Rome, GA

Etowah Landing

1-star overall rating with 1-star inspections with $88,205 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

809 South Broad Street, Rome, GA

(706) 235-1337

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

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

1989-02-01

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

Staffing

Hours and turnover

RN hours / resident day

0.38

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.17

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

2.81

CMS adjusted total nurse staffing hours

Case-mix index

1.79

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

69%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,262

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.58

Baseline 22.33% · Performance 20.17% · Measure score 3.58 · Achievement 2.72 · Improvement 3.58

Healthcare-associated infections

4.36

Baseline 6.62% · Performance 6.53% · Measure score 4.36 · Achievement 4.36 · Improvement 0.02

Total nurse turnover

2.99

Baseline 67.44% · Performance 52.56% · Measure score 2.99 · Achievement 2.72 · Improvement 2.99

Adjusted total nurse staffing

0

Baseline 3.13 hours · Performance 2.98 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.43%
10.72%
1.3 pts better
No Different than the National Rate · Eligible stays 69 · Observed rate 8.7% · Lower 95% interval 6.53%
Discharge to community 37.53%
50.57%
13 pts worse
No Different than the National Rate · Eligible stays 66 · Observed rate 16.67% · Lower 95% interval 21.43%
Medicare spending per beneficiary 1.11
1.02
0.1 pts worse
Drug regimen review with follow-up 85.29%
95.27%
10 pts worse
Numerator 58 · Denominator 68
Falls with major injury 1.47%
0.77%
0.7 pts worse
Numerator 1 · Denominator 68
Discharge self-care score 34.29%
53.69%
19.4 pts worse
Numerator 12 · Denominator 35
Discharge mobility score 25.71%
50.94%
25.2 pts worse
Numerator 9 · Denominator 35
Pressure ulcers or injuries, new or worsened 1.47%
2.29%
0.8 pts better
Numerator 1 · Denominator 68 · Adjusted rate 0.99%
Healthcare-associated infections requiring hospitalization 6.53%
7.12%
0.6 pts better
No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.49%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 41
Staff flu vaccination coverage 76.92%
42%
34.9 pts better
Numerator 40 · Denominator 52
Discharge function score 40%
56.45%
16.5 pts worse
Numerator 14 · Denominator 35
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 29 · Denominator 29
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 31.25%
25.2%
6.1 pts better
Numerator 10 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.2
0.1 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.0
0.6 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.4 · Expected 1.5 · 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 98.8% · 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 1.6%
3.2%
1.6 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 2.6% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.8%
9.6%
7.8 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.5% · Q3 1.4% · Q4 1.5% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight 5.8%
5.9%
0.1 pts better
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.8% · Q3 5.6% · Q4 4.0% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.0%
20.7%
11.3 pts worse
19.6%
12.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 35.1% · Q3 36.0% · Q4 34.6% · 4Q avg 32.0%
Percentage of long-stay residents who received an antipsychotic medication 12.0%
21.4%
9.4 pts better
16.7%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.9% · Q3 15.7% · Q4 12.7% · 4Q avg 12.0% · 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 5.9%
17.9%
12 pts better
16.3%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.6%
16.2%
9.6 pts better
14.9%
8.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 3.2% · Q3 7.0% · Q4 3.2% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.1%
0.1 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · 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 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.5%
16.1%
5.4 pts worse
19.8%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 25.3% · Q3 24.5% · Q4 20.8% · 4Q avg 21.5%
Percentage of long-stay residents with pressure ulcers 3.5%
6.2%
2.7 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.1% · Q3 3.0% · Q4 2.7% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.2%
80.4%
13.8 pts better
81.7%
12.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 87.3% · Q2 93.8% · Q3 96.8% · Q4 98.3% · 4Q avg 94.2%
Percentage of short-stay residents who had an outpatient emergency department visit 9.2%
12.2%
3 pts better
12.0%
2.8 pts better
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 10.0% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
2.2%
0.9 pts better
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.4%
78.2%
11.2 pts better
79.7%
9.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.1%
24.2%
7.9 pts worse
23.9%
8.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 40.0% · Expected 29.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-12 · Fire 2024-02-12

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-01-05 · Fire 2023-01-05

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-07

F · Potential for more than minimal harm 2025-06-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-06-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-06-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-06-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-07-07

F · Potential for more than minimal harm 2024-02-12

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-22

F · Potential for more than minimal harm 2023-01-05

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 2023-02-19

F · Potential for more than minimal harm 2023-01-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-19

F · Potential for more than minimal harm 2023-01-05

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2023-02-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-12

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-06-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-07

K · Immediate jeopardy 2024-02-12

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 2024-03-22

K · Immediate jeopardy 2024-02-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-22

K · Immediate jeopardy 2024-02-12

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-03-22

K · Immediate jeopardy 2024-02-12

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-12

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 2024-03-22

F · Potential for more than minimal harm 2024-02-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-12

F584 · Resident Rights Deficiencies

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 2024-03-22

D · Potential for more than minimal harm 2024-02-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-12

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 2024-03-22

E · Potential for more than minimal harm 2023-01-05

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 2023-02-19

D · Potential for more than minimal harm 2023-01-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-02-19

D · Potential for more than minimal harm 2023-01-05

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 2023-02-19

D · Potential for more than minimal harm 2023-01-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-02-19

D · Potential for more than minimal harm 2023-01-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-02-19

Penalties and ownership

What sits behind the stars

$88,205 2024-02-12

Fine

Fine · fine $88,205

Fine

$0 2024-02-12

Payment Denial

Payment Denial · denial start 2024-02-16 · 35 days

35 day denial

Ownership

Georgia Pyramid Venture LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2017-10-01
Fischman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

50% 2 facilities 2017-10-01
Fischman, Isaac

5% Or Greater Indirect Ownership Interest · Individual

50% 4 facilities 2017-10-01
Brown, Natasha

Operational/Managerial Control · Individual

0% 1 facilities 2018-01-01
Dunn, Jeffrey

Operational/Managerial Control · Individual

0% 5 facilities 2021-02-12
Dwight Capital LLC

5% Or Greater Security Interest · Organization

0% 4 facilities 2024-01-30
Fischman, Isaac

Operational/Managerial Control · Individual

0% 4 facilities 2017-10-01
Friedlander, Wes

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-12
Gray, Laurie

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-10
Grossman, Gershon

Operational/Managerial Control · Individual

0% 2 facilities 2018-01-01
Lee, Tabitha

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-01
Pyramid Healthcare Management LLC

Operational/Managerial Control · Organization

0% 2 facilities 2017-10-02
Richman, Joseph

Operational/Managerial Control · Individual

0% 2 facilities 2023-04-17
Roco Care LLC

5% Or Greater Security Interest · Organization

0% 2 facilities 2024-01-30
Singh, Brij

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-01
Thomason, Roy

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-03
Turner, Alexandria

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-15

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1-star overall rating with 2-star inspections with $8,512 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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#3

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2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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