Healthcare at College Park, LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Fcited before2024-08-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to assure that the ice machine was clean and properly functioning. The facility failed to maintain clean facility equipment and failed to document the cleaning of the ice machine. The census of the facility was 65. Findings include: On 8/6/2024 at 9:35 am a tour of the facilities kitchen was conducted with the Dietary Manager revealed the ice machine had a black residue. The residue appeared to be a result of build up from not being cleaned. It was confirmed that the residents in the facility was served ice from that machine. Record review of the log titled Ice Machine Cleaning Days, shows the last cleaning date was 8/6/2024 and had no issues. However, observation of ice machine on 8/6/2024, during the initial tour, revealed the ice machine had a black build up located on the inside where the ice is made. In addition there was no scoop for the ice located near the machine. In an interview on 8/8/2024 at 12:42 pm with the Administrator she revealed there was no policy relating to the facilities Ice Machine.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-12 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review and facility policy titled Antibiotic Stewardship, the facility failed to properly maintain an Antibiotic Stewardship Program. The deficient practice placed the resident at risk for not receiving the appropriate antibiotics to treat their infection and could place the resident at risk for developing antibiotic resistant infections. The facility census was 65. Findings: Review of the facility policy titled Antibiotic Stewardship with the revision date of December 2016, revealed that the policy statement is Antibiotics will be prescribed and administered to residents under the guidance of the facility's antibiotic stewardship program. The purpose of the facility's antibiotic stewardship program was revealed to monitor the use of antibiotics in their residents. Step 4 of the policy Interpretation revealed that if an antibiotic is indicated, prescribers will provide complete antibiotic orders including the following elements: a. drug name, b. Dose, c. frequency of administration, d. duration of treatment, e. route of administration: and f. indications…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-12 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide services that met professional standards of quality by the failure to administer 5:00 pm medications on 8/9/24, for seven of nine Residents (R) 27, R32, R20, R21, R45, R26 and R13. This failure could have caused adverse reactions in all seven of the residents who missed their medications. Findings Include: On 8/6/24 at 8:35 pm Certified Medication Aide (CMA) FF began her medication administration for the first-floor residents. As she passed her scheduled medications, she would tear off pouches from the roll in each resident labeled box, in her medication cart. The perforated individual pouches with resident names, medication names, and time, and date to be administered were then put in a separate drawer in her cart. She had a paper list of the residents she was passing medications to and would consult that as she passed the medications. Review of physician's orders revealed that seven residents' medications had not been given on 8/9/24 between 4:30 pm and 5:30 pm and was verified by the resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-12 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure seven of nine sampled Residents (R) 27, R32, R20, R21, R45, R26 and R13 were free from a significant medication error related to not administering medications according to the physician orders. Specifically, when medications, such as metoprolol tartrate, potassium, venlafaxine, Xarelto, and gabapentin, scheduled for 5:00 pm on 8/6/24 were not administered as ordered. Findings Include: On 8/6/24 at 8:35 pm, Certified Medication Aide (CMA) FF passed medications for her assigned first-floor residents. As she passed her scheduled medications, it was noted that the following resident's did not receive their 5:00 pm medications as ordered., and CMA FF did not notify licensd staff. R27 - med order dated 7/1/24, for Potassium Chloride 10 MEQ with the adverse effect of hypokalemia, scheduled at 5:00 pm. R32 - med order dated 7/1/24, for Venlafaxine 25 mg with the adverse effect of increased depression, scheduled at 5:00 pm. R20 - med order dated 7/1/24, for Levetiracetam 750 mg with the adverse effect of seizure…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, review of relevant facility documentation, and review of the facility policy titled Abuse, Neglect, Exploitation, or Misappropriation-Reporting and Investigating, the facility failed to protect one of seven sampled residents (R5) from sexual abuse by another resident, R425. This deficiency had the potential to place R5 and other residents at risk for repeated sexual abuse. Findings include: Review of the facility policy titled, Abuse, Neglect, Exploitation, or Misappropriation-Reporting and Investigating revised September 2022, revealed the following: Reporting Allegations to the Administrator and Authorities, #6: Upon receiving any allegations of abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source, the