Cycle 1
Health 2025-03-27 · Fire 2025-03-27
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Dahlonega, GA
Chelsey Park Health And Rehabilitation
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
200 Mountain Park Drive, Dahlonega, GA
(706) 482-3000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
58
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ethica Health
Operator or chain grouping
Approved since
2015-06-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.68
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.27
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
1.15
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.64
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
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,855
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.98
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
3.02
Baseline 20.20% · Performance 20.03% · Measure score 3.02 · Achievement 3.02 · Improvement 0.03
Healthcare-associated infections
0
Baseline 5.18% · Performance 8.23% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 55.56% · Performance 70.15% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.97
Baseline 3.61 hours · Performance 3.92 hours · Measure score 2.97 · Achievement 2.97 · Improvement 0.93
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.68% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 15.07% · Lower 95% interval 7.57% |
| Discharge to community | 49.16% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 42.25% · Lower 95% interval 38.63% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 91.43% |
95.27%
3.8 pts worse
|
Numerator 32 · Denominator 35 |
| Falls with major injury | 2.86% |
0.77%
2.1 pts worse
|
Numerator 1 · Denominator 35 |
| Discharge self-care score | 28.57% |
53.69%
25.1 pts worse
|
Numerator 6 · Denominator 21 |
| Discharge mobility score | 38.1% |
50.94%
12.8 pts worse
|
Numerator 8 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 8.57% |
2.29%
6.3 pts worse
|
Numerator 3 · Denominator 35 · Adjusted rate 5.81% |
| Healthcare-associated infections requiring hospitalization | 8.23% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 48 · Observed rate 14.58% · Lower 95% interval 5.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 104 |
| Staff flu vaccination coverage | 73.83% |
42%
31.8 pts better
|
Numerator 79 · Denominator 107 |
| Discharge function score | 19.05% |
56.45%
37.4 pts worse
|
Numerator 4 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.2
0.5 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.2%
6.2 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.5% · Q3 96.6% · Q4 96.4% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
95.0%
3.3 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.2%
1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.5% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.0% |
9.6%
3.6 pts better
|
11.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.7% · Q3 8.9% · Q4 7.4% · 4Q avg 6.0% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.9%
1.4 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.5% · Q3 2.2% · Q4 4.7% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% |
20.7%
1.6 pts better
|
19.6%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 20.4% · Q3 20.0% · Q4 17.8% · 4Q avg 19.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.8% |
21.4%
3.6 pts better
|
16.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.8% · Q3 19.6% · Q4 19.5% · 4Q avg 17.8% · 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 | 18.0% |
17.9%
0.1 pts worse
|
16.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
16.2%
2.3 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 7.1% · Q3 7.1% · Q4 20.5% · 4Q avg 13.9% · 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 3.6% · Q2 3.0% · Q3 3.3% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.0% |
2.5%
2.5 pts worse
|
1.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 9.1% · Q4 9.3% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.7% |
16.1%
9.4 pts better
|
19.8%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.3% · Q3 6.0% · Q4 10.5% · 4Q avg 6.7% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.2%
1.7 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.8% · Q3 7.3% · Q4 7.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.7% |
80.4%
2.3 pts better
|
81.7%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 85.0% · 4Q avg 82.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
12.2%
12.2 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
24.2%
2 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 31.8% · Expected 28.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-12 · Fire 2023-03-12
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-06-16 · Fire 2021-06-16
1 health deficiencies
Top issue: Nursing and Physician Services (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
2025-03-27
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-03-27
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-03-27
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-05-17
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-03-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-12
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-12
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 2023-04-28
C · Minimal harm
2021-06-16
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Not marked corrected
Penalties and ownership
What sits behind the stars
Ownership
Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Health Scholarships Inc
5% Or Greater Direct Ownership Interest · Organization
Cable, Paul
Corporate Director · Individual
Clinical Services Inc
Operational/Managerial Control · Organization
Dennis, Kathryn
Corporate Director · Individual
Forde, Krystal
Operational/Managerial Control · Individual
Health Care Real Estate Holdings, LLC
5% Or Greater Mortgage Interest · Organization
Lambert, Reno
Operational/Managerial Control · Individual
Moody, Teresa
Corporate Officer · Individual
Nichols, Joseph
Corporate Director · Individual
Ringer, Dave
Operational/Managerial Control · Individual
Rollins, Ronnie
Corporate Director · Individual
Sheffield, Kimberly
Corporate Officer · Individual
Wall, Joseph
Corporate Director · Individual
Warnock, Ralph
Corporate Director · Individual
Woods, Jailyn
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Gold City Health And Rehab
Dahlonega, GA
1-star overall rating with 2-star inspections with abuse icon flag with $52,548 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Willowbrooke Court At Lanier Village Estates
Gainesville, GA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Friendship Health And Rehab
Cleveland, GA
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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