Cycle 1
Health 2026-01-11 · Fire 2026-01-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Rome, GA
Magnolia Place Nursing And Rehabilitation
5-star overall rating with 5-star inspections
500 Eagle Lake Trail, Rome, GA
(706) 728-3600
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
34
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2021-05-20
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
1.61
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
3.17
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.88
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
2.71
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
5.28
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.65
CMS adjusted RN staffing hours
Adjusted total hours
6.04
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,464
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.65
Composite VBP score used to determine payment impact.
Payment multiplier
1.0036
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.97
Baseline 19.39% · Performance 19.13% · Measure score 4.97 · Achievement 4.97 · Improvement 0.62
Healthcare-associated infections
3.89
Baseline 7.00% · Performance 6.67% · Measure score 3.89 · Achievement 3.89 · Improvement 1.15
Total nurse turnover
3.88
Performance 47.83% · Measure score 3.88 · Achievement 3.88 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.12
Performance 5.10 hours · Measure score 7.12 · Achievement 7.12 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 7.46% · Lower 95% interval 6.39% |
| Discharge to community | 59.6% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 134 · Observed rate 56.72% · Lower 95% interval 50.64% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.03% |
95.27%
1.8 pts better
|
Numerator 98 · Denominator 101 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 101 |
| Discharge self-care score | 66.22% |
53.69%
12.5 pts better
|
Numerator 49 · Denominator 74 |
| Discharge mobility score | 58.11% |
50.94%
7.2 pts better
|
Numerator 43 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 2.97% |
2.29%
0.7 pts worse
|
Numerator 3 · Denominator 101 · Adjusted rate 2.66% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 4.65% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 1.31% |
8.2%
6.9 pts worse
|
Numerator 2 · Denominator 153 |
| Staff flu vaccination coverage | 16.3% |
42%
25.7 pts worse
|
Numerator 45 · Denominator 276 |
| Discharge function score | 71.62% |
56.45%
15.2 pts better
|
Numerator 53 · Denominator 74 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 49 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 30.19% |
25.2%
5 pts better
|
Numerator 16 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 98.4% |
| 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 · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.9% |
9.6%
2.7 pts better
|
11.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% |
| Percentage of long-stay residents who lose too much weight | 17.2% |
5.9%
11.3 pts worse
|
5.4%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
20.7%
6.9 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
21.4%
1.4 pts better
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
16.2%
3.2 pts better
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.5%
0.7 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.2% |
16.1%
0.9 pts better
|
19.8%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.2% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
6.2%
4 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.6% |
80.4%
2.2 pts better
|
81.7%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 79.5% · Q3 87.7% · Q4 89.8% · 4Q avg 82.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
12.2%
6.7 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.3% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
2.2%
0.5 pts better
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.2% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.8% |
78.2%
4.4 pts worse
|
79.7%
5.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
24.2%
1.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 26.3% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-15 · Fire 2024-09-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-01-15 · Fire 2023-01-15
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2023-01-15
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-01-15
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 2023-03-01
D · Potential for more than minimal harm
2023-01-15
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 2023-03-01
D · Potential for more than minimal harm
2023-01-15
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 2023-03-01
D · Potential for more than minimal harm
2023-01-15
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 2023-03-01
Penalties and ownership
What sits behind the stars
Ownership
Lavender Mountain Senior Living, Inc.
5% Or Greater Direct Ownership Interest · Organization
Alonso, Jessica
Operational/Managerial Control · Individual
Anderson, Susan
Corporate Officer · Individual
Bennett, John
Corporate Officer · Individual
Briggs, Stephen
Corporate Officer · Individual
Burges, Kevin
Operational/Managerial Control · Individual
Erb, Brian
Corporate Officer · Individual
Jackson, Ali
Operational/Managerial Control · Individual
Lancaster, Nicholas
Operational/Managerial Control · Individual
Langston, Nicole
Operational/Managerial Control · Individual
Lavender Mountain Senior Living, Inc.
Operational/Managerial Control · Organization
Pearson, Joseph
Operational/Managerial Control · Individual
Wright, Cecil
Corporate Officer · Individual
Nearby options
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Harborview Rome
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#2
Pruitthealth - Rome
Rome, GA
2-star overall rating with 1-star inspections with $17,345 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Fifth Avenue Health Care
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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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