Atlanta, GA

Perimeter Rehabilitation Suites By Harborview

0-star overall rating with 0-star inspections with Special Focus status with $309,850 in total fines with 34 recent health deficiencies

5470 Meridian Mark Road, Bldg E, Atlanta, GA

(404) 256-5131

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

240

Certified beds

Average residents

217

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Harborview Health Systems

Operator or chain grouping

Approved since

1979-07-26

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

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.83

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.83

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.07

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.40

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.18

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

0.32

CMS adjusted RN staffing hours

Adjusted total hours

2.41

CMS adjusted total nurse staffing hours

Case-mix index

1.74

Higher values indicate more complex resident acuity

RN turnover

61%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,833

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

Performance score

10.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.85

Baseline 19.57% · Performance 20.57% · Measure score 1.85 · Achievement 1.85 · Improvement 0

Healthcare-associated infections

2.23

Baseline 7.22% · Performance 7.17% · Measure score 2.23 · Achievement 2.23 · Improvement 0

Total nurse turnover

0

Performance 63.13% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.01 hours · Performance 2.55 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.97%
10.72%
1.2 pts worse
No Different than the National Rate · Eligible stays 139 · Observed rate 15.11% · Lower 95% interval 8.61%
Discharge to community 50.67%
50.57%
0.1 pts better
No Different than the National Rate · Eligible stays 155 · Observed rate 36.13% · Lower 95% interval 40.81%
Medicare spending per beneficiary 0.95
1.02
0.1 pts better
Drug regimen review with follow-up 98.67%
95.27%
3.4 pts better
Numerator 74 · Denominator 75
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 75
Discharge self-care score 55.81%
53.69%
2.1 pts better
Numerator 24 · Denominator 43
Discharge mobility score 30.23%
50.94%
20.7 pts worse
Numerator 13 · Denominator 43
Pressure ulcers or injuries, new or worsened 2.67%
2.29%
0.4 pts worse
Numerator 2 · Denominator 75 · Adjusted rate 1.83%
Healthcare-associated infections requiring hospitalization 7.17%
7.12%
About the same
No Different than the National Rate · Eligible stays 72 · Observed rate 9.72% · Lower 95% interval 4.57%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 292
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 48.84%
56.45%
7.6 pts worse
Numerator 21 · Denominator 43
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 30 · Denominator 30
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date 21.95%
25.2%
3.2 pts worse
Numerator 9 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.2
0.2 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.4 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.0
About the same
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.2%
91.2%
3 pts worse
93.4%
5.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 84.9% · Q3 91.7% · Q4 91.1% · 4Q avg 88.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77.7%
95.0%
17.3 pts worse
95.5%
17.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
3.2%
1 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 2.1% · Q4 2.6% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 55.0%
9.6%
45.4 pts worse
11.4%
43.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 58.7% · Q2 52.8% · Q3 52.5% · Q4 56.2% · 4Q avg 55.0%
Percentage of long-stay residents who lose too much weight 4.3%
5.9%
1.6 pts better
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 5.4% · Q3 4.4% · Q4 1.1% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.2%
20.7%
3.5 pts better
19.6%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 16.7% · Q3 18.5% · Q4 17.6% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication 13.9%
21.4%
7.5 pts better
16.7%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 10.6% · Q3 16.7% · Q4 15.8% · 4Q avg 13.9% · 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 4.8%
17.9%
13.1 pts better
16.3%
11.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.5% · Q3 3.4% · Q4 1.9% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.1%
16.2%
13.1 pts better
14.9%
11.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.7% · Q3 2.4% · Q4 2.3% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.1%
1.1%
2 pts worse
1.0%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.0% · Q3 2.0% · Q4 2.4% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.1%
16.1%
12 pts better
19.8%
15.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.0% · Q3 6.8% · Q4 4.0% · 4Q avg 4.1%
Percentage of long-stay residents with pressure ulcers 8.6%
6.2%
2.4 pts worse
5.1%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.6% · Q3 8.2% · Q4 8.3% · 4Q avg 8.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.1%
80.4%
26.3 pts worse
81.7%
27.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 39.2% · Q2 41.7% · Q3 53.5% · Q4 82.1% · 4Q avg 54.1%
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
12.2%
2.8 pts better
12.0%
2.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 11.1% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
2.2%
0.3 pts better
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.7% · Q3 2.0% · Q4 0.9% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 48.0%
78.2%
30.2 pts worse
79.7%
31.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.7%
24.2%
4.5 pts worse
23.9%
4.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 38.3% · Expected 31.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-17 · Fire 2025-06-17

34 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-10-13 · Fire 2023-10-13

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-12-03 · Fire 2021-12-03

7 health deficiencies

Top issue: Pharmacy Service (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 2023-10-13

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-27

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-21

D · Potential for more than minimal harm 2025-12-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-21

J · Immediate jeopardy 2025-06-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-13

J · Immediate jeopardy 2025-06-17

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-09-13

J · Immediate jeopardy 2025-06-17

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-09-13

G · Actual harm 2025-06-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F585 · Resident Rights Deficiencies

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 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F725 · Nursing and Physician Services Deficiencies

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 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F727 · Nursing and Physician Services Deficiencies

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 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F838 · Administration Deficiencies

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 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-13

F · Potential for more than minimal harm 2025-06-17

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2025-09-13

E · Potential for more than minimal harm 2025-06-17

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-09-13

E · Potential for more than minimal harm 2025-06-17

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 2025-09-13

E · Potential for more than minimal harm 2025-06-17

F584 · Resident Rights Deficiencies

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 2025-09-13

E · Potential for more than minimal harm 2025-06-17

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 2025-09-13

E · Potential for more than minimal harm 2025-06-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

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 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

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 2025-09-13

D · Potential for more than minimal harm 2025-06-17

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 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F688 · Quality of Life and Care Deficiencies

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 2025-09-13

D · Potential for more than minimal harm 2025-06-17

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-09-13

D · Potential for more than minimal harm 2024-01-10

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 2024-02-09

E · Potential for more than minimal harm 2023-10-13

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 2023-11-27

E · Potential for more than minimal harm 2023-10-13

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 2023-11-27

D · Potential for more than minimal harm 2023-10-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-13

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 2023-11-27

D · Potential for more than minimal harm 2023-10-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-27

F · Potential for more than minimal harm 2023-07-21

F725 · Nursing and Physician Services Deficiencies

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 2023-09-04

F · Potential for more than minimal harm 2023-07-21

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 2023-09-04

E · Potential for more than minimal harm 2023-07-21

F584 · Resident Rights Deficiencies

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 2023-09-04

D · Potential for more than minimal harm 2023-07-21

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-09-04

D · Potential for more than minimal harm 2021-12-03

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 2022-01-17

D · Potential for more than minimal harm 2021-12-03

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 2022-01-17

Penalties and ownership

What sits behind the stars

$309,850 2025-06-17

Fine

Fine · fine $309,850

Fine

Ownership

Ga Nc 14, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 2022-04-01
Cl 2022 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

50% 18 facilities 2022-04-01
De 2021 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

50% 18 facilities 2022-04-01
Englander, David

Corporate Officer · Individual

0% 17 facilities 2022-04-01
Leibowitz, Chaim

Corporate Officer · Individual

0% 22 facilities 2022-04-01
Martin, Matthew

W-2 Managing Employee · Individual

0% 1 facilities 2022-04-01

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