Cycle 1
Health 2025-09-16 · Fire 2025-09-16
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Tucker, GA
Tucker Operating Company LLC
2-star overall rating with 2-star inspections with $30,000 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2165 Idlewood Road, Tucker, GA
(770) 934-3172
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
136
Certified beds
Average residents
126
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Michael Feist
Operator or chain grouping
Approved since
1995-12-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 2 staffing / 4 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
0.71
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.94
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.84
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
9,954
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.42
Baseline 22.10% · Performance 19.10% · Measure score 5.42 · Achievement 5.04 · Improvement 5.42
Healthcare-associated infections
2.33
Baseline 7.63% · Performance 7.14% · Measure score 2.33 · Achievement 2.33 · Improvement 1.36
Total nurse turnover
0
Baseline 68.42% · Performance 76.26% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.03
Baseline 3.28 hours · Performance 3.37 hours · Measure score 1.03 · Achievement 1.03 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.27% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 11.92% · Lower 95% interval 7.67% |
| Discharge to community | 56.82% |
50.57%
6.2 pts better
|
No Different than the National Rate · Eligible stays 146 · Observed rate 42.47% · Lower 95% interval 48.48% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.07% |
95.27%
3.8 pts better
|
Numerator 318 · Denominator 321 |
| Falls with major injury | 0.31% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 321 |
| Discharge self-care score | 54.27% |
53.69%
0.6 pts better
|
Numerator 108 · Denominator 199 |
| Discharge mobility score | 44.72% |
50.94%
6.2 pts worse
|
Numerator 89 · Denominator 199 |
| Pressure ulcers or injuries, new or worsened | 3.12% |
2.29%
0.8 pts worse
|
Numerator 10 · Denominator 321 · Adjusted rate 2.72% |
| Healthcare-associated infections requiring hospitalization | 7.14% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 134 · Observed rate 9.7% · Lower 95% interval 4.32% |
| Staff COVID-19 vaccination coverage | 3.57% |
8.2%
4.6 pts worse
|
Numerator 5 · Denominator 140 |
| Staff flu vaccination coverage | 37.84% |
42%
4.2 pts worse
|
Numerator 84 · Denominator 222 |
| Discharge function score | 55.78% |
56.45%
0.7 pts worse
|
Numerator 111 · Denominator 199 |
| Transfer of health information to provider | 86.55% |
95.95%
9.4 pts worse
|
Numerator 103 · Denominator 119 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 148 · Denominator 152 |
| Resident COVID-19 vaccinations up to date | 36.02% |
25.2%
10.8 pts better
|
Numerator 67 · Denominator 186 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.7 · Expected 3.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.0
0.8 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.4 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.2% |
91.2%
30 pts worse
|
93.4%
32.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.1% · Q2 57.6% · Q3 59.7% · Q4 58.7% · 4Q avg 61.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.9% |
95.0%
9.1 pts worse
|
95.5%
9.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.5% · Q3 4.8% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.0% |
9.6%
2.6 pts better
|
11.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 7.3% · Q3 1.8% · Q4 9.1% · 4Q avg 7.0% |
| Percentage of long-stay residents who lose too much weight | 18.0% |
5.9%
12.1 pts worse
|
5.4%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.2% · Q3 10.2% · Q4 24.6% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.3% |
20.7%
12.4 pts better
|
19.6%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.2% · Q3 8.2% · Q4 6.5% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.5% |
21.4%
8.9 pts better
|
16.7%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 14.6% · Q3 13.0% · Q4 6.1% · 4Q avg 12.5% · 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 | 3.7% |
17.9%
14.2 pts better
|
16.3%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.3% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
16.2%
6 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 5.5% · Q3 7.8% · Q4 9.6% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
1.1%
0.6 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 0.9% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
2.5%
2.3 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.2% · Q3 6.7% · Q4 3.4% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
16.1%
1.4 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 10.7% · Q3 7.2% · Q4 14.8% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 12.8% |
6.2%
6.6 pts worse
|
5.1%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 12.4% · Q3 12.1% · Q4 15.5% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.7% |
80.4%
30.7 pts worse
|
81.7%
32 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.2% · Q2 50.2% · Q3 47.8% · Q4 48.9% · 4Q avg 49.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
12.2%
3.9 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 9.5% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.2%
1.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.5% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.4% |
78.2%
30.8 pts worse
|
79.7%
32.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
24.2%
2.5 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 26.8% · Expected 29.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-06 · Fire 2024-06-06
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-12-27 · Fire 2022-12-27
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-09-16
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-11-18
D · Potential for more than minimal harm
2025-09-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-11-18
D · Potential for more than minimal harm
2024-06-06
K321 · Smoke Deficiencies
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 2024-07-16
D · Potential for more than minimal harm
2024-06-06
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2024-07-16
D · Potential for more than minimal harm
2024-06-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-20
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 2025-12-09
D · Potential for more than minimal harm
2025-11-20
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 2025-12-09
F · Potential for more than minimal harm
2025-09-16
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-10-27
E · Potential for more than minimal harm
2025-09-16
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-16
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-16
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-16
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 2025-10-27
F · Potential for more than minimal harm
2024-06-06
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-06
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 2024-06-27
D · Potential for more than minimal harm
2024-06-06
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 2024-06-27
D · Potential for more than minimal harm
2024-06-06
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 2024-06-27
F · Potential for more than minimal harm
2023-11-03
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 2023-12-08
F · Potential for more than minimal harm
2023-11-03
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 2023-12-08
F · Potential for more than minimal harm
2023-11-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-08
F · Potential for more than minimal harm
2023-11-03
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-12-08
F · Potential for more than minimal harm
2023-11-03
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2023-12-08
F · Potential for more than minimal harm
2023-11-03
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
D · Potential for more than minimal harm
2022-12-27
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 2023-01-25
D · Potential for more than minimal harm
2022-12-27
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-01-25
D · Potential for more than minimal harm
2022-12-27
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-01-25
Penalties and ownership
What sits behind the stars
$30,000
2023-11-03
Fine
Fine · fine $30,000
Fine
Ownership
Feist, Michael
5% Or Greater Direct Ownership Interest · Individual
Feist, Michael
Operational/Managerial Control · Individual
Jacobowitz, Kalman
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Meadowbrook Health And Rehab
Tucker, GA
1-star overall rating with 1-star inspections with $47,466 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Briarwood Health Center By Harborview
Tucker, GA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Stone Mountain Run Of Journey LLC
Stone Mountain, GA
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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