Conyers, GA

Westbury Center Of Conyers For Nursing And Healing

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

1420 Milstead Road, Conyers, GA

(770) 483-3902

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

173

Certified beds

Average residents

155

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Empire Care Centers

Operator or chain grouping

Approved since

1989-11-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing

LPN hours / resident day

0.96

Licensed practical nurse staffing

Aide hours / resident day

1.93

Nurse aide staffing

Weekend hours

2.66

Weekend nurse staffing

RN turnover

46%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
2.2
0.6 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.0
0.3 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 56.1%
91.2%
35.1 pts worse
93.4%
37.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.5%
95.0%
5.5 pts worse
95.5%
6 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.2%
0.7 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
9.6%
9.6 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 9.3%
5.9%
3.4 pts worse
5.4%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2%
20.7%
1.5 pts worse
19.6%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.9%
21.4%
7.5 pts better
16.7%
2.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 13.4%
17.9%
4.5 pts better
16.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.6%
16.2%
3.6 pts better
14.9%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
1.1%
0.1 pts worse
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.4%
2.5%
2.1 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.3%
16.1%
8.2 pts worse
19.8%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.6%
6.2%
1.4 pts worse
5.1%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
80.4%
8.9 pts better
81.7%
7.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 13.3%
12.2%
1.1 pts worse
12.0%
1.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.8%
2.2%
0.6 pts worse
1.6%
1.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.5%
78.2%
7.3 pts better
79.7%
5.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.8%
24.2%
3.6 pts worse
23.9%
3.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-10-06 · Fire 2022-10-06

8 health deficiencies

Top issue: Quality of Life and Care (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 2025-08-28

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-09-30

D · Potential for more than minimal harm 2024-05-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-30

G · Actual harm 2024-05-10

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

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 2024-06-20

D · Potential for more than minimal harm 2024-05-10

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 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-20

F · Potential for more than minimal harm 2022-10-06

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 2022-11-20

F · Potential for more than minimal harm 2022-10-06

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 2022-11-20

E · Potential for more than minimal harm 2022-10-06

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 2022-11-20

D · Potential for more than minimal harm 2022-10-06

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 2022-11-20

D · Potential for more than minimal harm 2022-10-06

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 2022-11-20

D · Potential for more than minimal harm 2022-10-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-11-20

D · Potential for more than minimal harm 2022-10-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-20

D · Potential for more than minimal harm 2022-10-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-11-20

Penalties and ownership

What sits behind the stars

$10,527 2024-05-10

Fine

Fine · fine $10,527

Fine

Ownership

Ga4 Opco Holding LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2021-05-01
Barsoum, Bahaa

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-02
Brown, Chip

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-21
Ellis, Renee

Operational/Managerial Control · Individual

0% 7 facilities 2021-05-01
Empire Care Centers LLC

Operational/Managerial Control · Organization

0% 18 facilities 2021-05-01
Ensh Consulting LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 14 facilities 2021-05-01
Gill, Deborah

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-04
Green, Dorrett

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-16
Hardy, Leanthony

Operational/Managerial Control · Individual

0% 6 facilities 2022-05-01
Heller, Shlomo

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2021-05-01
Heller, Shlomo

Operational/Managerial Control · Individual

0% 20 facilities 2021-05-01
Nicholas, Kathy

Operational/Managerial Control · Individual

0% 1 facilities 2021-05-01
Nussbaum, Ephraim

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2021-05-01
Nussbaum, Ephraim

Operational/Managerial Control · Individual

0% 20 facilities 2021-05-01
Perkins, Johnny

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-01
Reed, Joel

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01
Sone-Ebeloue, Gladys

Operational/Managerial Control · Individual

0% 6 facilities 2021-05-01
Stephens, Carrie

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-09
Swerdloff, Aryeh

Operational/Managerial Control · Individual

0% 8 facilities 2021-05-01
Thomas, Lizzie

Operational/Managerial Control · Individual

0% 2 facilities 2022-07-15
Thomas, Rita

Operational/Managerial Control · Individual

0% 1 facilities 2021-05-01

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#3

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