Nursing home
Four County Health and Rehabilitation
124 Overby Drive, Richland, GA 31825 · Map
Non profit - Other · Part of Ethica Health (48 facilities) · 85 certified beds
Four County Health and Rehabilitation is a Medicare-certified nursing home in Richland, Georgia. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.49 hours per resident per day, below the Georgia average of 3.57. Its most recent inspection on May 1, 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 Four County 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) | 3.49 | 3.57 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.49 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.38 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 53.9% | 46.5% | 46.4% | above 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 May 1, 2025 inspection was corrected by July 31, 2025
What inspectors found at Four County 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 · May 1, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 1, 2025 · Full report (PDF) - 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 · Sep 22, 2022
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
- 124 Overby Drive
Richland, GA 31825 - CMS certification #
- 115481
- Ownership
- Non profit - Other
- Certified beds
- 85
- Avg residents/day
- 75.4
- Provider type
- Medicare and Medicaid
- First certified
- 1989-10-01
- Chain
- Ethica Health (48 facilities)
- Setting
- Urban
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 Four County 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.
- Jun 30, 2021: programmed (planned) inspection, no inspection (health). Case closed Jun 30, 2021. No violations cited. OSHA record. OSHA recorded the employer as Four County Health and 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
- Phoebe Sumter Medical Center, Americus. 23.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Lillian Carter Health Center by Harborview, Plains. 16.5 miles away, straight line.
- Nearest home health agency office
- Prohealth Home Health-Georgia, LLC, Columbus. 35.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- U-Save-It Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 31825 as metropolitan (metropolitan low commuting).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 31825.
- Nearest geriatric medicine practice
- Gerination Medical Centers LLC, Auburn. 59.6 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 relatively low, tornado relatively high, heat wave relatively moderate, 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 relatively 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 Four County Health and Rehabilitation a good nursing home?
CMS gives Four County Health and Rehabilitation an overall rating of 4 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Four County Health and Rehabilitation staffed?
Four County Health and Rehabilitation reports 3.49 total nurse hours per resident per day, compared with the Georgia average of 3.57.
Has Four County Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Four County Health and Rehabilitation have?
Four County Health and Rehabilitation is certified for 85 beds.