41 health deficiencies
Top issue: Resident Rights (8 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Atlanta, GA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $14,842 in total fines with 41 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2920 Pharr Court South Nw, Atlanta, GA
(404) 261-9043
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
220
Certified beds
Average residents
212
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wellington Health Care Services
Operator or chain grouping
Approved since
1971-12-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.24
Registered nurse staffing
LPN hours / resident day
0.50
Licensed practical nurse staffing
Aide hours / resident day
2.15
Nurse aide staffing
Weekend hours
2.44
Weekend nurse staffing
RN turnover
79%
Annual RN turnover
Total nurse turnover
67%
Annual nurse turnover
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 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.0
0.5 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 45.9% |
91.2%
45.3 pts worse
|
93.4%
47.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 41.2% |
95.0%
53.8 pts worse
|
95.5%
54.3 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.2%
1.2 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
9.6%
7.6 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 11.2% |
5.9%
5.3 pts worse
|
5.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.9% |
20.7%
14.8 pts better
|
19.6%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.0% |
21.4%
3.6 pts worse
|
16.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.0% |
17.9%
2.9 pts better
|
16.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
16.2%
0.6 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.1%
0.7 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
2.5%
2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
16.1%
8.3 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.2%
0.9 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 8.7% |
80.4%
71.7 pts worse
|
81.7%
73 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
12.2%
2.1 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.9% |
2.2%
4.7 pts worse
|
1.6%
5.3 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 13.0% |
78.2%
65.2 pts worse
|
79.7%
66.7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.0% |
24.2%
8.8 pts worse
|
23.9%
9.1 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (8 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-08-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-25
Fire Safety
Install proper backup exit lighting.
Corrected 2023-10-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-22
Inspection history
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2026-02-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-02-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-11
Health
Respond appropriately to all alleged violations.
Corrected 2026-02-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-11
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-05
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-08-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-05
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-05
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-05
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-05
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-08-05
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-05
Health
Dispose of garbage and refuse properly.
Corrected 2025-08-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-05
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-08-05
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-08-05
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-08-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-05
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-05
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-08-05
Health
Provide information about how to apply for and use Medicare and Medicaid benefits.
Corrected 2025-04-18
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-04-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-18
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-18
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2025-04-18
Health
Post nurse staffing information every day.
Corrected 2025-04-18
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-09-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-09-15
Health
Keep all essential equipment working safely.
Corrected 2024-09-15
Health
Put firmly secured handrails on each side of hallways.
Corrected 2024-09-15
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-15
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-09-15
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 2024-09-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-15
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2024-09-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-09-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-01
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-09-15
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-09-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-15
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-09-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-15
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-09-15
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-09-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-15
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-09-15
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-10-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-10-22
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-22
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 2023-10-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-10-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-22
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-10-22
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 2023-10-22
Health
Provide or obtain dental services for each resident.
Corrected 2023-10-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-22
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-10-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-08
Health
Dispose of garbage and refuse properly.
Corrected 2022-02-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-02-08
Penalties and ownership
Fine · fine $5,346
Fine
Payment Denial · denial start 2024-09-19 · 43 days
43 day denial
Fine · fine $2,659
Fine
Fine · fine $2,279
Fine
Fine · fine $4,558
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
General Partnership Interest · Organization
Corporate Officer · Individual
Limited Partnership Interest · Organization
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