Nursing home
Brown Health and Rehabilitation
545 Cook Street, Royston, GA 30662 · Map
Non profit - Other · Part of Ethica Health (48 facilities) · 144 certified beds
Brown Health and Rehabilitation is a Medicare-certified nursing home in Royston, Georgia. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.37 hours per resident per day, below the Georgia average of 3.57. Its most recent inspection on Sep 11, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Brown Health and Rehabilitation compares
This facility vs. the Georgia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Georgia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.37 | 3.57 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.49 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.39 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 45.2% | 46.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 6.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 11, 2025 inspection was corrected by November 19, 2025
What inspectors found at Brown Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 5, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 5, 2024 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Apr 5, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 5, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Apr 5, 2024 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Apr 5, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 16, 2023 - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 16, 2023 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 16, 2023 - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Feb 16, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 545 Cook Street
Royston, GA 30662 - CMS certification #
- 115090
- Ownership
- Non profit - Other
- Certified beds
- 144
- Avg residents/day
- 94.4
- Provider type
- Medicare and Medicaid
- First certified
- 1968-12-04
- Chain
- Ethica Health (48 facilities)
- Setting
- Rural
Part of Ethica Health
Ethica Health operates 48 nursing facilities across the United States. View all Ethica Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Brown Health and Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2021, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Oct 15, 2021: programmed (planned) inspection, complete (health). Case closed Oct 15, 2021. No violations cited. OSHA record. OSHA recorded the employer as Brown Health & Rehabilitation.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ty Cobb Regional Medical Center, LLC, Lavonia. 11.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Comer Health and Rehabilitation, Comer. 11.0 miles away, straight line.
- Nearest home health agency office
- Tugaloo Home Health Agency, An Amedisys Company, Lavonia. 10.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Northeast Georgia Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 30662 as rural (rural area).
- Dialysis within 15 miles
- Usrc Royston, Royston, 0.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Lake Hartwell Dialysis, Hartwell, 13.1 miles away, straight line (CMS rating 2 of 5 stars)
Lake Hartwell Kidney Center, Hartwell, 13.1 miles away, straight line - Hospice
- 18 Medicare hospices tell CMS they serve ZIP code 30662.
- Nearest geriatric medicine practice
- Northeast Georgia Diagnostic Associates And Clinic, LLC, Gainesville. 39.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Brown Health and Rehabilitation a good nursing home?
CMS gives Brown Health and Rehabilitation an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Brown Health and Rehabilitation staffed?
Brown Health and Rehabilitation reports 3.37 total nurse hours per resident per day, compared with the Georgia average of 3.57.
Has Brown Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Brown Health and Rehabilitation have?
Brown Health and Rehabilitation is certified for 144 beds.