Cycle 1
Health 2026-01-11 · Fire 2026-01-11
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Rockmart, GA
Cottages At Rockmart, The
4-star overall rating with 4-star inspections with 3 recent health deficiencies
750 Goodyear Avenue, Rockmart, GA
(770) 748-3622
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
116
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-09-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.30
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
4.13
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.86
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
5.53
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.23
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
0.35
CMS adjusted RN staffing hours
Adjusted total hours
6.76
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
29%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
446
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.68
Composite VBP score used to determine payment impact.
Payment multiplier
1.0222
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.77
Baseline 21.32% · Performance 19.22% · Measure score 4.77 · Achievement 4.77 · Improvement 4.39
Healthcare-associated infections
4.90
Baseline 6.87% · Performance 6.37% · Measure score 4.90 · Achievement 4.90 · Improvement 2.15
Total nurse turnover
8.20
Performance 30.16% · Measure score 8.20 · Achievement 8.20 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 4.54 hours · Performance 6.65 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 6.07% |
| Discharge to community | 48.13% |
50.57%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 43.75% · Lower 95% interval 32.7% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 65.31% |
95.27%
30 pts worse
|
Numerator 32 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 53.33% |
53.69%
0.4 pts worse
|
Numerator 24 · Denominator 45 |
| Discharge mobility score | 57.78% |
50.94%
6.8 pts better
|
Numerator 26 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 49 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 145 |
| Staff flu vaccination coverage | 11.81% |
42%
30.2 pts worse
|
Numerator 17 · Denominator 144 |
| Discharge function score | 68.89% |
56.45%
12.4 pts better
|
Numerator 31 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| 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 | 7.69% |
25.2%
17.5 pts worse
|
Numerator 2 · Denominator 26 |
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 1.3 · Expected 1.6 · 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 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.2%
8.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.8% |
3.2%
4.6 pts worse
|
3.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.8% · Q3 9.0% · Q4 9.9% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.2% |
9.6%
10.6 pts worse
|
11.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 20.0% · Q3 19.4% · Q4 16.7% · 4Q avg 20.2% |
| Percentage of long-stay residents who lose too much weight | 13.5% |
5.9%
7.6 pts worse
|
5.4%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 7.3% · Q3 15.3% · Q4 17.5% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.6% |
20.7%
8.9 pts worse
|
19.6%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 30.0% · Q3 32.3% · Q4 25.8% · 4Q avg 29.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.1% |
21.4%
2.7 pts worse
|
16.7%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 18.2% · Q3 24.5% · Q4 23.6% · 4Q avg 24.1% · 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 | 16.6% |
17.9%
1.3 pts better
|
16.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 13.7% · Q3 13.3% · Q4 19.1% · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.3% |
16.2%
6.1 pts worse
|
14.9%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 21.1% · Q3 20.3% · Q4 18.8% · 4Q avg 22.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.1%
0.8 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 2.3% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.5%
0.8 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.3% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
16.1%
9.1 pts worse
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 19.8% · Q3 26.5% · Q4 23.7% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
6.2%
3.3 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.6% · Q3 3.4% · Q4 1.5% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
80.4%
15.2 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 96.7% · Q3 97.1% · Q4 95.6% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
12.2%
6.4 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.5% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
2.2%
1.2 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
78.2%
15.6 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
24.2%
3.4 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 25.5% · Expected 22.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-24 · Fire 2024-11-24
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-08-25 · Fire 2022-08-25
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-11-24
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-11-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-06
E · Potential for more than minimal harm
2022-08-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-09
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-26
D · Potential for more than minimal harm
2026-01-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-26
D · Potential for more than minimal harm
2025-08-22
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-06
D · Potential for more than minimal harm
2024-11-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-11-24
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 2025-01-06
D · Potential for more than minimal harm
2024-11-24
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 2025-01-06
D · Potential for more than minimal harm
2024-11-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-06
E · Potential for more than minimal harm
2022-08-25
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-10-09
E · Potential for more than minimal harm
2022-08-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-09
D · Potential for more than minimal harm
2022-08-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-10-09
D · Potential for more than minimal harm
2022-08-25
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 2022-10-09
D · Potential for more than minimal harm
2022-08-25
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-10-09
D · Potential for more than minimal harm
2022-08-25
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 2022-10-09
Penalties and ownership
What sits behind the stars
Ownership
Bilbo, Richard
Operational/Managerial Control · Individual
Cromer, Melissa
Operational/Managerial Control · Individual
Davis, Pam
Operational/Managerial Control · Individual
Hengen, Frances
Operational/Managerial Control · Individual
Kimsey, Sarah
Operational/Managerial Control · Individual
Lancaster, Nicholas
Operational/Managerial Control · Individual
Mcgill, Brandy
Operational/Managerial Control · Individual
Morris, Andrew
5% Or Greater Direct Ownership Interest · Individual
Morris, Andrew
Corporate Director · Individual
Morris, Janice
Operational/Managerial Control · Individual
Williams, Pamela
Operational/Managerial Control · Individual
Wilson, Pamela
Operational/Managerial Control · Individual
Wingate, Anne Marie
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Rockmart Health
Rockmart, GA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#2
Blue Ridge Care Center LLC
Dallas, GA
3-star overall rating with 2-star inspections with 14 recent health deficiencies
#3
Cedar Valley Nsg & Rehab Ctr
Cedartown, GA
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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