Four County Health and Rehabilitation
124 OVERBY DRIVE, Richland, GA 31825
Richland, Georgia · CMS verdict
On the federal five-star scale, Four County Health and Rehabilitation carries a 4 of 5 CMS overall rating, above-average quality that runs above Georgia's state average of 2.7.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Four County Health and Rehabilitation in Richland, Georgia holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 55 of 100 (grade F). The 85-bed facility operates where a semi-private nursing-home room in Georgia runs a median of $8,821 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 55 is built
Each segment is a dimension's weighted points toward the score, summing to 55.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Four County Health and Rehabilitation holds a CMS overall quality rating of 4 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (5/5), staffing (2/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Richland, Georgia, this facility operates 85 certified beds with an average daily census of roughly 75 residents - an occupancy rate of about 88%. The facility is classified under non profit - other ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 88% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within Georgia, Four County Health and Rehabilitation is one of 54 non profit - other nursing homes CMS rates. Its 4-star overall rating sits above the non profit - other-segment average of 3.5 stars, ahead of roughly 44% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility (3 total). CMS has levied no enforcement penalties over the equivalent window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Four County Health and Rehabilitation compares to Georgia
CMS five-star sub-ratings (0–5) for this facility against the Georgia facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Georgia state average. Higher is better on all four CMS measures.
Where Four County Health and Rehabilitation ranks in Georgia
Among the 354 CMS-rated nursing homes in Georgia, Four County Health and Rehabilitation’s 4-star overall rating is higher than 67% of them. The bars show how all Georgia homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
66 Georgia homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 85 |
| Residents | 75 |
| Ownership | Non profit - Other |
| County | Stewart |
| Penalties | 0 |
| Deficiencies | 3 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Four County Health and Rehabilitation? ▾
CMS rates Four County Health and Rehabilitation at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 5/5, staffing 2/5, quality measures 1/5.
How much does a nursing home cost per month in Georgia? ▾
In Georgia, a semi-private nursing home room runs a median $8,821/month ($105,850/year) per the CareScout 2025 survey; private rooms average $9,429/month.
What services does Four County Health and Rehabilitation offer? ▾
Four County Health and Rehabilitation is a skilled nursing facility with 85 beds with approximately 75 current residents. It operates under non profit - other ownership. The facility has recorded 3 deficiencies and 0 penalties in CMS inspections.
Does Four County Health and Rehabilitation have any deficiencies or penalties? ▾
Four County Health and Rehabilitation has few deficiencies (3 total) and 0 penalties recorded by CMS. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in Georgia? ▾
In Georgia, alternatives include assisted living ($5,300/mo), home health aides ($6,101/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Georgia elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 115481.
Read our methodology - how this data is sourced, computed, and verified.