Monroe, GA

Park Place Nursing Facility

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1865 Bold Springs Road, Monroe, GA

(770) 267-8677

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

175

Certified beds

Average residents

157

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Michael Feist

Operator or chain grouping

Approved since

1993-11-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 4 overall / 3 health / 2 staffing / 4 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

0.46

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.34

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.86

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.66

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.81

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

0.14

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.65

Higher values indicate more complex resident acuity

RN turnover

76%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,866

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

Performance score

14.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.78

Baseline 20.89% · Performance 21.07% · Measure score 0.78 · Achievement 0.78 · Improvement 0

Healthcare-associated infections

0

Baseline 9.04% · Performance 8.89% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.84

Baseline 73.91% · Performance 52.60% · Measure score 3.84 · Achievement 2.71 · Improvement 3.84

Adjusted total nurse staffing

1.35

Baseline 3.10 hours · Performance 3.46 hours · Measure score 1.35 · Achievement 1.35 · Improvement 0.85

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.26%
10.72%
0.5 pts better
No Different than the National Rate · Eligible stays 437 · Observed rate 10.3% · Lower 95% interval 8.21%
Discharge to community 60.6%
50.57%
10 pts better
Better than the National Rate · Eligible stays 459 · Observed rate 52.07% · Lower 95% interval 54.3%
Medicare spending per beneficiary 1.41
1.02
0.4 pts worse
Drug regimen review with follow-up 95.62%
95.27%
0.4 pts better
Numerator 437 · Denominator 457
Falls with major injury 0.66%
0.77%
0.1 pts better
Numerator 3 · Denominator 457
Discharge self-care score 46.23%
53.69%
7.5 pts worse
Numerator 141 · Denominator 305
Discharge mobility score 49.84%
50.94%
1.1 pts worse
Numerator 152 · Denominator 305
Pressure ulcers or injuries, new or worsened 3.95%
2.29%
1.7 pts worse
Numerator 18 · Denominator 456 · Adjusted rate 3.49%
Healthcare-associated infections requiring hospitalization 8.89%
7.12%
1.8 pts worse
No Different than the National Rate · Eligible stays 334 · Observed rate 9.58% · Lower 95% interval 6.84%
Staff COVID-19 vaccination coverage 4.4%
8.2%
3.8 pts worse
Numerator 11 · Denominator 250
Staff flu vaccination coverage 6.84%
42%
35.2 pts worse
Numerator 16 · Denominator 234
Discharge function score 53.44%
56.45%
3 pts worse
Numerator 163 · Denominator 305
Transfer of health information to provider 98.31%
95.95%
2.4 pts better
Numerator 232 · Denominator 236
Transfer of health information to patient 98.9%
96.28%
2.6 pts better
Numerator 179 · Denominator 181
Resident COVID-19 vaccinations up to date 24.32%
25.2%
0.9 pts worse
Numerator 63 · Denominator 259

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.2
0.3 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.0
0.4 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
91.2%
8.2 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.3%
95.0%
8.7 pts worse
95.5%
9.2 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.3%
Percentage of long-stay residents experiencing one or more falls with major injury 5.8%
3.2%
2.6 pts worse
3.3%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.0% · Q3 6.4% · Q4 5.3% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 16.2%
9.6%
6.6 pts worse
11.4%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.3% · Q3 38.1% · Q4 21.9% · 4Q avg 16.2%
Percentage of long-stay residents who lose too much weight 6.6%
5.9%
0.7 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.7% · Q3 6.2% · Q4 10.2% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.5%
20.7%
1.2 pts better
19.6%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 19.0% · Q3 21.7% · Q4 17.7% · 4Q avg 19.5%
Percentage of long-stay residents who received an antipsychotic medication 13.7%
21.4%
7.7 pts better
16.7%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 17.4% · Q3 11.3% · Q4 9.3% · 4Q avg 13.7% · 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 3.8%
17.9%
14.1 pts better
16.3%
12.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 3.3% · Q4 8.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.8%
16.2%
6.4 pts better
14.9%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 16.9% · Q3 9.0% · Q4 8.3% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.1%
0.8 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.6%
2.5%
0.1 pts worse
1.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 5.6% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.5%
16.1%
9.6 pts better
19.8%
13.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.7% · Q3 6.1% · Q4 1.3% · 4Q avg 6.5%
Percentage of long-stay residents with pressure ulcers 7.6%
6.2%
1.4 pts worse
5.1%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 9.4% · Q3 8.5% · Q4 6.5% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
80.4%
12.7 pts better
81.7%
11.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 91.3% · Q2 92.0% · Q3 95.4% · Q4 93.5% · 4Q avg 93.1%
Percentage of short-stay residents who had an outpatient emergency department visit 13.5%
12.2%
1.3 pts worse
12.0%
1.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 14.2% · Expected 11.8% · 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 0.7% · Q2 1.9% · Q3 2.1% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.3%
78.2%
6.1 pts better
79.7%
4.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.0%
24.2%
2.2 pts better
23.9%
1.9 pts better
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 27.2% · Expected 29.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-01-20 · Fire 2023-01-20

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-09-17 · Fire 2021-09-17

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-05-23

D · Potential for more than minimal harm 2023-01-20

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-03-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

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 2025-05-23

D · Potential for more than minimal harm 2025-04-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-05-23

D · Potential for more than minimal harm 2025-04-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-10

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 2025-05-23

D · Potential for more than minimal harm 2024-02-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-13

C · Minimal harm 2024-02-28

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2024-04-13

D · Potential for more than minimal harm 2023-01-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

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 2023-03-06

B · Minimal harm 2023-01-20

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-03-06

D · Potential for more than minimal harm 2021-09-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2021-11-01

D · Potential for more than minimal harm 2021-09-17

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2021-11-01

Penalties and ownership

What sits behind the stars

Ownership

Park Place Operations Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-11-01
Feist, Michael

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2021-11-01
Feist, Michael

Operational/Managerial Control · Individual

0% 7 facilities 2021-11-01
Feist, Michael

Corporate Director · Individual

0% 7 facilities 2021-11-01
Murray, Elmer

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 1992-10-02
Murray, Elmer

Operational/Managerial Control · Individual

0% 1 facilities 1979-01-01
Murray, Elmer

Corporate Director · Individual

0% 1 facilities 2003-07-21
Park Place Operations Holdings Parent LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-11-01

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