9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Marietta, GA
1-star overall rating with 2-star inspections with $86,242 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
613 Roselane Street, Marietta, GA
(770) 792-9800
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
137
Certified beds
Average residents
122
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Harborview Health Systems
Operator or chain grouping
Approved since
1999-04-01
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.62
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
2.91
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,955
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.18% · Performance 22.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.43
Baseline 7.77% · Performance 7.11% · Measure score 2.43 · Achievement 2.43 · Improvement 1.88
Total nurse turnover
3.89
Performance 47.79% · Measure score 3.89 · Achievement 3.89 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.09
Baseline 2.93 hours · Performance 3.39 hours · Measure score 1.09 · Achievement 1.09 · Improvement 1.09
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.66% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 11.28% · Lower 95% interval 7.98% |
| Discharge to community | 54.76% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 175 · Observed rate 46.29% · Lower 95% interval 45.96% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 85.48% |
95.27%
9.8 pts worse
|
Numerator 106 · Denominator 124 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 124 |
| Discharge self-care score | 46.84% |
53.69%
6.8 pts worse
|
Numerator 37 · Denominator 79 |
| Discharge mobility score | 32.91% |
50.94%
18 pts worse
|
Numerator 26 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 0.81% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 124 · Adjusted rate 0.61% |
| Healthcare-associated infections requiring hospitalization | 7.11% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 131 · Observed rate 8.4% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 169 |
| Staff flu vaccination coverage | 12.43% |
42%
29.6 pts worse
|
Numerator 21 · Denominator 169 |
| Discharge function score | 35.44% |
56.45%
21 pts worse
|
Numerator 28 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 39 · Denominator 39 |
| Transfer of health information to patient | 92.16% |
96.28%
4.1 pts worse
|
Numerator 47 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 22.22% |
25.2%
3 pts worse
|
Numerator 12 · Denominator 54 |
Quality measures
| 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 3.0 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.0
0.5 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
91.2%
5.8 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.9% · Q3 96.7% · Q4 96.7% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.3% |
95.0%
5.7 pts worse
|
95.5%
6.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.2%
1.6 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.1% · Q3 1.1% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.9% |
9.6%
41.3 pts worse
|
11.4%
39.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 51.2% · Q3 59.0% · Q4 67.9% · 4Q avg 50.9% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.9%
0.8 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.1% · Q3 3.6% · Q4 2.6% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
20.7%
0.3 pts better
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 21.3% · Q3 22.1% · Q4 17.1% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.8% |
21.4%
1.4 pts worse
|
16.7%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 23.2% · Q3 24.2% · Q4 21.2% · 4Q avg 22.8% · 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 | 18.5% |
17.9%
0.6 pts worse
|
16.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.6% |
16.2%
10.4 pts worse
|
14.9%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 27.5% · Q3 30.7% · Q4 17.6% · 4Q avg 26.6% · 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 3.2% · Q2 2.6% · Q3 0.7% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.8% |
2.5%
5.3 pts worse
|
1.7%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 13.0% · Q3 4.5% · Q4 6.8% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
16.1%
1.9 pts worse
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 21.1% · Q3 15.5% · Q4 15.4% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.2%
0.3 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 3.8% · Q3 4.6% · Q4 5.1% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.8% |
80.4%
1.4 pts better
|
81.7%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 81.6% · Q3 84.7% · Q4 83.7% · 4Q avg 81.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
12.2%
2.8 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 15.6% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
2.2%
About the same
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 1.7% · Q4 3.2% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.1% |
78.2%
7.1 pts worse
|
79.7%
8.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.4% |
24.2%
6.2 pts worse
|
23.9%
6.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 34.4% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-04
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-19
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-01-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-04
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-19
Health
Dispose of garbage and refuse properly.
Corrected 2025-01-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-19
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-19
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-04
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-04
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-07-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-02-16
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 2022-02-16
Penalties and ownership
Fine · fine $6,682
Fine
Payment Denial · denial start 2025-02-19 · 13 days
13 day denial
Fine · fine $79,560
Fine
Payment Denial · denial start 2023-07-05 · 7 days
7 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Marietta, GA
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Marietta, GA
1-star overall rating with 1-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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