Orchard Health and Rehabilitation
1321 Pulaski School Road, Pulaski, GA 30451 · Candler County · (912) 685-5072
89 certified beds, about 68 residents a day · Non profit - Other · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115522 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 3, 2025, inspectors cited 4 health deficiencies (the Georgia average is 5, the national average 9.2).
Of 7 health citations since July 2021, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 1 fine totaling $57,161 in the last three years; the largest was $57,161, and the latest is dated April 3, 2025.
Nurses and nurse aides worked 3.74 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
30.0% 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.
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 7 health citations on file.
April 3, 2025Standard inspection, Complaint inspection · 4 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews, record reviews, and review of the policy titled, Abuse Prohibition, the facility failed to ensure one cognitively impaired resident (R48) was free from sexual and physical abuse from one resident (R121) who had a history of sexually inappropriate behaviors, and history of being agitated and hostile. The sample size was 36. On 3/31/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The Senior Director of Clinical Standards, Director of Quality and Regulatory Services, Director of Nursing (DON), and Assistant Administrator were informed of the Immediate Jeopardy (IJ) on 3/31/2025 at 10:45 am. [...]
- J Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on resident and staff interviews, record review, and review of the facility's policies titled, Behavior Health, and Abuse Prohibition, the facility failed to ensure one of eight residents (R) (R121) received behavioral health services that promoted psychosocial well-being, met the resident's needs, and included individualized approaches related to nonpharmacological interventions to address worsening sexual behaviors and sexual aggression. The deficit practice provided the opportunity for R121 to sexually and physically abuse R48. On 3/31/2025, a determination was made that the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on record review, staff interviews, review of the Administrator and Director of Nursing job descriptions, and review of the policy titled Abuse Policy, the facility Administration failed to provide protective oversight to attain the highest practicable physical and psychosocial well-being of the residents. Specifically, the Administration failed to take appropriate action on allegations of resident-to-resident physical and sexual abuse for resident (R) R48 by resident (R) R121; and failed to establish and implement written policies and procedures for feedback, data collection, and monitoring, including adverse event monitoring for Quality Assurance Performance Improvement (QAPI). The failures of the Administration to take appropriate action are likely to lead to future allegations of abuse not being identified. The facility census was 161. [...]
- J Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on staff interview, facility document review, and review of the facility policy titled, Quality Assurance/Performance Improvement, the facility staff failed to maintain an effective Quality Assurance/Performance Improvement (QAPI) program regarding the facility's Performance Improvement Plan (PIP) for Sexual Abuse. This had the potential to affect all residents of the facility. On 3/31/2025, a determination was made that the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Senior Director of Clinical Standards, Director of Quality and Regulatory Services, Director of Nursing (DON), and Assistant Administrator were informed of the Immediate Jeopardy (IJ) on 3/31/2025 at 10:45 am. [...]
February 26, 2023Standard inspection · 0 citations
July 15, 2021Standard inspection · 3 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the upkeep of one resident's (R) wheelchair related to rust, dirt, and debris (R#19) and failed to ensure a mattress was free of sagging and indentations for one resident (R#56). The facility failed to ensure that bedside rolling table were free of rust in rooms 26A and 27A. In addition, the facility failed to ensure that two residents' bathrooms were free of strong urine odor (23A and 27A). The facility census was 65.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of the facility policy titled Skilled Inpatient Services Abuse Prohibition and staff interviews, the facility failed to ensure that three residents (R) (#7, #16, and #53) were protected from resident-to-resident physical abuse, of 31 sampled residents.
- D Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observations and staff/resident interviews, the facility failed to ensure that privacy curtains provided full visual privacy for two residents (R) (#56 and #59) of 31 sampled residents.
Fire safety inspections
23 fire safety citations on file: 13 on April 3, 2025, 7 on February 26, 2023, 3 on July 15, 2021.
Every fire safety citation23 citations
- F Establish roles under a Waiver declared by secretary.
- F Conduct testing and exercise requirements.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Install emergency lighting that can last at least 1 1/2 hours.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install a fire alarm system that can be heard throughout the facility.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have simulated fire drills held at unexpected times.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- D Install corridor and hallway doors that block smoke.
- D Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- D Have restrictions on the use of portable space heaters.
- F 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 Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 3, 2025 | Fine | $57,161 |
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) | 3.74 | 3.56 | 3.86 |
| Registered nurses | 0.36 | 0.50 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.10 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 46.0% | 45.8% |
| Registered nurse turnover | 30.0% | 44.5% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.54 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 3.95 on weekdays and 3.24 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.74 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 | 3.74 | 0.36 | 3.95 | 3.24 | 1.0% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.68 | 0.38 | 3.94 | 3.03 | 0.6% | 0 of 92 | 68 |
| Jul to Sep 2025 | 3.44 | 0.41 | 3.66 | 2.89 | 0.4% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.33 | 0.48 | 3.56 | 2.75 | 2.1% | 0 of 91 | 69 |
| 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
Staff pay at this home
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.
Official wage estimates for Georgia
| 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.
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 | 8.4 | 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 | 1.1 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.2 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 64.5 | 19.9 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Orchard Health and Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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.
Owners and operators
Legal business name: CANDLER COUNTY II LTC 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 | 11/01/2025 | |
| 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 | |
| Peavy, Tiffany | 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 | 11/01/2006 | |
| Jones, Maggie | Operational/managerial control | Individual | 01/05/2026 | |
| Nelson, Tracey | Operational/managerial control | Individual | 05/29/2026 | |
| Patel, Maulikkumar | Operational/managerial control | Individual | 08/01/2023 | |
| Peavy, Tiffany | Operational/managerial control | Individual | 01/01/2026 | |
| Sheffield, Kimberly | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/25/2026 | |
| Clinical Services Inc | Adp of the SNF | Organization | 11/14/2025 | |
| Nelson, Tracey | Adp of the SNF | Individual | 05/29/2026 | |
| Patel, Maulikkumar | Adp of the SNF | Individual | 08/01/2023 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
- 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 April 3, 2025: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- 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 July 15, 2021: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Pleasant View Nursing Center Metter, 5.4 mi · 1 of 5 stars · 26 citations
- Azalea Health and Rehabilitation Metter, 6.1 mi · 3 of 5 stars · 9 citations
- Westwood Healthcare and Rehabilitation Statesboro, 10.6 mi · 2 of 5 stars · 15 citations
- Eagle Health & Rehabilitation Statesboro, 10.7 mi · 3 of 5 stars · 14 citations
- Brown's Health and Rehabilitation Statesboro, 10.9 mi · 3 of 5 stars · 13 citations
- Heritage Inn Health and Rehabilitation Statesboro, 12.3 mi · 4 of 5 stars · 8 citations
- Camellia Health & Rehabilitation Claxton, 16 mi · 3 of 5 stars · 9 citations
- Twin City Trails of Journey LLC Twin City, 17.7 mi · 3 of 5 stars · 13 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 Orchard Health and Rehabilitation's Medicare star rating?
- CMS rates Orchard Health and Rehabilitation 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Orchard Health and Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on April 3, 2025. The Georgia average is 5.
- Has Orchard Health and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $57,161 in the last three years.
- Does Orchard 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 Orchard Health and Rehabilitation?
- CMS lists 17 owners and managers, and links the home to Ethica Health. Legal business name: CANDLER COUNTY II LTC 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.