7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Atlanta, GA
4-star overall rating with 3-star inspections with 7 recent health deficiencies
1833 Clifton Road, Ne, Atlanta, GA
(404) 728-6500
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
250
Certified beds
Average residents
212
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-01-30
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
RN hours / resident day
0.49
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.23
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
3,220
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9986
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.82
Baseline 20.16% · Performance 20.59% · Measure score 1.82 · Achievement 1.82 · Improvement 0
Healthcare-associated infections
4.31
Baseline 5.16% · Performance 6.55% · Measure score 4.31 · Achievement 4.31 · Improvement 0
Total nurse turnover
8.83
Baseline 100.00% · Performance 29.91% · Measure score 8.83 · Achievement 8.26 · Improvement 8.83
Adjusted total nurse staffing
3.21
Baseline 3.08 hours · Performance 3.99 hours · Measure score 3.21 · Achievement 3.21 · Improvement 2.87
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.25% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 217 · Observed rate 12.44% · Lower 95% interval 8.51% |
| Discharge to community | 67.97% |
50.57%
17.4 pts better
|
Better than the National Rate · Eligible stays 232 · Observed rate 56.47% · Lower 95% interval 61.55% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.1% |
95.27%
3.8 pts better
|
Numerator 220 · Denominator 222 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 222 |
| Discharge self-care score | 60.4% |
53.69%
6.7 pts better
|
Numerator 61 · Denominator 101 |
| Discharge mobility score | 54.46% |
50.94%
3.5 pts better
|
Numerator 55 · Denominator 101 |
| Pressure ulcers or injuries, new or worsened | 2.25% |
2.29%
About the same
|
Numerator 5 · Denominator 222 · Adjusted rate 2.14% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 5.77% · Lower 95% interval 4.07% |
| Staff COVID-19 vaccination coverage | 12.5% |
8.2%
4.3 pts better
|
Numerator 29 · Denominator 232 |
| Staff flu vaccination coverage | 10.48% |
42%
31.5 pts worse
|
Numerator 46 · Denominator 439 |
| Discharge function score | 62.38% |
56.45%
5.9 pts better
|
Numerator 63 · Denominator 101 |
| Transfer of health information to provider | 99.25% |
95.95%
3.3 pts better
|
Numerator 132 · Denominator 133 |
| Transfer of health information to patient | 93.75% |
96.28%
2.5 pts worse
|
Numerator 60 · Denominator 64 |
| Resident COVID-19 vaccinations up to date | 14.86% |
25.2%
10.3 pts worse
|
Numerator 22 · Denominator 148 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.2
0.4 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.9% |
91.2%
4.3 pts worse
|
93.4%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 91.4% · Q3 77.5% · Q4 84.1% · 4Q avg 86.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
95.0%
0.3 pts worse
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.2%
2.6 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
9.6%
3.5 pts better
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 11.0% · Q4 11.1% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.9%
0.7 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.4% · Q3 8.4% · Q4 4.8% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.8% |
20.7%
15.9 pts better
|
19.6%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.2% · Q3 5.9% · Q4 3.6% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.9% |
21.4%
11.5 pts better
|
16.7%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 8.8% · Q3 10.9% · Q4 9.5% · 4Q avg 9.9% · 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 | 7.8% |
17.9%
10.1 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.4% · Q3 7.3% · Q4 5.9% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
16.2%
6.9 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 12.9% · Q3 6.6% · Q4 7.7% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.1%
About the same
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.1% · Q3 0.0% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.5%
0.5 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.3% · Q3 0.0% · Q4 2.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% |
16.1%
2.7 pts worse
|
19.8%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 16.0% · Q3 25.6% · Q4 23.1% · 4Q avg 18.8% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.2%
About the same
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.4% · Q3 9.0% · Q4 6.3% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.4% |
80.4%
36 pts worse
|
81.7%
37.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 37.5% · Q3 43.2% · Q4 50.6% · 4Q avg 44.4% |
| 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 · Adjusted 14.3% · Observed 14.5% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.6% · Q4 0.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.2% |
78.2%
45 pts worse
|
79.7%
46.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 33.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
24.2%
1.2 pts better
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 24.9% · Expected 25.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-18
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2022-09-08
Inspection history
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 2025-07-13
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-30
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-11-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-18
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 2024-01-18
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-15
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-15
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-28
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-09-28
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-09-28
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2022-09-28
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-09-28
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-09-28
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 2022-09-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-28
Penalties and ownership
Corporate Officer · Individual
Contracted Managing Employee · Individual
Nearby options
Atlanta, GA
3-star overall rating with 3-star inspections with 5 recent health deficiencies
Atlanta, GA
4-star overall rating with 3-star inspections with $8,018 in total fines with 5 recent health deficiencies
Atlanta, GA
2-star overall rating with 2-star inspections with abuse icon flag with $23,472 in total fines with 17 recent health deficiencies
Jump out