Cycle 1
Health 2025-12-11 · Fire 2025-12-11
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Marietta, GA
A.g. Rhodes Home, Inc - Cobb
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
900 Wylie Road, Marietta, GA
(770) 427-8727
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
117
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.45
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.03
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,900
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9951
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.97
Baseline 24.97% · Performance 20.62% · Measure score 4.97 · Achievement 1.74 · Improvement 4.97
Healthcare-associated infections
6.16
Baseline 9.61% · Performance 6.54% · Measure score 6.16 · Achievement 4.34 · Improvement 6.16
Total nurse turnover
2.95
Baseline 46.67% · Performance 51.61% · Measure score 2.95 · Achievement 2.95 · Improvement 0
Adjusted total nurse staffing
2.81
Baseline 3.36 hours · Performance 3.88 hours · Measure score 2.81 · Achievement 2.81 · Improvement 1.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.39% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 289 · Observed rate 9.69% · Lower 95% interval 7.88% |
| Discharge to community | 48.07% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 278 · Observed rate 43.17% · Lower 95% interval 41.37% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.06% |
95.27%
3.8 pts better
|
Numerator 211 · Denominator 213 |
| Falls with major injury | 0.47% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 213 |
| Discharge self-care score | 57.42% |
53.69%
3.7 pts better
|
Numerator 89 · Denominator 155 |
| Discharge mobility score | 44.52% |
50.94%
6.4 pts worse
|
Numerator 69 · Denominator 155 |
| Pressure ulcers or injuries, new or worsened | 3.29% |
2.29%
1 pts worse
|
Numerator 7 · Denominator 213 · Adjusted rate 2.73% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 5.92% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 2.22% |
8.2%
6 pts worse
|
Numerator 5 · Denominator 225 |
| Staff flu vaccination coverage | 88.05% |
42%
46 pts better
|
Numerator 457 · Denominator 519 |
| Discharge function score | 61.29% |
56.45%
4.8 pts better
|
Numerator 95 · Denominator 155 |
| Transfer of health information to provider | 95.71% |
95.95%
0.2 pts worse
|
Numerator 67 · Denominator 70 |
| Transfer of health information to patient | 98.08% |
96.28%
1.8 pts better
|
Numerator 102 · Denominator 104 |
| Resident COVID-19 vaccinations up to date | 19.66% |
25.2%
5.5 pts worse
|
Numerator 23 · Denominator 117 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.2
0.6 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.0%
4 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.2%
1.1 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.1% · Q3 2.1% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
9.6%
9 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
5.9%
1.9 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 10.1% · Q3 6.7% · Q4 8.4% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
20.7%
7.8 pts better
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.8% · Q3 13.4% · Q4 13.5% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
21.4%
5.9 pts better
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 14.9% · Q3 12.7% · Q4 16.0% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.9% |
17.9%
11 pts better
|
16.3%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 4.0% · Q3 7.7% · Q4 3.8% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.2% |
16.2%
7 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.0% · Q3 8.0% · Q4 11.4% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.1%
0.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.5%
1.4 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 2.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
16.1%
6.9 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 23.0% · Q3 21.0% · Q4 22.5% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 9.1% |
6.2%
2.9 pts worse
|
5.1%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 10.1% · Q3 10.3% · Q4 11.6% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
80.4%
18.5 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.2% · Q3 98.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.3% |
12.2%
5.1 pts worse
|
12.0%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 15.2% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.6% · Q3 0.0% · Q4 0.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.5% |
78.2%
12.3 pts better
|
79.7%
10.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
24.2%
4.6 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 25.7% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-25 · Fire 2024-07-25
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-05-25 · Fire 2022-05-25
9 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-05
D · Potential for more than minimal harm
2025-12-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-05
F · Potential for more than minimal harm
2024-07-25
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-07-25
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-07-25
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-07-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-07-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-12
D · Potential for more than minimal harm
2022-05-25
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-06-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-07-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-07
F · Potential for more than minimal harm
2024-07-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-29
E · Potential for more than minimal harm
2024-07-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-29
E · Potential for more than minimal harm
2024-07-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-29
D · Potential for more than minimal harm
2024-07-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-29
D · Potential for more than minimal harm
2023-03-09
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-19
J · Immediate jeopardy
2022-05-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-14
J · Immediate jeopardy
2022-05-25
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2022-06-14
J · Immediate jeopardy
2022-05-25
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-06-14
G · Actual harm
2022-05-25
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-06-14
G · Actual harm
2022-05-25
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-14
D · Potential for more than minimal harm
2022-05-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-14
Penalties and ownership
What sits behind the stars
Ownership
Aegis Therapies, Inc.
Operational/Managerial Control · Organization
Ameris Bank
Operational/Managerial Control · Organization
Care Solutions
General Partnership Interest · Organization
Cateau, Deke
Corporate Officer · Individual
Charles, Roselyn
Operational/Managerial Control · Individual
Fagundes, Travette
Operational/Managerial Control · Individual
Harvey, Jovonne
Operational/Managerial Control · Individual
Helton, Mary
Corporate Officer · Individual
Lenning, Justin
Corporate Director · Individual
Luther, Tammy
Corporate Director · Individual
Minor, Ariana
Corporate Director · Individual
Phangestu, Christina
Corporate Officer · Individual
Powell, Timothy
Operational/Managerial Control · Individual
Rolon, Angel
Operational/Managerial Control · Individual
Thomas, Jonelle
Operational/Managerial Control · Individual
Unidine Corporation
Operational/Managerial Control · Organization
Williams, Sonya
Operational/Managerial Control · Individual
Wilson, Keith
Corporate Officer · Individual
Wright, Diana
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Autumn Breeze Health And Rehab
Marietta, GA
1-star overall rating with 1-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Pruitthealth - Marietta
Marietta, GA
2-star overall rating with 2-star inspections with $13,520 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Tower Road Post Acute, LLC
Marietta, GA
1-star overall rating with 2-star inspections with 23 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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