Appling Nursing and Rehabilitation Pavilion

163 East Tollison Street · Baxley, GA · 31513 · 9123679841

101 certified beds Non profit - Corporation Hospital-based

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Federal penalties on record: $18,966 in fines in the last 24 months.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 18
Serious harm & abuse 20% 24
Staffing 20% 20
Federal penalties 15% 32
Trend 10% 21
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)3 · $18,966

Inspection citations (21 in the current record)

  • Actual harm · G May 23, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 27, 2025 · Quality of Life and Care

  • Immediate jeopardy · J March 13, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 4, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J March 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has plan of correction · Quality of Life and Care

  • Immediate jeopardy · J March 13, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected April 4, 2025 · Administration

  • Potential for harm · D March 13, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F March 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 4, 2025 · Infection Control

  • Potential for harm · D March 13, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 4, 2025 · Quality of Life and Care

  • Potential for harm · F June 27, 2024 · found via complaint

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected August 11, 2024 · Resident Rights

  • Potential for harm · D June 27, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F June 27, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 11, 2024 · Infection Control

  • Potential for harm · E October 9, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 23, 2022 · Resident Rights

  • Potential for harm · D October 9, 2022

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected November 23, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 9, 2022

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected November 23, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E October 9, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 23, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 9, 2022

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected November 23, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 9, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 23, 2022 · Quality of Life and Care

  • Potential for harm · D October 9, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 23, 2022 · Quality of Life and Care

  • Potential for harm · D October 9, 2022

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 23, 2022 · Pharmacy Service

  • Potential for harm · D May 13, 2021

    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.

    Corrected June 27, 2021 · Pharmacy Service

  • No harm found · C May 13, 2021

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected June 27, 2021 · Resident Rights

  • No harm found · C May 13, 2021

    Post nurse staffing information every day.

    Corrected June 27, 2021 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
March 13, 2025Fine$5,272
March 13, 2025Fine$5,272
March 13, 2025Fine$8,422
March 13, 2025Payment Denial58 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115262 · certified since January 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.