Pruitthealth - Fairburn
7560 Butner Road, Fairburn, GA 30213 · For profit - Corporation · 82 certified beds · (770) 306-7878 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- it has a citation for mishandling residents’ money or property (F0565)
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- about 23% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 13.9% | 15.3% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.8% | 5.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.9% | 0.9% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 1.7% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 11.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.4% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 7.2% | 15.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 7.7% | 20.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.1% | 5.6% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 8.3% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 16.3% | 19.9% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.6% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 91.1% | 78.4% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 19.4% | 25.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 12.2% | 11.6% | 12.0% | typical |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
42.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 42.9%CMS range 31.3–57.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 6.7–15.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 96.2% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 3.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 9.6%CMS range 4.6–16.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.26 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 82 beds and averages 74.5 residents a day — about 91% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.88 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.85 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
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.
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.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · Fcited before2025-05-22 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 and staff interviews, the facility failed to ensure food items were properly dated, labeled, and stored; failed to ensure an ice machine was free from a black spotted substance; and failed to perform proper hand hygiene while handling food to prevent contamination. The deficient practice had the potential to affect 68 of 68 residents that received an oral diet. Findings include: During the initial walk-through observation and interview on 5/20/2025 at 9:00 am with the Dietary Manager (DM) revealed the seasonings were not dated, items such as lemon juice and imitation vanilla extract were not properly stored, the sugar bin was not labeled or dated, and two flour bins had expired dates. Continued with the interview, the DM confirmed the black spotted substance inside the ice machine bin and stated it should be cleaned out once a week. She confirmed the seasonings items on the racks did not have the used by dates or expiration dates, confirmed the items that require refrigeration were not properly stored, and confirmed the sugar and flour bin labels were expired…
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.
- Potential for harm · Ecited before2025-05-22 · tag F0658 — failed to meet professional standards of care — patternEnsure 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 observations, staff interviews, record review and review of the facility policy titled, Intravenous (IV) Antibiotic Therapy, the facility failed to provide care that met professional standards for one of two residents (R) (R124) receiving intravenous (IV) antibiotics therapy. The deficient practice has the potential to place R124 at risk for lack of healing of infection, clotting of IV line, and sepsis. Findings include: Review of facility policy titled Intravenous Antibiotic Therapy reviewed 7/2/2024 revealed under Procedure: .10. Policy and procedures for the specific infusion access device will be followed unless specific physician orders are present.14. At the end of each antibiotic dose, the nurse will place a new sterile cap/cover over the end of the tubing to maintain sterility then flush the infusion access device per protocol. Review of the care plan dated 5/19/2025 reflected that R124 will be free from signs and symptoms of sepsis and bacteremia through next review date. Review of Physician orders revealed that R124 was to receive five milliliters (ml) of 0.9%…
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.
- Potential for harm · Ecited before2025-05-22 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility's policies, How to Puree Food and Puree Vegetable Blend - 4 ounces (oz), the facility failed to follow a recipe and use measurement devices when preparing puree food for three of seven residents receiving a puree diet. The deficient practice had the potential to result in inconsistent texture modification, nutritional imbalance, and increased risk of aspiration. Findings include: Review of the undated facility's policy titled How to Puree Food documented under the section Preparation Steps: 1. depending on the resident's dietary restrictions follow the proper recipe and . 5. if required, for hot foods as a small amount of hot liquid, such as gravy, sauce, or cooking liquid, to be cooked with hot food. For cold food, cold liquid such as milk or fruit juice - Do not add water. Under section Common Mistakes: .3. not following recipes. Under section Simple Solutions: .3. follow proper recipe for restrictions. Review of the undated facility policy titled Puree Vegetable blend - 4oz documented under Procedures: 1. Drain…
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.
- Potential for harm · D2025-05-22 · tag F0559 — isolatedHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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 resident, family and staff interviews, and record review, the facility failed to provide written notification to the resident and the resident representative (RP) with an explanation of why the move to a new room was required for one of 36 samples resident (R) (R275). Findings include: Review of the electronic medical record (EMR) revealed R275 was admitted to the with a diagnosis of but not limited to acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity (blood clot in deep vein). Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. During an interview on 5/20/2025 at 10:52 am with R275 revealed she was originally in room [ROOM NUMBER] which was a private room, was sent out to the emergency department (ED), and when she returned to the facility, she was in a semi-private room. During a telephone interview on 5/22/2025 at 12:42 pm with the family member of…
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.
