Cycle 1
Health 2025-04-10 · Fire 2025-04-10
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Atlanta, GA
Sandy Springs Center For Nursing And Healing LLC
1-star overall rating with 1-star inspections with $23,989 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1500 S Johnson Ferry Road, Atlanta, GA
(404) 252-2002
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
165
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Empire Care Centers
Operator or chain grouping
Approved since
1990-02-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 2 overall / 2 health / 1 staffing / 3 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
0.31
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
1.68
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.09
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
2.92
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,520
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.36
Baseline 22.14% · Performance 19.15% · Measure score 5.36 · Achievement 4.93 · Improvement 5.36
Healthcare-associated infections
1.04
Baseline 6.78% · Performance 7.52% · Measure score 1.04 · Achievement 1.04 · Improvement 0
Total nurse turnover
2.97
Performance 51.54% · Measure score 2.97 · Achievement 2.97 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.12 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.91% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 272 · Observed rate 11.4% · Lower 95% interval 8.44% |
| Discharge to community | 57.55% |
50.57%
7 pts better
|
Better than the National Rate · Eligible stays 276 · Observed rate 46.74% · Lower 95% interval 50.64% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.5% |
95.27%
4.2 pts better
|
Numerator 198 · Denominator 199 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 199 |
| Discharge self-care score | 80.17% |
53.69%
26.5 pts better
|
Numerator 93 · Denominator 116 |
| Discharge mobility score | 70.69% |
50.94%
19.8 pts better
|
Numerator 82 · Denominator 116 |
| Pressure ulcers or injuries, new or worsened | 2.01% |
2.29%
0.3 pts better
|
Numerator 4 · Denominator 199 · Adjusted rate 1.96% |
| Healthcare-associated infections requiring hospitalization | 7.53% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 155 · Observed rate 8.39% · Lower 95% interval 4.82% |
| Staff COVID-19 vaccination coverage | 2.67% |
8.2%
5.5 pts worse
|
Numerator 5 · Denominator 187 |
| Staff flu vaccination coverage | 26.99% |
42%
15 pts worse
|
Numerator 88 · Denominator 326 |
| Discharge function score | 76.72% |
56.45%
20.3 pts better
|
Numerator 89 · Denominator 116 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 69 · Denominator 69 |
| Transfer of health information to patient | 96.55% |
96.28%
0.3 pts better
|
Numerator 84 · Denominator 87 |
| Resident COVID-19 vaccinations up to date | 23.08% |
25.2%
2.1 pts worse
|
Numerator 27 · Denominator 117 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
91.2%
0.6 pts worse
|
93.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 83.2% · Q3 92.0% · Q4 92.8% · 4Q avg 90.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% |
95.0%
1 pts better
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.2%
1.2 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 2.7% · Q4 1.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
9.6%
1.8 pts better
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 7.8% · Q4 17.0% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.9%
0.5 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.9% · Q3 7.4% · Q4 9.6% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% |
20.7%
8.2 pts better
|
19.6%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 12.7% · Q3 12.1% · Q4 15.6% · 4Q avg 12.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.5% |
21.4%
7.9 pts better
|
16.7%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 13.3% · Q3 10.4% · Q4 14.1% · 4Q avg 13.5% · 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 | 19.2% |
17.9%
1.3 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 19.5% · Q3 10.3% · Q4 27.0% · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
16.2%
2.8 pts worse
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 19.2% · Q3 19.4% · Q4 18.2% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.1%
0.6 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.6% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.5%
1.1 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 3.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
16.1%
15.1 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 36.5% · Q3 26.8% · Q4 35.0% · 4Q avg 31.2% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.2%
0.9 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.4% · Q3 6.2% · Q4 3.7% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.1% |
80.4%
5.7 pts better
|
81.7%
4.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 86.5% · Q3 81.7% · Q4 87.4% · 4Q avg 86.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
12.2%
1.8 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.3% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.2%
1.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.8% · Q3 0.0% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.4% |
78.2%
0.8 pts worse
|
79.7%
2.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.1% |
24.2%
3.9 pts worse
