Why this was flagged
Medicare paid far more per patient than peers
In 2020 this provider was paid $29,360 per patient, against a typical $14,315 for the same kind of provider in GA. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5
View the records behind this flag →
Owners and managing parties of record
SHEILA W COOK
DIRECT OWNERSHIP INTEREST · I · 100% ownership · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA W COOK
CORPORATE OFFICER · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA W COOK
CORPORATE DIRECTOR · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA W COOK
OPERATIONAL/MANAGERIAL CONTROL · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA W COOK
MANAGING CONTROL - GOVERNING BODY · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA W COOK
ADP OF THE SNF · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA S COOK
CORPORATE OFFICER · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA S COOK
CORPORATE DIRECTOR · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA S COOK
OPERATIONAL/MANAGERIAL CONTROL · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA S COOK
MANAGING CONTROL - GOVERNING BODY · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHEILA S COOK
ADP OF THE SNF · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Oct 21, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JOANNE D WRENN
OPERATIONAL/MANAGERIAL CONTROL · I · since Feb 15, 2008
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JOANNE D WRENN
ADP OF THE SNF · I · since Feb 15, 2008
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TERRY BUFORD COOK
CORPORATE OFFICER · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TERRY BUFORD COOK
CORPORATE DIRECTOR · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TERRY BUFORD COOK
OPERATIONAL/MANAGERIAL CONTROL · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TERRY BUFORD COOK
MANAGING CONTROL - GOVERNING BODY · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TERRY BUFORD COOK
ADP OF THE SNF · I · since May 15, 2013
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Oct 1, 2000
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 1, 2016
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since May 6, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
PINE LEAF INVESTMENT INC
ADP OF THE SNF · O · since Jan 1, 2016
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
WALTER DANIEL ZANT
OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 15, 2015
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
WALTER DANIEL ZANT
ADP OF THE SNF · I · since Jul 15, 2015
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Source timeline
Corrections and disputes
Providers and researchers can dispute a detail, submit supporting links, and track the review.
Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | PINE LEAF INVESTMENT INC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Trading name | MADISON HEALTH AND REHAB | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| NPI | 1457365017 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Medicare certification number | 115457 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| CMS associate ID | 8729229646 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Organisation type | CORPORATION | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Incorporation date | 2000-10-01 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State of incorporation | GA | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Street address | 2036 S MAIN ST | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| City | MADISON | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State | GA | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| ZIP | 30650-2054 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
What changed
Public research history
Loading the research history…