- Potential for harm · Dcited before2025-05-22 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 observations, record review, and staff interviews, the facility failed to ensure the safe and sanitary storage of dentures for one of 36 sampled residents (R) (R224). Specifically, dentures were not stored in a labeled denture cup and the upper denture was found on an unclean surface rather than in a designated labeled container. The deficient practice had the potential to cause contamination, misplacement or damage of R224's denture. Findings include: The facility's dental policy was not available from the facility upon request. Review of the facility's document titled Clinical Procedure: Denture Care dated 2024 documented: Procedure Cleaning the Dentures: . If the dentures are not being worn immediately, place them in a clean denture cup filled with water or a denture-soaking solution to keep them moist. Review of the facility's Electronic Medical Record (EMR) revealed R224 was admitted with diagnoses including but not limited to Alzheimer's disease with late onset and dementia. 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.
- Potential for harm · D2025-05-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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, staff interviews, and review of the facility's policy titled, Medication Administration: General Guidelines, the facility failed to ensure that all medications were taken and not left unattended on the bedside table for one of 36 sampled residents (R) (R224). The deficient practice had the potential to increase the residents risk of adverse health outcomes related to incorrect medication dosage. Findings include: Review of the facility's policy titled Medication Administration: General Guidelines reviewed 7/22/2024 documented under Policy Statement: Medications are administered as prescribed, in accordance with good nursing principles and practices and only by persons legally authorized to do so. Review of the facility's electronic Medical Records (EMR) revealed R224 was admitted with diagnoses including but not limited to vitamin D deficiency, Alzheimer's disease with late onset, and dementia. Review of the admission Minimum Data Set (MDS) dated [DATE] documented Section C…
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.
- Potential for harm · Dcited before2025-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 observations, record review, resident and staff interviews, and review of the facility's policy titled, Oxygen Administration, the facility failed to have a physician's order for oxygen (O2) administration and failed to provide the correct O2 liter flow per physician's order for two of 15 residents (R) (R64 and R5) receiving oxygen therapy. The defieicent practice had the potential for R64 and R5 to have respiratory issues with O2 set at the incorrect level. Findings include: Review of the facility's electronic medical record (EMR) revealed R64 was with a diagnosis including but not limited to wheezing. Review of the Quarterly Minimum Data Set (MDS) dated [DATE] documented in Section C (Cognition) a Brief Interview for Mental Status (BIMS) score of 14, which indicated resident had intact cognition. Section O (Special Treatments) revealed R64 receives Respiratory Treatments- Oxygen therapy, Section I (Active Diagnosis) revealed diagnoses of asthma, chronic obstructive pulmonary disease (COPD). Review of…
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.
- Potential for harm · Dcited before2025-05-22 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observations, record review, staff interviews, and review of the facility's policy titled, Controlled Substances for Healthcare Center, the facility failed to ensure that controlled substances were documented immediately after administration for three of 36 sampled residents (R) (R32), (R17) and (R275), in accordance with accepted standards of nursing practice. This deficient practice had the potential to cause medication errors, including overdoses. Findings include: Review of the facility's policy titled Controlled Substances for Healthcare Center reviewed 4/1/2025 documented: Records: 1. The pharmacy will provide a Controlled Drug Record forms (proof of use sheet). This record shall be accurately maintained and shall include: o Name of patient/resident. o Name of the prescriber. o Prescription number Name, strength and dosage form of medication. o Date and time of administration. o Signature of the person administering the medication (after the medication is actually administered). Review of physician's orders for R17 dated 3/13/2025 documented included but not limited…
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.
- Potential for harm · Dcited before2025-05-22 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 observations, interviews, and record reviews, and review of the facility policies titled, Infection Prevention and Control Plan and Infection Prevention Control and Surveillance, the facility failed to ensure appropriate infection control practices were implemented by staff to prevent the spread of infection for one of 36 sampled residents (R) (R40). Specifically, staff failed to perform hand hygiene when entering and exiting rooms on contact precautions, and properly clean and disinfect reusable medical equipment. The deficient practices had the potential to contribute to the transmission of communicable diseases and place residents at risk for infection. Findings include: Review of the policy titled Infection Prevention and Control Plan, revised 6/21/2024, revealed the purpose of the infection prevention and control program is to decrease morbidity and mortality attributable to infections in residents; prevent and control outbreaks of infection in residents; prevent acquisition of infection by staff…
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.
