Four County Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Four County Health and Rehabilitation is a 85-bed nonprofit nursing home in Richland, Georgia, part of Ethica Health. In the CMS August 2026 release it reported 2.24 nurse aide hours per resident per day, 5% above the Georgia average of 2.14, and 57.3% nursing staff turnover (Georgia average 46.0%).
Four County Health and Rehabilitation
124 Overby DriveRichland, GA 31825
Stewart County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Four County Health and Rehabilitation, nurse aides logged 2.24 hours per resident per day, 5% above the Georgia average. With about 69 residents a day, that works out to roughly 155 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 21% below the all-days figure.
| Hours per resident per day | This home | Georgia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.24 | 2.14 | 2.32 |
| Licensed practical nurses | 0.66 | 0.93 | 0.86 |
| Registered nurses | 0.52 | 0.50 | 0.69 |
| All nursing staff | 3.42 | 3.56 | 3.86 |
| All nursing staff, weekends | 2.71 | 3.10 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.3% of nursing staff at Four County Health and Rehabilitation left over the year CMS measured, against a Georgia average of 46.0% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 1, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Georgia average 5.2). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Four County Health and Rehabilitation holds 5 of 5 overall; the Georgia average is 2.6.
About Four County Health and Rehabilitation
- Ownership: Non profit - Other
- Chain: Ethica Health, 50 homes
- Legal name: Four County Health Care LLC
- Medicare and Medicaid certified since: Oct 1, 1989
- Councils: resident council
- Area: urban
Nursing homes near Four County Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lillian Carter Health Center by Harborview Plains | 16.5 | 100 | 1.55 | 2.98 | — | 2 | None |
| Magnolia Manor of Marion County Buena Vista | 19.3 | 70 | 2.85 | 4.65 | 35.3% | 5 | None |
| Joe-Anne Burgin Health and Rehabilitation Cuthbert | 22.2 | 80 | 2.66 | 3.72 | 33.3% | 5 | $5,077 |
| Dawson Health and Rehabilitation Dawson | 25.6 | 60 | 2.20 | 3.34 | 45.1% | 1 | $121,401 |
| Magnolia Manor Methodist Nsg C Americus | 26.3 | 238 | 2.00 | 3.46 | 42.1% | 3 | None |
| Muscogee Manor & Rehabilitation Ctr Columbus | 30.9 | 196 | 3.15 | 5.39 | 34.1% | 3 | None |
| Crowne Health Care of Eufaula Eufaula · abuse citation | 31.5 | 180 | 2.12 | 3.56 | 34.4% | 2 | $42,884 |
| Canterbury Health Care Facility Phenix City | 32.7 | 137 | 2.82 | 4.07 | 54.2% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.