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
1345 Redmond Circle, Rome, GA
(706) 234-8281
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 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
Harborview Health Systems
Operator or chain grouping
Approved since
1989-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 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
RN hours / resident day
0.57
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.27
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
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,469
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.28
Baseline 23.43% · Performance 19.73% · Measure score 5.28 · Achievement 3.67 · Improvement 5.28
Healthcare-associated infections
0.85
Baseline 8.42% · Performance 7.95% · Measure score 0.85 · Achievement 0 · Improvement 0.85
Total nurse turnover
1.35
Baseline 51.22% · Performance 58.16% · Measure score 1.35 · Achievement 1.35 · Improvement 0
Adjusted total nurse staffing
0.62
Baseline 2.93 hours · Performance 3.25 hours · Measure score 0.62 · Achievement 0.61 · Improvement 0.62
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 199 · Observed rate 13.07% · Lower 95% interval 8.45% |
| Discharge to community | 53.11% |
50.57%
2.5 pts better
|
No Different than the National Rate · Eligible stays 193 · Observed rate 42.49% · Lower 95% interval 44.8% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 123 · Denominator 123 |
| Falls with major injury | 1.63% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 123 |
| Discharge self-care score | 32.73% |
53.69%
21 pts worse
|
Numerator 18 · Denominator 55 |
| Discharge mobility score | 25.45% |
50.94%
25.5 pts worse
|
Numerator 14 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 1.63% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 123 · Adjusted rate 1.48% |
| Healthcare-associated infections requiring hospitalization | 7.96% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 120 · Observed rate 10% · Lower 95% interval 5.37% |
| Staff COVID-19 vaccination coverage | 8.15% |
8.2%
About the same
|
Numerator 11 · Denominator 135 |
| Staff flu vaccination coverage | 46.52% |
42%
4.5 pts better
|
Numerator 87 · Denominator 187 |
| Discharge function score | 32.73% |
56.45%
23.7 pts worse
|
Numerator 18 · Denominator 55 |
| Transfer of health information to provider | 94.64% |
95.95%
1.3 pts worse
|
Numerator 53 · Denominator 56 |
| Transfer of health information to patient | 90.24% |
96.28%
6 pts worse
|
Numerator 37 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 29.09% |
25.2%
3.9 pts better
|
Numerator 16 · Denominator 55 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.2
0.5 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · 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 98.5% · Q2 96.9% · Q3 100.0% · Q4 98.4% · 4Q avg 98.4% |
| 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 | 3.9% |
3.2%
0.7 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.6% · Q3 3.2% · Q4 1.6% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.9% |
9.6%
26.3 pts worse
|
11.4%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 39.7% · Q3 40.0% · Q4 31.4% · 4Q avg 35.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.9%
2.2 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.3% · Q3 0.0% · Q4 4.4% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
20.7%
1.6 pts worse
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 20.4% · Q3 23.4% · Q4 25.0% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.9% |
21.4%
2.5 pts better
|
16.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 16.2% · Q3 20.5% · Q4 21.6% · 4Q avg 18.9% · 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 | 23.0% |
17.9%
5.1 pts worse
|
16.3%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
16.2%
4.1 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 8.7% · Q3 8.9% · Q4 14.0% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.1%
0.8 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 6.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.5%
1.7 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.3% |
16.1%
5.8 pts better
|
19.8%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 12.6% · Q3 8.3% · Q4 7.6% · 4Q avg 10.3% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
6.2%
1.9 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.7% · Q3 4.9% · Q4 10.7% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.6% |
80.4%
9.2 pts better
|
81.7%
7.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 87.7% · Q3 90.9% · Q4 91.3% · 4Q avg 89.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.5% |
12.2%
10.3 pts worse
|
12.0%
10.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 25.0% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
2.2%
0.7 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.4% · Q4 2.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.3% |
78.2%
0.1 pts better
|
79.7%
1.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
24.2%
3 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 36.0% · Expected 31.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
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 2025-12-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-02
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-29
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-30
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-07-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-13
Health
Provide activities to meet all resident's needs.
Corrected 2024-09-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Nearby options
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Rome, GA
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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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