administrator is responsible for determining what actions (if any) are needed for the protection of residents. Review of the electronic medical record (EMR) for R5 revealed she was a [AGE] year-old female admitted to the facility with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interviews and review of the facility policy titled, Resident Assessment- Coordination with PASARR Program the facility failed to follow PASARR level II program recommendations for one of 28 residents (R)420 with a PASARR level II. Findings include: A review of the facility policy titled, Resident Assessment- Coordination with PASARR Program revealed 7. Recommendations, such as any specialized services, from a PASARR level II determination and/or PASARR evaluation report will be incorporated into the assessment, care planning, and transitions of care. A review of the medical records for R420 revealed a PASARR level II which documented recommendations for R420. The facility was able to complete a behavioral health assessment through CHE Behavioral Health. The PASARR level II further recommended, due to circumstances of this admit and diagnosis and onset of major stressors, specialized mental health services are recommended during SNF stay; specifically psychiatric care for assessment and medication monitoring, behavioral health monitoring and individual…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and a review of the facility's policy Comprehensive Care Plans the facility failed to develop a care plan that was consistent with the resident's specific conditions, risks, needs, and current standards of practice for one residents (R) R45. The sample size was 39. Findings include: Review of the policy titled Comprehensive Care Plans revealed that: Is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed that R45 received dialysis while a resident. Review of electronic medical record (EMR) revealed R45 diagnoses included but not limited to end stage renal disease and dependence on renal dialysis. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, resident and staff interviews, the facility failed to provide two hour check and change for one Resident (R14) dependent on staff for activities of daily living (ADLs) The sample size was 39. Findings include: Review of the medical record for R14 revealed an admission date of 1/17/2019 with diagnoses of but not limited to, esophageal reflux disease without esophagitis, neuromuscular dysfunction of bladder, paraplegia, and other lack of coordination. Review of the Minimum Data Set (MDS) assessment revealed R14 had a Brief Interview for Mental status (BIMS) score of 15, indicating R14 had no cognitive impairment. During an observation and interview on 8/12/2024 at 4:08 pm, R14 revealed she was not able to feel anything below her waist and was not sure when she was wet or soiled. Resident 14 revealed a Certified Nursing Assistant (CNA) changed her brief at 12:00 pm before lunch. During an interview on 8/12/2024 at 4:12 pm, CNA OO revealed she checked and changed R14 before lunch and did not check R14 until notified by this surveyor at 4:12 pm on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to secure a central supply storage room that contained medications and medical supplies. Findings Include: On 8/7/24 at 3:03 pm a central supply room on the first floor was observed open with no staff member in the room. On 8/7/24 at 3:05 pm, licensed practical nurse (LPN) PP confirmed and verified the door to the central supply room on the first floor was open and not locked. LPN PP confirmed there were no other staff members in the central supply room on the first floor. LPN PP stated the door to the central supply room didn't have to be kept shut or locked, it was where they stored supplies and where staff obtained supplies needed. LPN PP confirmed that there were over the counter medications in the room and stated they had never been told to keep this room closed and locked. On 8/7/24 at 3:10 pm the Dircetor of Nursing (DON) revealed the door to this office belonged to the central supply clerk and the scheduler. The DON revealed supplies and over the counter medications were kept in the office and that office…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and resident and staff interviews, the facility failed to properly protect resident (R) R37 from the risk of infection related to resident having an external catheter and per policy, was on enhanced barrier precautions. The staff were to use personal protective equipment (PPE) when rendering care for R37. The facility census was 65. Findings included: Review of the electronic medical record for R37 revealed that he was admitted on [DATE]. He was admitted with diagnoses that included but were not limited to unspecified injury of the cervical spinal cord, quadriplegia, central pain syndrome, and type 2 diabetes mellitus with diabetic autonomic neuropathy, depression and anxiety. R37 was interviewed on 8/9/2024 at 10:48 am., and stated that when staff is providing care for him, they are not gowned up and has never been. An observation was conducted on 8/9/2024 at 11:25 am. This observation revealed that two certified nurse's aides (CNA) entered the room of R37 to provide care.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $363K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA