9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Griffin, GA
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
415 Airport Road, Griffin, GA
(770) 227-8636
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
148
Certified beds
Average residents
131
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Elevation Healthcare
Operator or chain grouping
Approved since
1993-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 1 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
RN hours / resident day
0.30
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,700
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.51
Baseline 18.82% · Performance 19.80% · Measure score 3.51 · Achievement 3.51 · Improvement 0
Healthcare-associated infections
0
Baseline 8.29% · Performance 8.36% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 65.00% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.88
Baseline 3.38 hours · Performance 3.33 hours · Measure score 0.88 · Achievement 0.88 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.58% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 12.96% · Lower 95% interval 7.54% |
| Discharge to community | 45.78% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 42 · Observed rate 28.57% · Lower 95% interval 28.68% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 63.49% |
95.27%
31.8 pts worse
|
Numerator 40 · Denominator 63 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 63 |
| Discharge self-care score | 41.18% |
53.69%
12.5 pts worse
|
Numerator 14 · Denominator 34 |
| Discharge mobility score | 29.41% |
50.94%
21.5 pts worse
|
Numerator 10 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 6.35% |
2.29%
4.1 pts worse
|
Numerator 4 · Denominator 63 · Adjusted rate 4.44% |
| Healthcare-associated infections requiring hospitalization | 8.36% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 14.29% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 182 |
| Staff flu vaccination coverage | 9.54% |
42%
32.5 pts worse
|
Numerator 25 · Denominator 262 |
| Discharge function score | 35.29% |
56.45%
21.2 pts worse
|
Numerator 12 · Denominator 34 |
| Transfer of health information to provider | 86.21% |
95.95%
9.7 pts worse
|
Numerator 25 · Denominator 29 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.5% |
25.2%
7.3 pts better
|
Numerator 13 · Denominator 40 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.2
0.5 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 6.2 |
2.0
4.2 pts worse
|
1.8
4.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 6.2 · Observed 5.2 · Expected 1.4 · 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 | 99.2% |
95.0%
4.2 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.2%
0.6 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.4% · Q3 3.4% · Q4 3.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.5% |
9.6%
9.9 pts worse
|
11.4%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 13.8% · Q3 5.7% · Q4 52.3% · 4Q avg 19.5% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
5.9%
1.6 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.8% · Q3 5.9% · Q4 6.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
20.7%
3.6 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 18.4% · Q3 13.3% · Q4 20.2% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
21.4%
10.5 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 9.9% · Q3 9.1% · Q4 9.3% · 4Q avg 10.9% · 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 | 13.3% |
17.9%
4.6 pts better
|
16.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 14.3% · Q3 8.3% · Q4 12.0% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
16.2%
1.3 pts better
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 20.4% · Q3 4.3% · Q4 12.2% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
2.5%
0.6 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.3% · Q3 0.9% · Q4 0.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.1% |
16.1%
1 pts worse
|
19.8%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 21.5% · Q3 16.2% · Q4 20.7% · 4Q avg 17.1% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.2%
0.2 pts better
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 7.4% · Q3 6.2% · Q4 6.1% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
80.4%
18 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 97.1% · Q4 97.9% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.4% |
12.2%
6.2 pts worse
|
12.0%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 17.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
78.2%
19.5 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.2% |
24.2%
6 pts worse
|
23.9%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 32.3% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Rights (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-02
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 2025-04-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-02
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-04-02
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-17
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2023-12-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-12-17
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-12-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-12-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-17
Inspection history
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-04-02
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 2025-04-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-02
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-02
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 2025-04-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-02
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-01-24
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 2025-01-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-17
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-17
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 2023-12-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-17
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 2023-12-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-17
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 2023-12-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-09
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 2022-03-09
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-03-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-03-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-09
Health
Report COVID19 data to residents and families.
Corrected 2022-03-09
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 2022-03-09
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-03-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Griffin, GA
1-star overall rating with 2-star inspections with 3 recent health deficiencies
Griffin, GA
2-star overall rating with 3-star inspections with 9 recent health deficiencies
Barnesville, GA
3-star overall rating with 4-star inspections with 2 recent health deficiencies
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