2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Rome, GA
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
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
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
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
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
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
| 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
| 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
Top issue: Pharmacy Service (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-31
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-31
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
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-07
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-03-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-03-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-22
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-19
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2023-02-19
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-07
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-07
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-22
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-03-22
Health
Keep all essential equipment working safely.
Corrected 2024-03-22
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-22
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-22
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
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
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-02-19
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
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-19
Penalties and ownership
Fine · fine $88,205
Fine
Payment Denial · denial start 2024-02-16 · 35 days
35 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Rome, GA
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
Rome, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Rome, GA
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
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