Lillian Carter Health Center by Harborview
225 Hospital Street, Plains, GA 31780
Lillian Carter Health Center by Harborview is a nursing home in Plains, Georgia. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionSeptember 12, 2025 (1 year ago)
- Health citations since May 19, 202213 (Georgia average 17)
- Fines in the past three yearsNone listed by CMS
- CMS flagsChanged ownership in the last 12 months
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of October 8, 2026
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Name
CMS lists a new legal business name for this home.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.3 to 3.0 hours per resident per day.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Name
CMS lists a new name for this home. It was LILLIAN CARTER HEALTH & REHABILITATION.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on September 12, 2025
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0909. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
CMS lists it as corrected on October 24, 2025.
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on October 24, 2025.
Citation F0700. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS lists it as corrected on October 24, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 24, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 24, 2025.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on October 24, 2025.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on October 24, 2025.
Fire safety inspection on September 12, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on October 24, 2025.
CMS has cited this home for K0353 2 times since 2024.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on October 24, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health citation
CMS removed citation F0758 from the health inspection on March 10, 2024.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of June 26, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on March 10, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 24, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on April 24, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 24, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 24, 2024.
CMS has cited this home for F0695 2 times since 2022.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on April 24, 2024.
Fire safety inspection on March 10, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0001. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on April 24, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 24, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 24, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 24, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on May 19, 2022
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 3, 2022.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (229) 824-7796
- Last standard health inspection
- September 12, 2025 (1 year ago)
- Certified beds
- 100
- Residents per day, on average
- 71.9
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Lillian Carter Health Center LLC
- Chain
- Harborview Health Systems
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Georgia average (13 vs 17).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PLAINS WANESBORO HOLDINGS LLCDirect ownership interest · not applicable · since 10/01/2025
- CL 2022 IRRV TRIndirect ownership interest · not applicable · since 10/01/2025
- DE 2021 IRRV TRIndirect ownership interest · not applicable · since 10/01/2025
- CEDARWOOD MANAGEMENT LLCOperational/managerial control · not applicable · since 10/01/2025
- BLAXTON, BRANDIOperational/managerial control · not applicable · since 10/01/2025
Show 10 more
- BLEDSOE, RENAOperational/managerial control · not applicable · since 10/01/2025
- BRIDGES, TERESAOperational/managerial control · not applicable · since 10/01/2025
- ENGLANDER, DAVIDOperational/managerial control · not applicable · since 10/01/2025
- FENDRICH, WARRENOperational/managerial control · not applicable · since 10/01/2025
- HIGH, RENEEOperational/managerial control · not applicable · since 10/01/2025
- HUNT, HEATHEROperational/managerial control · not applicable · since 10/01/2025
- LEIBOWITZ, CHAIMOperational/managerial control · not applicable · since 10/01/2025
- ROGERS, ARTOperational/managerial control · not applicable · since 10/01/2025
- SEMONES, CHARLESOperational/managerial control · not applicable · since 10/01/2025
- TAYLOR, ROBERTOperational/managerial control · not applicable · since 10/06/2025
Questions
When was Lillian Carter Health Center by Harborview last inspected?
CMS lists September 12, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Lillian Carter Health Center by Harborview have?
CMS lists 13 health citations since May 19, 2022. CMS also calls these deficiencies.
Has Lillian Carter Health Center by Harborview been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lillian Carter Health Center by Harborview?
Its CMS overall star rating is 2 of 5.
Is Lillian Carter Health Center by Harborview a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.