Cycle 1
Health 2025-12-07 · Fire 2024-05-23
14 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dallas, GA
Blue Ridge Care Center LLC
3-star overall rating with 2-star inspections with 14 recent health deficiencies
600 West Memorial Drive, Dallas, GA
(770) 445-4411
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
182
Certified beds
Average residents
150
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-02-01
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
0.47
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.50
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.84
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
530
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0214
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.48
Baseline 21.65% · Performance 17.96% · Measure score 7.48 · Achievement 7.48 · Improvement 7.48
Healthcare-associated infections
8.58
Baseline 6.47% · Performance 5.27% · Measure score 8.58 · Achievement 8.58 · Improvement 7.64
Total nurse turnover
6.94
Baseline 29.13% · Performance 35.29% · Measure score 6.94 · Achievement 6.94 · Improvement 0
Adjusted total nurse staffing
4.25
Baseline 4.54 hours · Performance 4.29 hours · Measure score 4.25 · Achievement 4.25 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.36% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 204 · Observed rate 12.25% · Lower 95% interval 8.91% |
| Discharge to community | 57% |
50.57%
6.4 pts better
|
No Different than the National Rate · Eligible stays 139 · Observed rate 56.83% · Lower 95% interval 49.69% |
| Medicare spending per beneficiary | 0.67 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.1% |
95.27%
3.8 pts better
|
Numerator 110 · Denominator 111 |
| Falls with major injury | 1.8% |
0.77%
1 pts worse
|
Numerator 2 · Denominator 111 |
| Discharge self-care score | 63.38% |
53.69%
9.7 pts better
|
Numerator 45 · Denominator 71 |
| Discharge mobility score | 53.52% |
50.94%
2.6 pts better
|
Numerator 38 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 1.56% |
| Healthcare-associated infections requiring hospitalization | 5.27% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 1.05% · Lower 95% interval 2.5% |
| Staff COVID-19 vaccination coverage | 0.5% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 201 |
| Staff flu vaccination coverage | 83.9% |
42%
41.9 pts better
|
Numerator 198 · Denominator 236 |
| Discharge function score | 69.01% |
56.45%
12.6 pts better
|
Numerator 49 · Denominator 71 |
| Transfer of health information to provider | 92.96% |
95.95%
3 pts worse
|
Numerator 66 · Denominator 71 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 41.54% |
25.2%
16.3 pts better
|
Numerator 27 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.2
0.2 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.9% |
91.2%
7.3 pts worse
|
93.4%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.3% · Q2 66.1% · Q3 94.1% · Q4 93.4% · 4Q avg 83.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.2%
0.5 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.3% · Q3 5.1% · Q4 4.1% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
9.6%
3.5 pts better
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 10.0% · Q4 14.4% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.9%
1.4 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.2% · Q3 3.6% · Q4 1.0% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.4% |
20.7%
6.3 pts better
|
19.6%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 14.9% · Q3 15.2% · Q4 13.8% · 4Q avg 14.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.4% |
21.4%
9 pts better
|
16.7%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 13.3% · Q3 12.2% · Q4 10.1% · 4Q avg 12.4% · 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 | 11.3% |
17.9%
6.6 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 7.9% · Q3 7.3% · Q4 8.9% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
16.2%
8.5 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.8% · Q3 8.2% · Q4 8.2% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.1%
0.1 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 0.0% · Q4 0.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.5%
1.7 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.9% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.3% |
16.1%
3.2 pts worse
|
19.8%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 18.1% · Q3 25.1% · Q4 17.0% · 4Q avg 19.3% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
6.2%
4 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.6% · Q3 1.9% · Q4 2.1% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
80.4%
12.6 pts better
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 97.1% · Q3 89.9% · Q4 92.0% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
12.2%
6.3 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.3% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.2%
0.3 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.9% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
78.2%
19 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.7% |
24.2%
5.5 pts better
|
23.9%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 15.9% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2022-10-20
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-10-20 · Fire 2019-06-13
7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-06-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-28
E · Potential for more than minimal harm
2019-06-13
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-07-28
D · Potential for more than minimal harm
2019-06-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-28
D · Potential for more than minimal harm
2019-06-13
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-07-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-07
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 2026-01-09
F · Potential for more than minimal harm
2025-12-07
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-09
F · Potential for more than minimal harm
2025-07-10
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-08-04
E · Potential for more than minimal harm
2025-07-10
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-04
E · Potential for more than minimal harm
2025-07-10
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 2025-08-04
E · Potential for more than minimal harm
2025-07-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
D · Potential for more than minimal harm
2025-07-10
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-04
D · Potential for more than minimal harm
2024-05-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-01
F · Potential for more than minimal harm
2022-10-20
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 2022-12-04
D · Potential for more than minimal harm
2022-10-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-04
D · Potential for more than minimal harm
2022-10-20
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-04
D · Potential for more than minimal harm
2022-10-20
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-12-04
D · Potential for more than minimal harm
2022-10-20
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-12-04
D · Potential for more than minimal harm
2022-10-20
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 2022-12-04
D · Potential for more than minimal harm
2022-10-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-04
Penalties and ownership
What sits behind the stars
Ownership
Nearby options
Other facilities in reach
#1
Ross Memorial Health Care Ctr
Kennesaw, GA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Cottages At Rockmart, The
Rockmart, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Powder Springs Center For Nursing & Healing
Powder Springs, GA
2-star overall rating with 2-star inspections with $16,802 in total fines with 4 recent health deficiencies
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