|
23.9%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 28.6% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-07 · Fire 2023-05-07
17 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-10-22 · Fire 2021-10-22
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-04-10
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-04-24
D · Potential for more than minimal harm
2025-04-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-24
D · Potential for more than minimal harm
2023-05-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-19
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 2026-01-27
E · Potential for more than minimal harm
2025-12-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-19
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 2026-01-27
F · Potential for more than minimal harm
2025-04-10
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 2025-05-23
E · Potential for more than minimal harm
2025-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-04-10
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-04-10
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 2025-05-23
D · Potential for more than minimal harm
2025-04-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-04-10
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 2025-05-23
D · Potential for more than minimal harm
2025-04-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-04-10
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-23
J · Immediate jeopardy
2023-05-07
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 2023-06-19
J · Immediate jeopardy
2023-05-07
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 2023-06-19
J · Immediate jeopardy
2023-05-07
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-06-19
F · Potential for more than minimal harm
2023-05-07
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 2023-06-19
E · Potential for more than minimal harm
2023-05-07
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 2023-06-19
E · Potential for more than minimal harm
2023-05-07
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 2023-06-19
E · Potential for more than minimal harm
2023-05-07
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 2023-06-19
D · Potential for more than minimal harm
2023-05-07
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 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
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 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
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 2023-06-19
D · Potential for more than minimal harm
2023-05-07
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 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-19
F · Potential for more than minimal harm
2021-10-22
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 2021-11-30
D · Potential for more than minimal harm
2021-10-22
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-11-30
D · Potential for more than minimal harm
2021-10-22
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 2021-11-30
D · Potential for more than minimal harm
2021-10-22
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-11-30
C · Minimal harm
2021-10-22
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2021-11-30
Penalties and ownership
What sits behind the stars
$6,267
2023-05-07
Fine
Fine · fine $6,267
Fine
$6,267
2023-05-07
Fine
Fine · fine $6,267
Fine
$11,455
2023-05-07
Fine
Fine · fine $11,455
Fine
$0
2023-05-07
Payment Denial
Payment Denial · denial start 2023-06-08 · 11 days
11 day denial
Ownership
Empire Ga 3 Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Burney, Linda
Operational/Managerial Control · Individual
Cole, Judellia
Operational/Managerial Control · Individual
Donath, Barry
Operational/Managerial Control · Individual
Ellis, Renee
Operational/Managerial Control · Individual
Empire Care Centers LLC
Operational/Managerial Control · Organization
Ensh Ga 3 LLC
5% Or Greater Indirect Ownership Interest · Organization
Hardy, Leanthony
Operational/Managerial Control · Individual
Heller, Shlomo
5% Or Greater Indirect Ownership Interest · Individual
Heller, Shlomo
Corporate Officer · Individual
Jackson, Victoria
Operational/Managerial Control · Individual
Klinczar, Christie
Operational/Managerial Control · Individual
Lamuyon, Sharon
Operational/Managerial Control · Individual
Myerowitz, Netanel
5% Or Greater Indirect Ownership Interest · Individual
Nmga3 Jv Member LLC
5% Or Greater Indirect Ownership Interest · Organization
Nussbaum, Ephraim
5% Or Greater Indirect Ownership Interest · Individual
Nussbaum, Ephraim
Operational/Managerial Control · Individual
Patel, Nipa
Operational/Managerial Control · Individual
Sone-Ebeloue, Gladys
Operational/Managerial Control · Individual
Stokley, Charmagne
Operational/Managerial Control · Individual
Swerdloff, Aryeh
Operational/Managerial Control · Individual
Taylor, Basha
Operational/Managerial Control · Individual
Tolbert, Matthew
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Pruitthealth - Brookhaven
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
#2
Perimeter Rehabilitation Suites By Harborview
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
#3
Lenbrook
Atlanta, GA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
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