6 health deficiencies
Top issue: Infection Control (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Rossville, GA
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
110 Park City Road, Rossville, GA
(706) 858-5000
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
125
Certified beds
Average residents
121
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ephram Lahasky
Operator or chain grouping
Approved since
1967-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
RN hours / resident day
0.56
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.39
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.73
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
7,456
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.44
Baseline 18.84% · Performance 18.45% · Measure score 6.44 · Achievement 6.44 · Improvement 1.65
Healthcare-associated infections
1.07
Baseline 5.13% · Performance 7.52% · Measure score 1.07 · Achievement 1.07 · Improvement 0
Total nurse turnover
3.25
Baseline 53.57% · Performance 50.38% · Measure score 3.25 · Achievement 3.25 · Improvement 0.61
Adjusted total nurse staffing
1.12
Baseline 3.25 hours · Performance 3.40 hours · Measure score 1.12 · Achievement 1.12 · Improvement 0.07
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.06% |
10.72%
2.7 pts better
|
Better than the National Rate · Eligible stays 344 · Observed rate 6.4% · Lower 95% interval 5.77% |
| Discharge to community | 66.22% |
50.57%
15.6 pts better
|
Better than the National Rate · Eligible stays 322 · Observed rate 61.18% · Lower 95% interval 61.93% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 99.32% |
95.27%
4 pts better
|
Numerator 294 · Denominator 296 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 3 · Denominator 296 |
| Discharge self-care score | 63.37% |
53.69%
9.7 pts better
|
Numerator 128 · Denominator 202 |
| Discharge mobility score | 52.97% |
50.94%
2 pts better
|
Numerator 107 · Denominator 202 |
| Pressure ulcers or injuries, new or worsened | 1.01% |
2.29%
1.3 pts better
|
Numerator 3 · Denominator 296 · Adjusted rate 1.14% |
| Healthcare-associated infections requiring hospitalization | 7.52% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 239 · Observed rate 7.11% · Lower 95% interval 5.1% |
| Staff COVID-19 vaccination coverage | 1.33% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 225 |
| Staff flu vaccination coverage | 10.26% |
42%
31.7 pts worse
|
Numerator 24 · Denominator 234 |
| Discharge function score | 58.91% |
56.45%
2.5 pts better
|
Numerator 119 · Denominator 202 |
| Transfer of health information to provider | 99.53% |
95.95%
3.6 pts better
|
Numerator 214 · Denominator 215 |
| Transfer of health information to patient | 97.56% |
96.28%
1.3 pts better
|
Numerator 40 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 11.88% |
25.2%
13.3 pts worse
|
Numerator 19 · Denominator 160 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.6% · Q3 98.6% · Q4 98.5% · 4Q avg 98.6% |
| 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 | 1.4% |
3.2%
1.8 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 2.8% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
9.6%
6.5 pts better
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.2% · Q3 3.4% · Q4 3.2% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.9%
0.4 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 1.9% · Q3 5.4% · Q4 6.2% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
20.7%
1.1 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.2% · Q3 24.6% · Q4 21.2% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
21.4%
6.2 pts better
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 13.5% · Q3 15.6% · Q4 15.2% · 4Q avg 15.2% · 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 | 16.7% |
17.9%
1.2 pts better
|
16.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 16.4% · Q3 23.3% · Q4 12.4% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.3% |
16.2%
5.1 pts worse
|
14.9%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 19.6% · Q3 28.6% · Q4 16.0% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
1.1%
1.9 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.6% · Q3 2.7% · Q4 1.2% · 4Q avg 3.0% · 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 0.0% · Q2 1.5% · Q3 2.9% · Q4 3.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
16.1%
2.9 pts worse
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 15.2% · Q3 16.4% · Q4 16.7% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.2%
0.1 pts better
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.6% · Q3 6.7% · Q4 4.7% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
80.4%
17.8 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 97.0% · Q3 98.6% · Q4 99.0% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
12.2%
1.9 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 10.0% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
2.2%
0.3 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.1% · Q3 2.3% · Q4 1.1% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
78.2%
18.8 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
24.2%
4.6 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 21.2% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-23
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-23
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2025-04-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-25
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-12-25
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2022-12-25
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2022-12-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-25
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-06-20
Inspection history
Health
Implement a program that monitors antibiotic use.
Corrected 2025-04-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-23
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-23
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-23
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 2022-12-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with $10,699 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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5-star overall rating with 4-star inspections with $16,530 in total fines with 2 recent health deficiencies
Rossville, GA
2-star overall rating with 1-star inspections with $57,077 in total fines
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