Cycle 1
Health 2024-10-31 · Fire 2024-10-31
18 health deficiencies
Top issue: Resident Rights (8 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Conyers, GA
Rockdale Healthcare Center
1-star overall rating with 1-star inspections with $15,971 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1510 Reniassance Drive, Conyers, GA
(770) 483-4480
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
103
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wellington Health Care Services
Operator or chain grouping
Approved since
2001-06-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 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
0.43
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.08
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
0.18
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.27
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,774
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9821
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.21% · Performance 26.76% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.21% · Performance 12.93% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.90
Baseline 46.32% · Performance 35.48% · Measure score 6.90 · Achievement 6.90 · Improvement 4.55
Adjusted total nurse staffing
0.76
Baseline 3.53 hours · Performance 3.29 hours · Measure score 0.76 · Achievement 0.76 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.74% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 210 · Observed rate 11.9% · Lower 95% interval 7.86% |
| Discharge to community | 50.8% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 231 · Observed rate 42.42% · Lower 95% interval 43.58% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 74.1% |
95.27%
21.2 pts worse
|
Numerator 123 · Denominator 166 |
| Falls with major injury | 1.2% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 166 |
| Discharge self-care score | 25.96% |
53.69%
27.7 pts worse
|
Numerator 27 · Denominator 104 |
| Discharge mobility score | 37.5% |
50.94%
13.4 pts worse
|
Numerator 39 · Denominator 104 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 5 · Denominator 165 · Adjusted rate 1.9% |
| Healthcare-associated infections requiring hospitalization | 12.93% |
7.12%
5.8 pts worse
|
Worse than the National Rate · Eligible stays 162 · Observed rate 18.52% · Lower 95% interval 9.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 169 |
| Staff flu vaccination coverage | 9.26% |
42%
32.7 pts worse
|
Numerator 15 · Denominator 162 |
| Discharge function score | 36.54% |
56.45%
19.9 pts worse
|
Numerator 38 · Denominator 104 |
| Transfer of health information to provider | 94.44% |
95.95%
1.5 pts worse
|
Numerator 68 · Denominator 72 |
| Transfer of health information to patient | 96.36% |
96.28%
0.1 pts better
|
Numerator 53 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 29.73% |
25.2%
4.5 pts better
|
Numerator 22 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.2
0.4 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.4 · Expected 1.7 · 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 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.0% |
91.2%
0.8 pts better
|
93.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.7% · Q3 89.0% · Q4 80.8% · 4Q avg 92.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% |
95.0%
1.5 pts better
|
95.5%
1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.2%
0.2 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.6% · Q3 2.7% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
9.6%
8 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.9%
0.1 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 12.3% · Q3 6.2% · Q4 1.7% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3% |
20.7%
9.6 pts worse
|
19.6%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 38.6% · Q3 26.1% · Q4 23.1% · 4Q avg 30.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.3% |
21.4%
8.1 pts better
|
16.7%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 12.7% · Q3 13.0% · Q4 13.2% · 4Q avg 13.3% · 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 | 33.8% |
17.9%
15.9 pts worse
|
16.3%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.5% |
16.2%
11.3 pts worse
|
14.9%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 29.0% · Q3 26.2% · Q4 25.5% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.1%
0.5 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.5% · Q3 2.1% · Q4 1.7% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.5%
1.4 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
16.1%
2.3 pts worse
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 16.5% · Q3 12.4% · Q4 27.8% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
6.2%
1 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.9% · Q3 6.4% · Q4 6.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.9% |
80.4%
3.5 pts worse
|
81.7%
4.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 84.5% · Q3 72.1% · Q4 61.1% · 4Q avg 76.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
12.2%
4.2 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 8.5% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
2.2%
1.4 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.0% · Q3 2.9% · Q4 4.9% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.9% |
78.2%
4.3 pts worse
|
79.7%
5.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.4% |
24.2%
5.2 pts worse
|
23.9%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 34.9% · Expected 28.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-25 · Fire 2023-06-25
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-11-19 · Fire 2021-11-19
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-31
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-12-12
E · Potential for more than minimal harm
2024-10-31
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-29
F578 · Resident Rights Deficiencies
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 2026-02-27
D · Potential for more than minimal harm
2025-07-03
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-07-03
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 2025-08-15
D · Potential for more than minimal harm
2025-07-03
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-07-03
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 2025-08-15
D · Potential for more than minimal harm
2025-07-03
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-07-03
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-07-03
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-15
F · Potential for more than minimal harm
2024-10-31
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-12
F · Potential for more than minimal harm
2024-10-31
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 2024-12-12
E · Potential for more than minimal harm
2024-10-31
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 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-10-31
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 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-10-31
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 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-12-12
G · Actual harm
2023-06-25
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 2023-08-20
G · Actual harm
2023-06-25
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 2023-08-20
G · Actual harm
2023-06-25
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-20
F · Potential for more than minimal harm
2023-06-25
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 2023-10-16
E · Potential for more than minimal harm
2023-06-25
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 2023-08-20
D · Potential for more than minimal harm
2023-06-25
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 2023-08-20
D · Potential for more than minimal harm
2023-06-25
F776 · Administration Deficiencies
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-08-20
D · Potential for more than minimal harm
2021-11-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-02
Penalties and ownership
What sits behind the stars
$4,885
2023-06-25
Fine
Fine · fine $4,885
Fine
$4,885
2023-06-25
Fine
Fine · fine $4,885
Fine
$6,201
2023-06-25
Fine
Fine · fine $6,201
Fine
Ownership
Wellington Healthcare Services LP
5% Or Greater Direct Ownership Interest · Organization
Andrews, James
5% Or Greater Indirect Ownership Interest · Individual
Andrews, James
Operational/Managerial Control · Individual
Andrews, James
Corporate Director · Individual
Andrews, James
Corporate Officer · Individual
Andwell Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Bailey, Teresa
W-2 Managing Employee · Individual
Elkins Road Associates LLC
General Partnership Interest · Organization
Kelman, Moshe
Corporate Officer · Individual
Wellington Healthcare Services LP
Limited Partnership Interest · Organization
Nearby options
Other facilities in reach
#1
Westbury Center Of Conyers For Nursing And Healing
Conyers, GA
3-star overall rating with 4-star inspections with $10,527 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
PruittHealth - Lithonia, LLC
Lithonia, GA
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Parkside Post Acute And Rehabilitation
Snellville, GA
1-star overall rating with 2-star inspections with $8,512 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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