Cycle 1
Health 2024-12-12 · Fire 2024-12-12
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Atlanta, GA
William Breman Jewish Home, The
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3150 Howell Mill Road N.w., Atlanta, GA
(404) 351-8410
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
87
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.63
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
3.38
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.94
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.26
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
5.14
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,256
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.35
Composite VBP score used to determine payment impact.
Payment multiplier
1.0136
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.94
Baseline 18.42% · Performance 21.00% · Measure score 0.94 · Achievement 0.94 · Improvement 0
Healthcare-associated infections
7.49
Baseline 7.47% · Performance 5.60% · Measure score 7.49 · Achievement 7.49 · Improvement 7.07
Total nurse turnover
6.49
Baseline 50.00% · Performance 37.17% · Measure score 6.49 · Achievement 6.49 · Improvement 4.60
Adjusted total nurse staffing
8.43
Baseline 6.25 hours · Performance 5.48 hours · Measure score 8.43 · Achievement 8.43 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.13% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 445 · Observed rate 7.64% · Lower 95% interval 8.18% |
| Discharge to community | 55.7% |
50.57%
5.1 pts better
|
Better than the National Rate · Eligible stays 475 · Observed rate 53.26% · Lower 95% interval 51.84% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.17% |
95.27%
3.9 pts better
|
Numerator 239 · Denominator 241 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 241 |
| Discharge self-care score | 61.29% |
53.69%
7.6 pts better
|
Numerator 114 · Denominator 186 |
| Discharge mobility score | 53.76% |
50.94%
2.8 pts better
|
Numerator 100 · Denominator 186 |
| Pressure ulcers or injuries, new or worsened | 2.07% |
2.29%
0.2 pts better
|
Numerator 5 · Denominator 241 · Adjusted rate 1.67% |
| Healthcare-associated infections requiring hospitalization | 5.6% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 269 · Observed rate 3.72% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 8.84% |
8.2%
0.6 pts better
|
Numerator 19 · Denominator 215 |
| Staff flu vaccination coverage | 96.94% |
42%
54.9 pts better
|
Numerator 222 · Denominator 229 |
| Discharge function score | 61.83% |
56.45%
5.4 pts better
|
Numerator 115 · Denominator 186 |
| Transfer of health information to provider | 95.62% |
95.95%
0.3 pts worse
|
Numerator 131 · Denominator 137 |
| Transfer of health information to patient | 96.15% |
96.28%
0.1 pts worse
|
Numerator 75 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 59.32% |
25.2%
34.1 pts better
|
Numerator 70 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
2.2
1.6 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
2.0
1.8 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.2%
8.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| 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 3.3% · Q2 1.7% · Q3 1.6% · Q4 3.2% · 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 | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 11.8% |
20.7%
8.9 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 13.5% · Q3 12.7% · Q4 7.1% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
21.4%
7.2 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 31.1% · Q3 29.5% · Q4 25.0% · 4Q avg 28.6% · 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 | 16.0% |
17.9%
1.9 pts better
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.4% · Q3 15.5% · Q4 25.3% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
16.2%
2.6 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 20.9% · Q3 13.0% · Q4 25.5% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.1%
0.4 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
2.5%
0.8 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.2% · Q3 1.6% · Q4 3.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
16.1%
1.9 pts worse
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 17.6% · Q3 16.0% · Q4 21.2% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
6.2%
2.2 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.1% · Q3 3.0% · Q4 3.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
80.4%
12.6 pts better
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 99.4% · Q3 99.4% · Q4 80.5% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
12.2%
4.8 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 6.2% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.2%
1.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 0.8% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.6% |
78.2%
14.4 pts better
|
79.7%
12.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
24.2%
2.2 pts better
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 17.1% · Expected 18.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-31 · Fire 2022-07-31
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-02-28 · Fire 2019-02-28
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-12
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-12-31
F · Potential for more than minimal harm
2022-07-31
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2022-09-14
F · Potential for more than minimal harm
2022-07-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-14
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-12
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 2025-01-24
D · Potential for more than minimal harm
2024-12-12
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 2025-01-24
D · Potential for more than minimal harm
2024-12-12
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-24
F · Potential for more than minimal harm
2022-07-31
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 2022-09-14
D · Potential for more than minimal harm
2022-07-31
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 2022-09-14
D · Potential for more than minimal harm
2022-07-31
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-09-14
G · Actual harm
2019-02-28
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 2019-04-09
G · Actual harm
2019-02-28
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 2019-04-09
D · Potential for more than minimal harm
2019-02-28
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 2019-04-09
D · Potential for more than minimal harm
2019-02-28
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 2019-04-09
Penalties and ownership
What sits behind the stars
Ownership
Gopen, Jeffrey
Operational/Managerial Control · Individual
Rahatekar, Neelam
Operational/Managerial Control · Individual
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