Four County Health and Rehabilitation
124 Overby Drive, Richland GA 31825 · (229) 887-2021 · 92.94% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Four County Health and Rehabilitation is in Richland, Georgia, a city with 2,312 people. With an overall grade of B, this nursing home is a very good option. Based on our assessment, this place is a solid choice for quite a few people. This facility's strong report card was highlighted by its inspection reports, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 85 Beds
CCRC :
Non profit - Other
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To go along with its favorable overall score, we gave this place an A+ for the area of inspections. Inspection grades take several factors into consideration, including deficiencies and federal fines. You can find more information about each of these items by reviewing copies of nursing homes' inspection reports. Although this nursing home had a few deficiencies on its report, none were major deficiencies based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Among this facility's other achievements is its high-end long-term care grade. It received one of our most impressive scores in that category, with a grade of A. Long-term care ratings in this range generally require both around the clock care from nurses and aids, as well as quality routine medical care. Once we assessed the amount of care provided by nurses aids and other staff, we turned to the nursing home's vaccination statistics. This facility vaccinated 100 percent of its residents for pneumonia, which is far higher than the majority of nursing homes. This facility also keeps its patients out of the hospital. It had just 1.55 hospitalizations per one thousand long-term resident days.
Nurse Quality
This facility's next best category was its nursing grade, where it received a grade of B-. While this didn't quite match its scores in some of the categories discussed above, this is still a decent score. Nursing grades are based largely on quantity of nursing care available. This nursing home averages just 3.1 hours of nursing care per resident per day. This is a very low figure. While this facility didn't really impress in terms of the quantity of nursing care available, it surprisingly performed admirably in a few of our quality-based metrics. In fact, it was above average in two of the subcategories we look at, with good scores for minimizing its residents' pressure ulcers and major falls. These statistics are reliable measures of the quality of nursing care offered since many falls and bed sores are preventable.
Short-term Care Quality
The final category we assessed is short-term care. We awarded this nursing home a grade of D for our short-term care category, leaving this as its worst area. Our short-term care grade is typically used to assess a nursing home's performance with rehabilitation. In order to offer highly scored rehabilitation services, nursing homes generally must feature higher levels of skilled nursing. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other highly trained professionals. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. The final measure we assessed in this category is the number of patients who were able to leave the nursing home and return to the community. We discovered that just 39.3 percent of this facility's patients were able to return home, which is well below average. The combination of these subpar metrics sunk this nursing home's short-term care grade.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Four County Health and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This figure gauges the percent of long-term care patients that have new or worsened pressure ulcers . We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percent of long-term patients who had a fall resulting in severe injury. We use this statistic in calculating our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who sustained a urinary tract infection. These infections are sometimes linked to poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients prescribed antipsychotic medications. While antipsychotic medications may be vital to many residents, it is important to make sure these medications are being used only where medically required. In some situations, excessive reliance on these medications may suggest a nursing home is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure gauges the percent of long-term care residents who were administered antianxiety medication. These drugs are typically given to patients suffering from depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percentage of long-term stay patients showing signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percent of long-term stay patients that received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for seniors, making these vaccines critical to patient health.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents that required increased assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term care residents that maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This datapoint is a measure of the number of times residents are sent to the emergency room per thousand days of short-term patient care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percent of short-term residents that saw functional improvements.
Percentage of Resident
Higher is Better