Cedartown, GA

Cedar Valley Nsg & Rehab Ctr

4-star overall rating with 5-star inspections with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

225 Philpot Street, Cedartown, GA

(770) 748-4116

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 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

100

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cypress Skilled Nursing

Operator or chain grouping

Approved since

1989-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.22

Registered nurse staffing

LPN hours / resident day

1.16

Licensed practical nurse staffing

Aide hours / resident day

2.04

Nurse aide staffing

Weekend hours

3.28

Weekend nurse staffing

RN turnover

63%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
2.2
0.5 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.6%
91.2%
1.4 pts better
93.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
95.0%
3.8 pts better
95.5%
3.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.2%
0.4 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
9.6%
9.2 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.4%
5.9%
1.5 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.9%
20.7%
4.2 pts worse
19.6%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.4%
21.4%
3 pts better
16.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 42.4%
17.9%
24.5 pts worse
16.3%
26.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.4%
16.2%
5.2 pts worse
14.9%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.1%
0.5 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.8%
2.5%
0.7 pts better
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.1%
16.1%
9 pts worse
19.8%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.5%
6.2%
0.3 pts worse
5.1%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.3%
80.4%
1.1 pts worse
81.7%
2.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.2%
12.2%
5 pts better
12.0%
4.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
2.2%
1.6 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.5%
78.2%
9.3 pts better
79.7%
7.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.3%
24.2%
0.9 pts better
23.9%
0.6 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-14 · Fire 2025-08-14

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

8 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-04-07 · Fire 2022-04-07

1 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-09-29

E · Potential for more than minimal harm 2025-08-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-09-29

E · Potential for more than minimal harm 2025-08-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-08-14

K233 · Egress Deficiencies

Fire Safety

Install resident room doors of proper design and width.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-08-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-08-14

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-08-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-29

E · Potential for more than minimal harm 2024-02-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-14

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 2025-09-28

E · Potential for more than minimal harm 2024-02-22

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 2024-03-29

D · Potential for more than minimal harm 2022-04-07

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 2022-05-18

Penalties and ownership

What sits behind the stars

Ownership

Bender, Sara

Operational/Managerial Control · Individual

0% 5 facilities 2025-07-02
Cain, Cynthia

Operational/Managerial Control · Individual

0% 2 facilities 2015-12-11
Chapman, Brandi

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-17
Cypress Skilled Nursing LLC

Operational/Managerial Control · Organization

0% 7 facilities 2014-01-01
Hawkins, Evetter

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-17
Macatula, Maria

Operational/Managerial Control · Individual

0% 5 facilities 2017-07-31
Moore, Xavier

Operational/Managerial Control · Individual

0% 2 facilities 2023-08-26
Nordholm, Katherine

Operational/Managerial Control · Individual

0% 5 facilities 2014-01-01
Oliver, William

Operational/Managerial Control · Individual

0% 1 facilities 2021-03-15
Ovits, Isaac

Operational/Managerial Control · Individual

0% 8 facilities 2014-01-01
Patterson, Dianne

Operational/Managerial Control · Individual

0% 7 facilities 2018-05-07
Roberson, Deborah

Operational/Managerial Control · Individual

0% 1 facilities 2021-06-28

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