Cycle 1
Health 2025-08-21 · Fire 2025-08-21
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Marietta, GA
East Cobb Center For Nursing And Healing LLC
3-star overall rating with 3-star inspections with 5 recent health deficiencies
4360 Johnson Ferry Place, Marietta, GA
(770) 971-5870
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
Facility snapshot
Beds
117
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Empire Care Centers
Operator or chain grouping
Approved since
1981-10-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 2 overall / 2 health / 1 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
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.19
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.46
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,311
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.30
Baseline 20.30% · Performance 20.83% · Measure score 1.30 · Achievement 1.30 · Improvement 0
Healthcare-associated infections
0
Baseline 5.18% · Performance 8.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.12
Baseline 47.32% · Performance 50.93% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Adjusted total nurse staffing
0.75
Baseline 3.72 hours · Performance 3.29 hours · Measure score 0.75 · Achievement 0.75 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.12% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 692 · Observed rate 9.68% · Lower 95% interval 9.31% |
| Discharge to community | 69.07% |
50.57%
18.5 pts better
|
Better than the National Rate · Eligible stays 698 · Observed rate 65.76% · Lower 95% interval 64.31% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99% |
95.27%
3.7 pts better
|
Numerator 397 · Denominator 401 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 3 · Denominator 401 |
| Discharge self-care score | 78.75% |
53.69%
25.1 pts better
|
Numerator 215 · Denominator 273 |
| Discharge mobility score | 67.77% |
50.94%
16.8 pts better
|
Numerator 185 · Denominator 273 |
| Pressure ulcers or injuries, new or worsened | 3.99% |
2.29%
1.7 pts worse
|
Numerator 16 · Denominator 401 · Adjusted rate 3.38% |
| Healthcare-associated infections requiring hospitalization | 8.26% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 374 · Observed rate 7.75% · Lower 95% interval 5.81% |
| Staff COVID-19 vaccination coverage | 22.22% |
8.2%
14 pts better
|
Numerator 36 · Denominator 162 |
| Staff flu vaccination coverage | 18.57% |
42%
23.4 pts worse
|
Numerator 101 · Denominator 544 |
| Discharge function score | 78.39% |
56.45%
21.9 pts better
|
Numerator 214 · Denominator 273 |
| Transfer of health information to provider | 98.95% |
95.95%
3 pts better
|
Numerator 94 · Denominator 95 |
| Transfer of health information to patient | 99.28% |
96.28%
3 pts better
|
Numerator 276 · Denominator 278 |
| Resident COVID-19 vaccinations up to date | 25.12% |
25.2%
0.1 pts worse
|
Numerator 54 · Denominator 215 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.6% |
91.2%
16.6 pts worse
|
93.4%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 67.2% · Q2 83.9% · Q3 75.5% · Q4 72.4% · 4Q avg 74.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
95.0%
7.5 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.2%
2.5 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.6% · Q3 5.7% · Q4 6.9% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
9.6%
9.6 pts better
|
11.4%
11.4 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 who lose too much weight | 6.6% |
5.9%
0.7 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.2% · Q3 6.2% · Q4 9.6% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
20.7%
4.3 pts better
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 18.0% · Q3 14.3% · Q4 17.3% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
21.4%
2.3 pts better
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 23.3% · Q3 15.6% · Q4 15.6% · 4Q avg 19.1% · 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 | 29.7% |
17.9%
11.8 pts worse
|
16.3%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.5% |
16.2%
17.3 pts worse
|
14.9%
18.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.8% · Q2 39.5% · Q3 15.6% · Q4 32.6% · 4Q avg 33.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.5%
0.3 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 3.8% · Q4 1.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.0% |
16.1%
9.9 pts worse
|
19.8%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 32.4% · Q3 12.1% · Q4 25.9% · 4Q avg 26.0% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.2%
0.9 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 5.7% · Q3 8.1% · Q4 1.1% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8% |
80.4%
9.6 pts worse
|
81.7%
10.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.2% · Q2 70.5% · Q3 66.5% · Q4 69.6% · 4Q avg 70.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
12.2%
4.4 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 6.8% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.2% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.8% |
78.2%
3.4 pts worse
|
79.7%
4.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% |
24.2%
2.6 pts better
|
23.9%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 19.0% · Expected 21.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-14 · Fire 2024-03-14
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-01-26 · Fire 2023-01-26
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-03-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-16
D · Potential for more than minimal harm
2023-01-26
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-03
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-21
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 2025-09-30
D · Potential for more than minimal harm
2025-08-21
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-08-21
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-08-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-08-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
D · Potential for more than minimal harm
2024-03-14
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-14
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-16
D · Potential for more than minimal harm
2024-03-14
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 2024-04-16
D · Potential for more than minimal harm
2023-01-26
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-03-03
Penalties and ownership
What sits behind the stars
Ownership
Pmga2 Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Ensh Consulting LLC
5% Or Greater Indirect Ownership Interest · Organization
Donath, Barry
W-2 Managing Employee · Individual
Empire Care Centers LLC
Operational/Managerial Control · Organization
Heller, Shlomo
5% Or Greater Indirect Ownership Interest · Individual
Heller, Shlomo
Operational/Managerial Control · Individual
Heller, Shlomo
Corporate Officer · Individual
Karling Lott, Linda
W-2 Managing Employee · Individual
Nussbaum, Ephraim
5% Or Greater Indirect Ownership Interest · Individual
Nussbaum, Ephraim
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Roswell Center For Nursing And Healing LLC
Roswell, GA
1-star overall rating with 1-star inspections with $206,486 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
A.g. Rhodes Home, Inc - Cobb
Marietta, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Sandy Springs Center For Nursing And Healing LLC
Atlanta, GA
1-star overall rating with 1-star inspections with $23,989 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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