Atlanta, GA

Buckhead Center For Nursing And Healing

1-star overall rating with 1-star inspections with $29,354 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

54 Peachtree Park Drive N.e., Atlanta, GA

(404) 351-6041

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

179

Certified beds

Average residents

134

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Empire Care Centers

Operator or chain grouping

Approved since

1976-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars

Changed ownership

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

0.44

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.76

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.79

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.00

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

76%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,459

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

4.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.06% · Performance 21.44% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.56% · Performance 10.11% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.99

Baseline 85.61% · Performance 70.50% · Measure score 1.99 · Achievement 0 · Improvement 1.99

Adjusted total nurse staffing

Baseline 3.57 hours · Performance 3.04 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.1%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 134 · Observed rate 14.18% · Lower 95% interval 8.59%
Discharge to community	58.78%	50.57% 8.2 pts better	No Different than the National Rate · Eligible stays 144 · Observed rate 43.06% · Lower 95% interval 46.27%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	88.89%	95.27% 6.4 pts worse	Numerator 136 · Denominator 153
Falls with major injury	1.96%	0.77% 1.2 pts worse	Numerator 3 · Denominator 153
Discharge self-care score	60.87%	53.69% 7.2 pts better	Numerator 42 · Denominator 69
Discharge mobility score	27.54%	50.94% 23.4 pts worse	Numerator 19 · Denominator 69
Pressure ulcers or injuries, new or worsened	5.23%	2.29% 2.9 pts worse	Numerator 8 · Denominator 153 · Adjusted rate 3.55%
Healthcare-associated infections requiring hospitalization	10.11%	7.12% 3 pts worse	No Different than the National Rate · Eligible stays 87 · Observed rate 18.39% · Lower 95% interval 6.89%
Staff COVID-19 vaccination coverage	43.16%	8.2% 35 pts better	Numerator 41 · Denominator 95
Staff flu vaccination coverage	34.3%	42% 7.7 pts worse	Numerator 71 · Denominator 207
Discharge function score	42.03%	56.45% 14.4 pts worse	Numerator 29 · Denominator 69
Transfer of health information to provider	95.65%	95.95% 0.3 pts worse	Numerator 66 · Denominator 69
Transfer of health information to patient	98%	96.28% 1.7 pts better	Numerator 49 · Denominator 50
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 24 · Denominator 96

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.2 0.8 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 4.7 · Expected 3.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.0 0.1 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	91.2% 5.9 pts better	93.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 99.1% · Q3 96.3% · Q4 100.0% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	95.0% 4.2 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.2% 1.8 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 0.9% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	9.6% 9.6 pts better	11.4% 11.4 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 who lose too much weight	11.3%	5.9% 5.4 pts worse	5.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 12.5% · Q3 12.8% · Q4 7.2% · 4Q avg 11.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.7%	20.7% 16 pts better	19.6% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.0% · Q3 9.1% · Q4 4.8% · 4Q avg 4.7%
Percentage of long-stay residents who received an antipsychotic medication	5.8%	21.4% 15.6 pts better	16.7% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 5.1% · Q3 3.2% · Q4 5.9% · 4Q avg 5.8% · 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	39.0%	17.9% 21.1 pts worse	16.3% 22.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 47.1% · Q4 45.2% · 4Q avg 39.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.6%	16.2% 8.4 pts worse	14.9% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 18.3% · Q3 27.4% · Q4 29.9% · 4Q avg 24.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	1.1% 0.2 pts better	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.7% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.5% 1.6 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.9%	16.1% 12.8 pts worse	19.8% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 32.9% · Q3 30.7% · Q4 24.0% · 4Q avg 28.9%
Percentage of long-stay residents with pressure ulcers	10.4%	6.2% 4.2 pts worse	5.1% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 11.6% · Q3 11.3% · Q4 6.4% · 4Q avg 10.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.8%	80.4% 11.4 pts better	81.7% 10.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 89.4% · Q3 92.9% · Q4 96.3% · 4Q avg 91.8%
Percentage of short-stay residents who had an outpatient emergency department visit	9.1%	12.2% 3.1 pts better	12.0% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 11.1% · Expected 13.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	2.2% 1.3 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 0.7% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.8%	78.2% 11.6 pts better	79.7% 10.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.4%	24.2% 6.2 pts worse	23.9% 6.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 39.2% · Expected 30.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

10 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-07-25 · Fire 2024-07-25

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-06-09 · Fire 2022-06-09

23 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-09-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-09-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-12-05

F · Potential for more than minimal harm 2024-07-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-25

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 2025-11-09

E · Potential for more than minimal harm 2025-09-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-11-09

D · Potential for more than minimal harm 2025-09-25

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 2025-11-09

D · Potential for more than minimal harm 2025-09-25

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-11-09

D · Potential for more than minimal harm 2025-09-25

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-11-09

D · Potential for more than minimal harm 2025-09-25

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 2025-11-09

D · Potential for more than minimal harm 2025-09-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-11-09

D · Potential for more than minimal harm 2025-09-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-11-09

D · Potential for more than minimal harm 2025-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-09

F · Potential for more than minimal harm 2025-03-26

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 2025-04-09

D · Potential for more than minimal harm 2024-11-07

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-12-02

G · Actual harm 2024-07-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-07-25

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 2024-09-03

D · Potential for more than minimal harm 2024-07-25

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 2024-09-03

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 2024-09-03

J · Immediate jeopardy 2023-07-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-08-21

J · Immediate jeopardy 2023-07-20

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 2023-08-21

J · Immediate jeopardy 2023-07-20

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2023-08-21

J · Immediate jeopardy 2023-07-20

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2023-08-21

J · Immediate jeopardy 2023-07-20

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-07-20

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2023-08-21