About Four County Health And RehabilitationFour County Health And Rehabilitation is located at 124 Overby Drive, Richland, GA, reachable at (229) 887-2021. This Non profit – Other facility operates 85.0 certified beds and serves an average of 75 residents per day. It is part of the Ethica Health network (48 facilities nationwide). Medicare and Medicaid services have been provided since 1989-10-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
#13114 of 14703 nationally – #298 of 356 in Georgia
Who Is This Facility Best For?
Four County Health And Rehabilitation is a strong choice for families in the Richland, GA area seeking a well-inspected, high-quality care environment. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★5 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★1 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★1 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightFour County Health And Rehabilitation currently provides 3 hours 29 minutes of total nurse staffing per resident per day, including 25 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 53.9%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 29 minutes
Nurse Aide Hours2 hours 23 minutes
Licensed Practical Nurse (LPN) Hours42 minutes
Registered Nurse (RN) Hours25 minutes
Physical Therapist Hours4 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 46 minutes
Weekend Registered Nurse (RN) Hours15 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryFour County Health And Rehabilitation has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Four County Health And Rehabilitation ranks 13114th out of 14,703 facilities (composite score: 55.8/100), placing it in the bottom 25% nationwide. Within GA, it ranks 298th out of 356 nursing homes. For 2026 staffing: total nurse hours rank #9,208 nationally and RN hours rank #10,532 nationally (#185 in GA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
GA State Rank
Note
2022
3.26
#9,854 / 14,703
#195 / 356
Below average
2023
3.70
#6,200 / 14,703
#75 / 356
Above average
2024
3.84
#5,330 / 14,703
#73 / 356
Above average
2025
3.77
#6,337 / 14,703
#97 / 356
Above average
2026
3.49
#9,208 / 14,703
#163 / 356
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
GA State Rank
Note
2022
0.44
#9,967 / 14,703
#153 / 356
Below average
2023
0.45
#9,150 / 14,703
#128 / 356
Below average
2024
0.67
#5,010 / 14,703
#44 / 356
Above average
2025
0.64
#5,772 / 14,703
#64 / 356
Above average
2026
0.42
#10,532 / 14,703
#185 / 356
Below average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Four County Health And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1989-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (229) 887-2021 or your local Medicaid office to verify current eligibility.
Four County Health And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (2★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 55.8/100, placing it #13114 of 14703 facilities nationally and #298 of 356 in Georgia. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Four County Health And Rehabilitation receives a reported average of 3 hours 29 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 42 minutes; Nurse Aide — 2 hours 23 minutes. On weekends, total nurse staffing is 2 hours 46 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 53.9%. Families are encouraged to ask about current staffing schedules during their facility visit.
Four County Health And Rehabilitation has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 9.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Four County Health And Rehabilitation ranks 13114th out of 14,703 facilities (composite score: 55.8/100), placing it in the bottom 25% nationwide. Within GA, it ranks 298th out of 356 nursing homes. For 2026 staffing: total nurse hours rank #9,208 nationally and RN hours rank #10,532 nationally (#185 in GA). Our composite quality score of 55.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Richland, visit: https://nursinghomesnearme.org/georgia/richland/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.