Rome, GA

Fifth Avenue Health Care

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

505 North Fifth Avenue, Rome, GA

(706) 291-0521

Compare this facility

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

Facility snapshot

Beds

100

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Reliable Health Care Management

Operator or chain grouping

Approved since

1983-10-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 3 overall / 4 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

0.18

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.11

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.18

CMS adjusted RN staffing hours

Adjusted total hours

3.39

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

37%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,553

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

Performance score

11.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 21.25% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.69

Baseline 11.38% · Performance 8.06% · Measure score 4.69 · Achievement 0 · Improvement 4.69

Total nurse turnover

0

Baseline 43.86% · Performance 67.31% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.61 hours · Performance 3.20 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.51%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 4.44% · Lower 95% interval 6.63%
Discharge to community	49.12%	50.57% 1.5 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 43.33% · Lower 95% interval 35.88%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 37 · Denominator 37
Falls with major injury	8.11%	0.77% 7.3 pts worse	Numerator 3 · Denominator 37
Discharge self-care score	42.86%	53.69% 10.8 pts worse	Numerator 9 · Denominator 21
Discharge mobility score	61.9%	50.94% 11 pts better	Numerator 13 · Denominator 21
Pressure ulcers or injuries, new or worsened	5.41%	2.29% 3.1 pts worse	Numerator 2 · Denominator 37 · Adjusted rate 4.81%
Healthcare-associated infections requiring hospitalization	8.06%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 12.5% · Lower 95% interval 4.19%
Staff COVID-19 vaccination coverage	3.7%	8.2% 4.5 pts worse	Numerator 3 · Denominator 81
Staff flu vaccination coverage	57.5%	42% 15.5 pts better	Numerator 69 · Denominator 120
Discharge function score	57.14%	56.45% 0.7 pts better	Numerator 12 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	8%	25.2% 17.2 pts worse	Numerator 2 · Denominator 25

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 1.8 · 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 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	91.2% 7.2 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.0% · Q4 96.9% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.4%	95.0% 3.4 pts better	95.5% 2.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of long-stay residents experiencing one or more falls with major injury	4.8%	3.2% 1.6 pts worse	3.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 5.0% · Q3 3.0% · Q4 3.1% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.2%	9.6% 6.4 pts better	11.4% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.0% · Q3 1.7% · Q4 3.6% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight	13.7%	5.9% 7.8 pts worse	5.4% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 10.2% · Q3 18.5% · Q4 14.8% · 4Q avg 13.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.0%	20.7% 1.7 pts better	19.6% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 19.6% · Q3 18.2% · Q4 21.4% · 4Q avg 19.0%
Percentage of long-stay residents who received an antipsychotic medication	20.5%	21.4% 0.9 pts better	16.7% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 18.4% · Q3 21.6% · Q4 25.6% · 4Q avg 20.5% · 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	19.8%	17.9% 1.9 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 15.5% · Q3 24.8% · Q4 28.0% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.5%	16.2% 0.7 pts better	14.9% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 10.6% · Q3 23.5% · Q4 14.0% · 4Q avg 15.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	1.1% 0.4 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.5%	2.5% 5 pts worse	1.7% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 1.7% · Q3 6.1% · Q4 12.7% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.6%	16.1% 11.5 pts worse	19.8% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 31.9% · Q3 21.1% · Q4 27.9% · 4Q avg 27.6%
Percentage of long-stay residents with pressure ulcers	5.0%	6.2% 1.2 pts better	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.1% · Q3 7.0% · Q4 3.9% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.8%	80.4% 0.4 pts better	81.7% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 78.3% · 4Q avg 80.8%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	12.2% 5.8 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.4% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	69.6%	78.2% 8.6 pts worse	79.7% 10.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 69.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.1%	24.2% 0.9 pts worse	23.9% 1.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 25.5% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-21 · Fire 2024-06-21

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-11-20 · Fire 2022-11-20

2 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-08-28

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 2025-11-18

D · Potential for more than minimal harm 2025-08-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-11-18

E · Potential for more than minimal harm 2024-06-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-21

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 2024-07-24

D · Potential for more than minimal harm 2024-06-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-24

E · Potential for more than minimal harm 2022-11-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-01-04

E · Potential for more than minimal harm 2022-11-20

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 2023-01-04

D · Potential for more than minimal harm 2022-11-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-01-04

D · Potential for more than minimal harm 2022-11-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-01-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-28

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-10-12

F · Potential for more than minimal harm 2025-08-28

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 2025-10-12

F · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-08-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

D · Potential for more than minimal harm 2025-08-28

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 2025-10-12

G · Actual harm 2024-06-21

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 2024-07-24

G · Actual harm 2024-06-21

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-21

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 2024-07-24

D · Potential for more than minimal harm 2024-06-21

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-21

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 2024-07-24

F · Potential for more than minimal harm 2022-11-20

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 2023-02-03

D · Potential for more than minimal harm 2022-11-20

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-01-04

Penalties and ownership

What sits behind the stars

$4,256 2024-06-21

Fine

Fine · fine $4,256

Fine

$4,256 2024-06-21

Fine

Fine · fine $4,256

Fine

Ownership

Employee Stock Ownership Plan Of Select Health Care Inc Trust

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2009-07-01

Bilbo, Richard