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Pruitthealth - Shepherd Hills

800 Patterson Road, Lafayette, GA 30728 · Walker County · (706) 638-4112

112 certified beds, about 102 residents a day · For profit - Corporation · Medicare and Medicaid since 1989

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 115452 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 20, 2025, inspectors cited 3 health deficiencies (the Georgia average is 5, the national average 9.2).

None of its 13 health citations since December 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 3.14 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

27.0% of nursing staff left within the year CMS measured (Georgia average 46.0%).

CMS links it to Pruitthealth, an affiliated group of 96 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
2F
Potential for minimal harm
0A
0B
1C
July 29, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · deficient, provider has September 12, 2026
    Inspectors wroteBased on record review, resident and staff interviews, and review of the facility's policy titled Care Plans, the facility failed to provide assistance with showers/baths for one of three Residents (R) (R1) reviewed for Activity of Daily Living (ADL) care. The deficient practice increased the potential for poor hygiene, odor and compromised psychosocial well-being.
November 20, 2025Standard inspection · 3 citations
  1. 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) January 4, 2026
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled, Infection Prevention-Hand Hygiene and Infection Control-Linen and Laundry, the facility failed to ensure that staff consistently followed appropriate hand hygiene and sanitation practices. Specifically, staff failed to perform hand hygiene and sanitize surfaces during wound care for 1 of 14 residents (R)(R51) and failed to perform hand hygiene between resident contacts. These deficient practices placed residents at increased risk for infection transmission and cross-contamination.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2026
    Inspectors wroteBased on staff interview, record review, and review of the facility policy titled, Freedom from Patient Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Property Mission Statement, the facility failed to report physical abuse by staff to the State Survey Agency (SSA) within the required timeframe for one of six sampled residents (R) (R21) reviewed for abuse and neglect. The failure of the facility to report this incident has the likelihood of leading to future unreported injuries of unknown origin, with the potential to affect resident's quality of life.
  3. 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) January 4, 2026
    Inspectors wroteBased on records review and staff interviews, the facility failed to ensure accurate Minimum Data Set (MDS) assessment for one of 40 sampled residents (R) (R21). Specifically, the facility failed to accurately code Section P (Restraints and Alarms) for R21. The deficient practice resulted in not accurately representing R21's health status.
July 11, 2024Standard inspection · 2 citations
  1. 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) July 23, 2024
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled, Glucometer Cleaning and Disinfecting, Infection Control, Linen and Laundry, and review of the manual for the blood glucose monitoring system, the facility failed to use proper infection control practices for one of 24 diabetic residents (R) (R61) during blood glucose monitoring, not properly covering clean linen during transport through the facility, and not properly securing an indwelling catheter. The deficient practice had the potential to spread microorganisms.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility policy titled, Residents Rights, the facility failed to promote, maintain, and protect the dignity of one of four residents (R) (R1) with a catheter with the use of a catheter privacy bag. The deficient practice had the potential to diminish the resident's quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life.
April 19, 2024Complaint inspection · 6 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on staff interviews, record review, and review of the facility policies titled, Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property and Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, the facility failed to protect the resident's right to be free from sexual abuse by another resident by not reporting an abuse allegation in a timely manner for two of five residents (R) (R2 and R3) reviewed for abuse. Specifically, the facility failed to ensure a final investigation report was submitted to the state survey agency within five business days.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review, staff interviews, document review, and review of the facility policy titled, Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, the facility failed to protect the residents' right to be free from sexual abuse by another resident by failing to conduct a thorough investigation for an incident of potential sexual abuse behavior for two of five residents (R) (R2 and R3) reviewed for abuse.
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility policies titled, Procedure: Perineal Care and Procedure: Catheter Care, the facility failed to clean the perineal area of bowel movement during incontinence care for one of two residents (R) (R12) reviewed for ADL (activities of daily living) care for dependent residents. The deficient practice had the potential to cause infection for R12.
  4. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on facility document review and staff interview, the facility failed to provide eight hours of consecutive Registered Nurse (RN) coverage for three of 14 days on the nursing schedule.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled, Procedure: Perineal Care and Glove Use, the facility failed to follow standard and transmission-based precautions to prevent the spread of infection for one of two residents (R) (R12) who was dependent on nursing staff to provide incontinence care. Specifically, facility staff failed to perform hand hygiene, apply clean gloves during incontinence care, after contamination of bowel movement, before cleaning the indwelling foley urinary catheter, before touching the bed control, and before touching the Continuous Positive Airway Pressure (CPAP) humidifier and mask. The deficient practice had the potential to spread infection.
  6. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observations, staff interview, record review, and review of the facility policy titled, State Minimum Staffing for Healthcare Centers, the facility failed to ensure that posted staffing information was accurate and current on the daily nurse staffing document and accurately reflected Registered Nurses (RN) on the unit directly responsible for resident care per shift. The deficient practice presented staffing levels higher than the actual staffing levels to residents and visitors reviewing posted staffing documents.
December 1, 2022Standard inspection · 1 citation
  1. 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) January 15, 2023
    Inspectors wroteBased on resident and staff interviews and record review, the facility failed to provide activities of daily living (ADL) care for two of four residents (R)(R#85 and R#61) related to showers.

Fire safety inspections

8 fire safety citations on file: 4 on November 20, 2025, 3 on July 11, 2024, 1 on December 1, 2022.

Every fire safety citation8 citations
  1. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 20, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · November 20, 2025 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 20, 2025 · Corrected (the home has a date of correction)
  4. D
    Have proper medical gas storage and administration areas.
    K 923 · November 20, 2025 · Corrected (the home has a date of correction)
  5. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 11, 2024 · Corrected (the home has a date of correction)
  6. F
    Have proper medical gas storage and administration areas.
    K 923 · July 11, 2024 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2024 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 1, 2022 · 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)3.143.563.86
Registered nurses0.370.500.69
All nursing staff on weekends2.703.103.42
Nurse aides1.84
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)27.0%46.0%45.8%
Registered nurse turnover25.0%44.5%42.9%
Administrators who left0

CMS expects 3.74 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 3.31 on weekdays and 2.70 on weekends, 18% 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 3.51 in April to June 2025 to 3.14 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.140.373.312.70 0.0%0 of 90102
Oct to Dec 20253.370.383.642.66 0.0%0 of 9295
Jul to Sep 20253.420.353.742.60 0.0%1 of 9297
Apr to Jun 20253.510.323.812.76 0.0%0 of 91100
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
13.415.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.32.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.615.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.15.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.719.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.725.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.511.612.0

Owners and operators

Legal business name: PRUITTHEALTH - SHEPHERD HILLS, LLC. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.

NameRoleTypeShareSince
Miller, AndyW-2 managing employeeIndividual08/12/2019
Pruitt, NeilCorporate directorIndividual09/27/2007
Pruitt, NeilCorporate officerIndividual09/27/2007

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 29, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on November 20, 2025: "Provide and implement an infection prevention and control program."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on November 20, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on April 19, 2024: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
  5. 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 Pruitthealth - Shepherd Hills's Medicare star rating?
CMS rates Pruitthealth - Shepherd Hills 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pruitthealth - Shepherd Hills get at its last inspection?
3 health deficiencies at the standard inspection on November 20, 2025. The Georgia average is 5.
Has Pruitthealth - Shepherd Hills been fined?
CMS lists no fines in the last three years.
Does Pruitthealth - Shepherd Hills 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 Pruitthealth - Shepherd Hills?
CMS lists 3 owners and managers, and links the home to Pruitthealth. Legal business name: PRUITTHEALTH - SHEPHERD HILLS, LLC.

Sources

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