CARLYLE PLACE
5300 ZEBULON ROAD
MACON, GA, 31210
4784054500
CCN: 115680
1
Overall1
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
GEORGIA REFERRAL, INC
1128b8
Excluded 1999-07-20
Ownership
| Name | Role | % |
|---|---|---|
| NAVICENT HEALTH INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| AH GEORGIA INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| KOPLIN, HENRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BIEK, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| COLLIER, RONNIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GHEESLING, ANGIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HABERSHAM, MYRTLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KIMSEY, CAROL | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCOTT, WADE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SIMPSON, THERON | CORPORATE DIRECTOR | NOT APPLICABLE |
| PURDUE, ADRIENNE | CORPORATE OFFICER | NOT APPLICABLE |
| SHREWSBURY, KIMBERLY | CORPORATE OFFICER | NOT APPLICABLE |
| SNYDER, ERIN | CORPORATE OFFICER | NOT APPLICABLE |
| FINLEY, DELVECCHIO | CORPORATE OFFICER | NOT APPLICABLE |
| HABERSHAM, MYRTLE | CORPORATE OFFICER | NOT APPLICABLE |
| ADVOCATE HEALTH INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ATRIUM HEALTH INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CANNADAY, TROY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| BARALATEI, FLORENCE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2024-04-19 | Fine | $105K |
| 2024-04-19 | Payment Denial | 43 days |
Health Deficiencies (14)
2025-09-21 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-08-25 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2024-04-19 · Health
K
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
J
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
2023-04-30 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.34
RN Hrs/Resident/Day0.54
0.54
LPN Hrs/Resident/Day0.81
2.09
CNA Hrs/Resident/Day2.33
2.71
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01