to provide care for residents receiving intravenous therapy through an Intravenous Infusion Pump for one of two residents (R) (#4) reviewed for intravenous therapy. This failure had the potential for residents to have a decline in health status.
Fire safety inspections
5 fire safety citations on file: 1 on September 15, 2024, 4 on July 2, 2023.
Every fire safety citation5 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Inspect, test, and maintain automatic sprinkler systems.
- 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
| Date | Penalty | Amount or length |
|---|---|---|
| November 30, 2023 | Fine | $3,728 |
| November 30, 2023 | Fine | $5,365 |
| November 30, 2023 | Fine | $6,500 |
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.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.56 | 3.86 |
| Registered nurses | 0.48 | 0.50 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.10 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 61.4% | 46.0% | 45.8% |
| Registered nurse turnover | 25.0% | 44.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.94 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 3.61 on weekdays and 2.84 on weekends, 21% 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 3.44 in April to June 2025 to 3.39 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 | 3.39 | 0.48 | 3.61 | 2.84 | 0.0% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.50 | 0.62 | 3.67 | 3.06 | 0.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.19 | 0.59 | 3.36 | 2.77 | 0.8% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.44 | 0.52 | 3.60 | 3.06 | 0.2% | 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 | 26.8 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 29.3 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.0 | 19.9 | 15.4 |
Owners and operators
Legal business name: MONTEZUMA HEALTH CARE CENTER LLC. CMS links this home to Ethica Health, a group of 50 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Health Scholarships Inc | Direct ownership interest | Organization | 03/31/2003 | |
| Community Health Systems Inc | Indirect ownership interest | Organization | 10/01/2003 | |
| Cable, Paul | Managing control - governing body | Individual | 03/14/2003 | |
| Dennis, Kathryn | Managing control - governing body | Individual | 11/17/2015 | |
| Nichols, Joseph | Managing control - governing body | Individual | 11/19/2024 | |
| Pittman, Jacqueline | Managing control - governing body | Individual | 01/01/2026 | |
| 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 | 10/01/2003 | |
| Mims, Debra | Operational/managerial control | Individual | 08/14/2022 | |
| Pittman, Jacqueline | Operational/managerial control | Individual | 01/01/2026 | |
| Satchell, Michael | Operational/managerial control | Individual | 04/01/2021 | |
| Walker, Shawanda | Operational/managerial control | Individual | 01/01/2026 | |
| Sheffield, Kimberly | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2025 | |
| Clinical Services Inc | Adp of the SNF | Organization | 06/19/2025 | |
| Mims, Debra | Adp of the SNF | Individual | 04/15/2025 | |
| Satchell, Michael | Adp of the SNF | Individual | 04/01/2021 |
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.
- 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 18, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- 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 January 18, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 4, 2024: "Ensure medication error rates are not 5 percent or greater."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 30, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Georgia average of 3.10.
Other nursing homes nearby
- 4angels of Byromville Healthcare Center Byromville, 9.4 mi · 3 of 5 stars · 8 citations
- Oaks Nursing Home, Inc, the Marshallville, 10.5 mi · 4 of 5 stars · 5 citations
- Miona Geriatric & Dementia Center Ideal, 10.8 mi · 5 of 5 stars · 0 citations
- Fort Valley Crossing of Journey LLC Fort Valley, 19.7 mi · 2 of 5 stars · 18 citations
- Summerhill Elderliving Home & Care Perry, 19.8 mi · 1 of 5 stars · 19 citations
- Magnolia Manor Methodist Nsg C Americus, 20.5 mi · 3 of 5 stars · 13 citations
- Taylor County Health and Rehabilitation Butler, 21.3 mi · 3 of 5 stars · 13 citations
- Church Home Rehabilitation and Healthcare Fort Valley, 23.9 mi · 4 of 5 stars · 7 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 Montezuma Health and Rehabilitation's Medicare star rating?
- CMS rates Montezuma Health and Rehabilitation 3 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Montezuma Health and Rehabilitation get at its last inspection?
- 2 health deficiencies at the standard inspection on January 18, 2026. The Georgia average is 5.
- Has Montezuma Health and Rehabilitation been fined?
- Yes. CMS lists 3 fines totaling $15,593 in the last three years.
- Does Montezuma 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 Montezuma Health and Rehabilitation?
- CMS lists 18 owners and managers, and links the home to Ethica Health. Legal business name: MONTEZUMA HEALTH CARE CENTER 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.