1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Dalton, GA
4-star overall rating with 4-star inspections with $8,512 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1115 Professional Blvd, Dalton, GA
(706) 226-4642
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
82
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-05-01
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
0.41
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.22
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.40
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
0.44
CMS adjusted RN staffing hours
Adjusted total hours
4.01
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,808
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9916
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.75% · Performance 21.29% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.59
Baseline 6.61% · Performance 5.27% · Measure score 8.59 · Achievement 8.59 · Improvement 7.81
Total nurse turnover
3.68
Baseline 73.40% · Performance 53.09% · Measure score 3.68 · Achievement 2.59 · Improvement 3.68
Adjusted total nurse staffing
3.13
Baseline 3.64 hours · Performance 3.97 hours · Measure score 3.13 · Achievement 3.13 · Improvement 1.04
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.32% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 168 · Observed rate 10.71% · Lower 95% interval 7.51% |
| Discharge to community | 46.31% |
50.57%
4.3 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 39.69% · Lower 95% interval 36.73% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 142 · Denominator 142 |
| Falls with major injury | 2.11% |
0.77%
1.3 pts worse
|
Numerator 3 · Denominator 142 |
| Discharge self-care score | 61.62% |
53.69%
7.9 pts better
|
Numerator 61 · Denominator 99 |
| Discharge mobility score | 61.62% |
50.94%
10.7 pts better
|
Numerator 61 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 2.14% |
2.29%
0.1 pts better
|
Numerator 3 · Denominator 140 · Adjusted rate 1.99% |
| Healthcare-associated infections requiring hospitalization | 5.27% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 125 · Observed rate 2.4% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 0.9% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 111 |
| Staff flu vaccination coverage | 88.19% |
42%
46.2 pts better
|
Numerator 112 · Denominator 127 |
| Discharge function score | 72.73% |
56.45%
16.3 pts better
|
Numerator 72 · Denominator 99 |
| Transfer of health information to provider | 97.62% |
95.95%
1.7 pts better
|
Numerator 41 · Denominator 42 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 39.51% |
25.2%
14.3 pts better
|
Numerator 32 · Denominator 81 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 4.3% |
3.2%
1.1 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.6% · Q3 2.8% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
9.6%
6.9 pts better
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 3.2% · Q4 4.9% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
5.9%
3.3 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 10.7% · Q3 12.9% · Q4 7.7% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.0% |
20.7%
1.7 pts better
|
19.6%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.7% · Q3 19.7% · Q4 22.9% · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.3% |
21.4%
5.1 pts better
|
16.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 15.2% · Q3 22.9% · Q4 8.0% · 4Q avg 16.3% · 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 | 32.6% |
17.9%
14.7 pts worse
|
16.3%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 57.0% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.0% |
16.2%
16.8 pts worse
|
14.9%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 29.4% · Q3 40.7% · Q4 25.8% · 4Q avg 33.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
1.1%
0.9 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.5%
About the same
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 1.5% · Q4 4.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.2% |
16.1%
13.1 pts worse
|
19.8%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 28.5% · Q3 28.0% · Q4 29.2% · 4Q avg 29.2% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.2%
2.1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.8% · Q3 5.1% · Q4 3.6% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
80.4%
18.9 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.7% · Q3 98.8% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
12.2%
2.4 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 9.5% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
78.2%
20.6 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
24.2%
1 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 22.6% · Expected 23.2% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-21
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-09
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-09
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 2023-04-09
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-04-09
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 2023-04-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-09
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 2023-04-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-09-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-26
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-26
Penalties and ownership
Fine · fine $8,512
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Dalton, GA
5-star overall rating with 4-star inspections with $8,512 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Dalton, GA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Chatsworth, GA
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