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)
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
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
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
0.21
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
1.93
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.66
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.09
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.21
CMS adjusted RN staffing hours
Adjusted total hours
3.07
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,103
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.05% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.09
Baseline 9.39% · Performance 8.69% · Measure score 1.09 · Achievement 0 · Improvement 1.09
Total nurse turnover
2.25
Performance 54.48% · Measure score 2.25 · Achievement 2.25 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.16 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.29% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 19.81% · Lower 95% interval 9.2% |
| Discharge to community | 42.44% |
50.57%
8.1 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 30.84% · Lower 95% interval 35.59% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 162 · Denominator 162 |
| Falls with major injury | 1.23% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 162 |
| Discharge self-care score | 53.95% |
53.69%
0.3 pts better
|
Numerator 41 · Denominator 76 |
| Discharge mobility score | 34.21% |
50.94%
16.7 pts worse
|
Numerator 26 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 3.09% |
2.29%
0.8 pts worse
|
Numerator 5 · Denominator 162 · Adjusted rate 2.38% |
| Healthcare-associated infections requiring hospitalization | 8.69% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 13.33% · Lower 95% interval 5.33% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 168 |
| Staff flu vaccination coverage | 9.22% |
42%
32.8 pts worse
|
Numerator 20 · Denominator 217 |
| Discharge function score | 44.74% |
56.45%
11.7 pts worse
|
Numerator 34 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 63 · Denominator 63 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 57 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 21.57% |
25.2%
3.6 pts worse
|
Numerator 22 · Denominator 102 |
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 · Adjusted 2.8 · Observed 2.5 · Expected 1.7 · Used in QM five-star |
| 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 · Adjusted 1.7 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 61.2% · Q2 51.1% · Q3 56.8% · Q4 55.1% · 4Q avg 56.1% |
| 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 · 4Q avg 89.5% |
| 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 · Q1 3.1% · Q2 3.1% · Q3 2.3% · Q4 1.5% · 4Q avg 2.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 7.2% · Q2 8.2% · Q3 7.7% · Q4 13.8% · 4Q avg 9.3% |
| 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 · Q1 21.2% · Q2 23.4% · Q3 29.4% · Q4 15.3% · 4Q avg 22.2% |
| 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 · Q1 19.6% · Q2 14.9% · Q3 8.5% · Q4 11.9% · 4Q avg 13.9% · 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 | 13.4% |
17.9%
4.5 pts better
|
16.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 19.8% · Q3 7.4% · Q4 10.6% · 4Q avg 13.4% · Used in QM five-star |
| 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 · Q1 10.1% · Q2 9.9% · Q3 18.2% · Q4 12.3% · 4Q avg 12.6% · Used in QM five-star |
| 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 · Q1 1.3% · Q2 1.9% · Q3 0.6% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| 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 · Q1 22.3% · Q2 24.2% · Q3 25.2% · Q4 25.5% · 4Q avg 24.3% |
| 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 · Q1 8.8% · Q2 7.4% · Q3 8.1% · Q4 6.5% · 4Q avg 7.6% · Used in QM five-star |
| 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 · Q1 85.1% · Q2 89.3% · Q3 92.1% · Q4 91.1% · 4Q avg 89.3% |
| 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 · Adjusted 13.3% · Observed 15.1% · Expected 12.7% · Used in QM five-star |
| 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 · Q1 0.9% · Q2 3.0% · Q3 3.1% · Q4 4.4% · 4Q avg 2.8% · Used in QM five-star |
| 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 · 4Q avg 85.5% |
| 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 · Adjusted 27.8% · Observed 35.8% · Expected 30.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Barsoum, Bahaa
Operational/Managerial Control · Individual
Brown, Chip
Operational/Managerial Control · Individual
Ellis, Renee
Operational/Managerial Control · Individual
Empire Care Centers LLC
Operational/Managerial Control · Organization
Ensh Consulting LLC
5% Or Greater Indirect Ownership Interest · Organization
Gill, Deborah
Operational/Managerial Control · Individual
Green, Dorrett
Operational/Managerial Control · Individual
Hardy, Leanthony
Operational/Managerial Control · Individual
Heller, Shlomo
5% Or Greater Indirect Ownership Interest · Individual
Heller, Shlomo
Operational/Managerial Control · Individual
Nicholas, Kathy
Operational/Managerial Control · Individual
Nussbaum, Ephraim
5% Or Greater Indirect Ownership Interest · Individual
Nussbaum, Ephraim
Operational/Managerial Control · Individual
Perkins, Johnny
Operational/Managerial Control · Individual
Reed, Joel
Operational/Managerial Control · Individual
Sone-Ebeloue, Gladys
Operational/Managerial Control · Individual
Stephens, Carrie
Operational/Managerial Control · Individual
Swerdloff, Aryeh
Operational/Managerial Control · Individual
Thomas, Lizzie
Operational/Managerial Control · Individual
Thomas, Rita
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Rockdale Healthcare Center
Conyers, GA
1-star overall rating with 1-star inspections with $15,971 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
PruittHealth - Lithonia, LLC
Lithonia, GA
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Riverside Health Care Center
Covington, GA
1-star overall rating with 1-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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