Cycle 1
Health 2025-02-10 · Fire 2025-02-10
8 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Snellville, GA
Cambridge Post Acute Care Center
1-star overall rating with 2-star inspections with $24,162 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2020 Mcgee Road, Snellville, GA
(770) 978-7250
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
144
Certified beds
Average residents
137
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wellington Health Care Services
Operator or chain grouping
Approved since
1992-06-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 quality stars
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
0.37
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.57
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,029
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.83
Baseline 24.25% · Performance 21.85% · Measure score 2.83 · Achievement 0 · Improvement 2.83
Healthcare-associated infections
0
Baseline 8.43% · Performance 10.44% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.59
Performance 53.08% · Measure score 2.59 · Achievement 2.59 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.24
Baseline 1.75 hours · Performance 3.26 hours · Measure score 3.24 · Achievement 0.64 · Improvement 3.24
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 172 · Observed rate 9.88% · Lower 95% interval 7.63% |
| Discharge to community | 48.98% |
50.57%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 155 · Observed rate 40.65% · Lower 95% interval 39.88% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.06% |
95.27%
0.8 pts better
|
Numerator 195 · Denominator 203 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 203 |
| Discharge self-care score | 51.59% |
53.69%
2.1 pts worse
|
Numerator 65 · Denominator 126 |
| Discharge mobility score | 38.89% |
50.94%
12 pts worse
|
Numerator 49 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 5.91% |
2.29%
3.6 pts worse
|
Numerator 12 · Denominator 203 · Adjusted rate 4.92% |
| Healthcare-associated infections requiring hospitalization | 10.44% |
7.12%
3.3 pts worse
|
Worse than the National Rate · Eligible stays 118 · Observed rate 16.1% · Lower 95% interval 7.31% |
| Staff COVID-19 vaccination coverage | 0.61% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 165 |
| Staff flu vaccination coverage | 15.11% |
42%
26.9 pts worse
|
Numerator 34 · Denominator 225 |
| Discharge function score | 41.27% |
56.45%
15.2 pts worse
|
Numerator 52 · Denominator 126 |
| Transfer of health information to provider | 18.57% |
95.95%
77.4 pts worse
|
Numerator 13 · Denominator 70 |
| Transfer of health information to patient | 21.82% |
96.28%
74.5 pts worse
|
Numerator 12 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 13.27% |
25.2%
11.9 pts worse
|
Numerator 15 · Denominator 113 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.2
0.6 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
91.2%
7.7 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 99.2% · Q4 97.4% · 4Q avg 98.9% |
| 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 | 1.8% |
3.2%
1.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.8% · Q3 1.7% · Q4 0.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 39.4% |
9.6%
29.8 pts worse
|
11.4%
28 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 25.8% · Q3 54.9% · Q4 63.2% · 4Q avg 39.4% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
5.9%
3.5 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 8.4% · Q3 6.1% · Q4 10.8% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
20.7%
6.9 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 12.0% · Q3 17.1% · Q4 15.4% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.7% |
21.4%
4.3 pts worse
|
16.7%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 26.5% · Q3 25.9% · Q4 29.9% · 4Q avg 25.7% · 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 | 36.2% |
17.9%
18.3 pts worse
|
16.3%
19.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.7% · Q2 42.8% · Q4 30.3% · 4Q avg 36.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.9% |
16.2%
15.7 pts worse
|
14.9%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 52.6% · Q3 16.5% · Q4 31.3% · 4Q avg 31.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.1%
0.4 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.6% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.5%
0.1 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.8% · Q3 2.7% · Q4 0.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
16.1%
8.3 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 25.2% · Q3 24.2% · Q4 22.1% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.2%
1.1 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 4.1% · Q3 3.7% · Q4 5.6% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.2% |
80.4%
6.8 pts better
|
81.7%
5.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 85.6% · Q3 84.9% · Q4 88.1% · 4Q avg 87.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
12.2%
0.1 pts better
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 13.8% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
2.2%
2.6 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 8.6% · Q4 9.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.2% |
78.2%
8 pts better
|
79.7%
6.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
24.2%
3.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 24.4% · Expected 28.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-08 · Fire 2022-12-08
16 health deficiencies
Top issue: Infection Control (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-07-01 · Fire 2021-07-01
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.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-21
E · Potential for more than minimal harm
2025-02-10
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-09
E · Potential for more than minimal harm
2025-02-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-21
D · Potential for more than minimal harm
2025-02-10
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-21
D · Potential for more than minimal harm
2025-02-10
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 2025-03-21
D · Potential for more than minimal harm
2025-02-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-21
D · Potential for more than minimal harm
2025-02-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-21
F · Potential for more than minimal harm
2024-07-09
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-09
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-09
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-09
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-07-09
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 2024-08-15
E · Potential for more than minimal harm
2024-07-09
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-07-09
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 2024-08-15
E · Potential for more than minimal harm
2024-07-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-07-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-09
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 2024-08-15
D · Potential for more than minimal harm
2024-07-09
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-09
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-09
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-08-15
D · Potential for more than minimal harm
2022-12-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-08
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-08
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-01-22
D · Potential for more than minimal harm
2021-07-01
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-07-27
Penalties and ownership
What sits behind the stars
$11,538
2023-12-11
Fine
Fine · fine $11,538
Fine
$3,147
2023-11-20
Fine
Fine · fine $3,147
Fine
$2,797
2023-11-13
Fine
Fine · fine $2,797
Fine
$2,447
2023-11-06
Fine
Fine · fine $2,447
Fine
$4,233
2023-10-10
Fine
Fine · fine $4,233
Fine
Ownership
Wellington Healthcare Services LP
5% Or Greater Direct Ownership Interest · Organization
Andrews, James
5% Or Greater Indirect Ownership Interest · Individual
Andrews, James
Operational/Managerial Control · Individual
Andrews, James
Corporate Director · Individual
Andrews, James
Corporate Officer · Individual
Andwell Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Bailey, Teresa
W-2 Managing Employee · Individual
Elkins Road Associates LLC
General Partnership Interest · Organization
Kelman, Moshe
Corporate Officer · Individual
Wellington Healthcare Services LP
Limited Partnership Interest · Organization
Nearby options
Other facilities in reach
#1
Parkside Post Acute And Rehabilitation
Snellville, GA
1-star overall rating with 2-star inspections with $8,512 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Life Care Center Of Gwinnett
Lawrenceville, GA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Delmar Gardens Of Gwinnett
Lawrenceville, GA
3-star overall rating with 3-star inspections with 4 recent health deficiencies
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