8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Atlanta, GA
1-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies
2800 Springdale Road, Atlanta, GA
(404) 616-8100
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
388
Certified beds
Average residents
299
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-07-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.12
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.69
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
2.60
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
0.90
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.22
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.06
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.12
CMS adjusted RN staffing hours
Adjusted total hours
2.65
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.87% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 20% · Lower 95% interval 7.62% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 11 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 277 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 272 · Denominator 272 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.2
0.3 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
91.2%
5.2 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.3% · Q3 96.3% · Q4 95.3% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.0%
3 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.2%
1.6 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 2.0% · Q4 1.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
9.6%
9.3 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.4% · Q4 0.4% · 4Q avg 0.3% |
| 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 7.6% · Q2 10.0% · Q3 6.4% · Q4 5.5% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
20.7%
14.3 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 6.6% · Q3 5.7% · Q4 6.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.5% |
21.4%
7.9 pts better
|
16.7%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.9% · Q3 14.9% · Q4 13.9% · 4Q avg 13.5% · 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 | 17.9% |
17.9%
About the same
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 20.8% · Q3 21.4% · Q4 10.6% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.9% |
16.2%
0.7 pts worse
|
14.9%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 14.7% · Q3 20.7% · Q4 15.9% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.1%
0.3 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.7% · Q3 1.0% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.5%
1.8 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.3% · Q3 0.3% · Q4 2.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
16.1%
1.8 pts worse
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 18.6% · Q3 17.2% · Q4 18.4% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
6.2%
3.1 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 10.4% · Q3 9.5% · Q4 8.8% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.2% |
80.4%
17.2 pts worse
|
81.7%
18.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 58.0% · Q2 74.1% · Q3 66.1% · Q4 57.1% · 4Q avg 63.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
12.2%
0.5 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 15.2% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
2.2%
0.4 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 3.3% · Q4 3.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% |
78.2%
1.3 pts worse
|
79.7%
2.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
24.2%
4.5 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 21.2% · Expected 25.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-04-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-21
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2024-04-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-19
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-19
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-05
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-10-05
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-05
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-07-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-20
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 2025-07-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-08
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 2024-04-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-19
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-03-19
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-03-19
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 2023-03-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-19
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Atlanta, GA
1-star overall rating with 1-star inspections with $105,368 in total fines with 9 recent health deficiencies
East Point, GA
1-star overall rating with 1-star inspections with $57,064 in total fines with 21 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Atlanta, GA
3-star overall rating with 4-star inspections with 4 recent health deficiencies
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