14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Atlanta, GA
2-star overall rating with 1-star inspections with $15,268 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
3535 Ashton Woods Drive Ne, Atlanta, GA
(770) 451-0236
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
157
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pruitthealth
Operator or chain grouping
Approved since
1984-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
95 facilities
Chain averages 3 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
RN hours / resident day
0.76
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.55
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
0.61
CMS adjusted RN staffing hours
Adjusted total hours
2.84
CMS adjusted total nurse staffing hours
Case-mix index
1.69
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,529
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.38
Baseline 22.13% · Performance 20.66% · Measure score 2.38 · Achievement 1.67 · Improvement 2.38
Healthcare-associated infections
4.91
Baseline 7.78% · Performance 6.37% · Measure score 4.91 · Achievement 4.91 · Improvement 4.57
Total nurse turnover
5.74
Baseline 53.12% · Performance 40.22% · Measure score 5.74 · Achievement 5.74 · Improvement 4.07
Adjusted total nurse staffing
0
Baseline 3.19 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 16.22% |
10.72%
5.5 pts worse
|
Worse than the National Rate · Eligible stays 170 · Observed rate 22.94% · Lower 95% interval 12.74% |
| Discharge to community | 61.16% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 170 · Observed rate 49.41% · Lower 95% interval 52.17% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.82% |
95.27%
3.5 pts better
|
Numerator 84 · Denominator 85 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 85 |
| Discharge self-care score | 67.35% |
53.69%
13.7 pts better
|
Numerator 33 · Denominator 49 |
| Discharge mobility score | 65.31% |
50.94%
14.4 pts better
|
Numerator 32 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 1.18% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 85 · Adjusted rate 1.12% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 85 · Observed rate 5.88% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 134 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 75.51% |
56.45%
19.1 pts better
|
Numerator 37 · Denominator 49 |
| Transfer of health information to provider | 92% |
95.95%
4 pts worse
|
Numerator 23 · Denominator 25 |
| Transfer of health information to patient | 93.02% |
96.28%
3.3 pts worse
|
Numerator 40 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 26.19% |
25.2%
1 pts better
|
Numerator 11 · Denominator 42 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.2
1.1 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.4 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.2%
8.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.2%
2.4 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.0% |
9.6%
2.4 pts worse
|
11.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 10.9% · Q3 8.8% · Q4 7.1% · 4Q avg 12.0% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
5.9%
2.6 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 3.4% · Q4 3.5% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.1% |
20.7%
2.6 pts better
|
19.6%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 15.8% · Q3 18.7% · Q4 20.5% · 4Q avg 18.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.7% |
21.4%
0.7 pts better
|
16.7%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 22.4% · Q3 21.9% · Q4 20.5% · 4Q avg 20.7% · 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 | 3.9% |
17.9%
14 pts better
|
16.3%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.5% · Q3 2.6% · Q4 6.0% · 4Q avg 3.9% · 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 6.5% · Q2 7.8% · Q3 12.6% · Q4 10.7% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.1%
1 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 4.1% · Q3 2.4% · Q4 0.6% · 4Q avg 2.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.6% |
16.1%
8.5 pts better
|
19.8%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.3% · Q3 4.1% · Q4 13.9% · 4Q avg 7.6% |
| Percentage of long-stay residents with pressure ulcers | 10.4% |
6.2%
4.2 pts worse
|
5.1%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 11.3% · Q3 8.8% · Q4 10.7% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
80.4%
19.1 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.5% · Q3 100.0% · Q4 99.5% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
12.2%
1.5 pts better
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 11.4% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
2.2%
0.3 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.7% · Q3 2.5% · Q4 1.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.5% |
78.2%
20.3 pts better
|
79.7%
18.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
24.2%
4.1 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 21.5% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-09
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2020-01-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-05
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-01-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-01-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-01-05
Inspection history
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-12-09
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-09
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 2024-12-09
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-09
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-09
Health
Provide activities to meet all resident's needs.
Corrected 2024-12-09
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 2024-12-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-09
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-19
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 2024-07-19
Health
Provide activities to meet all resident's needs.
Corrected 2024-07-19
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-19
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 2024-07-19
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-19
Health
Assess the resident when there is a significant change in condition
Corrected 2024-07-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-19
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 2024-07-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-19
Health
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected 2024-07-19
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 2024-07-19
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-19
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-07-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-30
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-08-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-30
Health
Dispose of garbage and refuse properly.
Corrected 2022-08-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-05
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 2020-01-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-01-05
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 2020-01-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-05
Health
Provide or obtain dental services for each resident.
Corrected 2020-01-05
Penalties and ownership
Fine · fine $7,634
Fine
Fine · fine $7,634
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
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Atlanta, GA
0-star overall rating with 0-star inspections with Special Focus status with $309,850 in total fines with 34 recent health deficiencies
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