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

Chain footprint

8 facilities

Chain averages 2 overall / 3 health / 1 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

0.22

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.28

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

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.22

CMS adjusted RN staffing hours

Adjusted total hours

3.52

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,824

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

Performance score

15.10

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.75

Baseline 20.09% · Performance 20.16% · Measure score 2.75 · Achievement 2.75 · Improvement 0

Healthcare-associated infections

1.19

Baseline 6.06% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0

Total nurse turnover

1.28

Baseline 54.41% · Performance 58.46% · Measure score 1.28 · Achievement 1.28 · Improvement 0

Adjusted total nurse staffing

0.82

Baseline 3.44 hours · Performance 3.31 hours · Measure score 0.82 · Achievement 0.82 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.38%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 64 · Observed rate 9.38% · Lower 95% interval 7.53%
Discharge to community	46.86%	50.57% 3.7 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 38.6% · Lower 95% interval 33.37%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	98.65%	95.27% 3.4 pts better	Numerator 73 · Denominator 74
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 74
Discharge self-care score	28.85%	53.69% 24.8 pts worse	Numerator 15 · Denominator 52
Discharge mobility score	30.77%	50.94% 20.2 pts worse	Numerator 16 · Denominator 52
Pressure ulcers or injuries, new or worsened	2.7%	2.29% 0.4 pts worse	Numerator 2 · Denominator 74 · Adjusted rate 1.96%
Healthcare-associated infections requiring hospitalization	7.48%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 4.63%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 69
Staff flu vaccination coverage	27.78%	42% 14.2 pts worse	Numerator 20 · Denominator 72
Discharge function score	46.15%	56.45% 10.3 pts worse	Numerator 24 · Denominator 52
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 22 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	46.51%	25.2% 21.3 pts better	Numerator 20 · Denominator 43

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 · Adjusted 1.7 · Observed 1.9 · Expected 2.2 · 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 0.9 · Expected 1.6 · Used in QM five-star
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 · Q1 95.9% · Q2 91.5% · Q3 92.3% · Q4 90.4% · 4Q avg 92.6%
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 · 4Q avg 98.8%
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 · Q1 2.7% · Q2 2.8% · Q3 3.1% · Q4 2.7% · 4Q avg 2.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4%
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 · Q1 8.6% · Q2 11.8% · Q3 6.1% · Q4 3.4% · 4Q avg 7.4%
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 · Q1 25.4% · Q2 32.7% · Q3 22.0% · Q4 20.0% · 4Q avg 24.9%
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 · Q1 19.5% · Q2 19.0% · Q3 15.2% · Q4 20.0% · 4Q avg 18.4% · 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	42.4%	17.9% 24.5 pts worse	16.3% 26.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.3% · Q2 51.3% · 4Q avg 42.4% · Used in QM five-star
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 · Q1 21.4% · Q2 26.0% · Q3 19.1% · Q4 19.3% · 4Q avg 21.4% · Used in QM five-star
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 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
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 · Q1 2.8% · Q2 0.0% · Q3 4.7% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
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 · Q1 28.1% · Q2 28.1% · Q3 22.1% · Q4 21.9% · 4Q avg 25.1%
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 · Q1 6.6% · Q2 7.6% · Q3 6.4% · Q4 5.5% · 4Q avg 6.5% · Used in QM five-star
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 · Q1 64.9% · Q2 80.0% · Q3 80.0% · Q4 90.6% · 4Q avg 79.3%
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 · Adjusted 7.2% · Observed 7.0% · Expected 10.9% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 6.7% · Q4 6.8% · 4Q avg 3.8% · Used in QM five-star
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 · 4Q avg 87.5%
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 · Adjusted 23.3% · Observed 24.6% · Expected 25.1% · Used in QM five-star

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

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