- Potential for harm · F2023-10-05 · tag F0847 — widespreadInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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 resident, resident representative, and staff interviews, record review, and review of the facility's arbitration agreement, the facility failed to inform three of three sampled residents (Resident (R) 64, R30 and R9) and/or their resident representatives reviewed for arbitration agreements that signed arbitration agreements, that the provisions of this agreement shall remain in effect after any other agreements between the parties have been terminated, and this agreement shall survive the death of a patient. Findings Include: Review of a blank copy of the facility's Arbitration Agreement, provided by the facility, indicated, . Scope of Agreement. Any and all disputes between the Patient and the Center shall be submitted to binding arbitration, except claims that may be brought in the applicable State small claims court. This includes any disputes arising out of or in any way relating to the enforceability of this Agreement, the admission Agreement, or any of the Patient's stays at the Center, whether…
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.
Show the remaining 12 citations
- Potential for harm · E2023-10-05 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident and staff interviews, record review, and review of the facility policy titled, Grievance: Healthcare Center, the facility failed to act to resolve resident council grievances regarding the facility failing to serve food that was palatable and hot at meals for 13 of 18 sampled residents (Resident (R)12, R21, R64, R41, R32, R33, R7, R30, R9, R55, R3, R11 and R20) who attended the monthly Resident Council meetings. Findings Include: Review of the facility policy titled, Grievance: Healthcare Center, revision date 11/21/2022, specified, The Administrator of each healthcare center serves as its grievance official and is responsible for the following: overseeing the grievance process; receiving and tracking grievances through to the conclusion; leading necessary investigations; maintaining confidentiality of all information associated with grievances (for example, the identity of the patient for those grievances submitted anonymously); issuing written grievance decisions to the person who filed the grievance (if known); and coordinating with state and federal agencies as…
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.
- Potential for harm · Ecited before2023-10-05 · tag F0658 — failed to meet professional standards of care — patternEnsure 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 observations, staff interviews, record review, and review of the facility policy titled, Medication Administration: General Guidelines, the facility failed to ensure that two of five residents (Residents(R)27 and R55) observed during medication administration, received their medications within either the hour before or the hour after the physician ordered administration time. The deficient practice could result in a resident not maintaining a therapeutic level of the prescribed medications. Findings include: Review of the facility policy titled, Medication Administration: General Guidelines, dated 5/31/2023, revealed, Medications are administered as prescribed, in accordance with good nursing principles, and practices .medications are administered in accordance with written orders of the attending physician .Medications are administered within 60 minutes before or after scheduled time .Unless otherwise specified by the physician, routine medications are administered according to the established medication administration schedule for the healthcare center. 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.
- Potential for harm · Ecited before2023-10-05 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility policy titled, Meal Delivery, the facility failed to serve food that was palatable and hot to 4 of 18 sampled residents (Resident (R)12, R7, R17, and R37) interviewed for food palatability. Findings include: Review of the facility policy titled, Meal Delivery, revised 4/11/2016 on section for Hall l Meal Service number one and two stated: 1. All foods leaving the kitchen to be served to residents/patients in their rooms will be covered. 2. Hot items will be served with insulated domes/bases and lids to maintain the heat or served with another system designed to maintain temperature during transportation . Hot food will be delivered and held at or above 135 degrees Fahrenheit. Observation of meal service on Hall 2 on 10/02/2023 at 11:45 AM revealed meals served from plastic covered tray cart. All meals served were covered only with plastic wrap with no temperature control. During an interview on 10/02/2023 at 3:45 PM the Dietary Manager revealed that for several months the enclosed food carts have not been used…
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.
- Potential for harm · Dcited before2023-10-05 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility policy titled, Infection Prevention-Hand Hygiene, the facility failed to ensure that hand hygiene was performed during medication administration for two of five residents (Residents(R)55 and R56) observed during the medication administration task. The deficient practice had the potential to spread infection. Findings include: Review of the facility's policy titled, Infection Prevention-Hand Hygiene, dated 8/15/2023, revealed, .indications requiring hand wash or hand rub 1. Before and after contact with the resident, 2. Before donning gloves, including sterile gloves .7. Immediately after removal of personal protective equipment (e.g., gloves, gowns, facemasks). During medication administration observations along with Unit Manager (UM)1, Registered Nurse (RN)2 did not sanitize his hands prior to the preparation of R56's medications on 10/04/2023 at 10:14 AM. RN2 was unable to administer R56's medications and secured the medications. At 10:21 AM, RN2 proceeded to prepare and administer R55's medications. RN2…
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.
- Potential for harm · Ecited before2022-03-10 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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, interview, and review of the facility policy, the facility failed to serve food in the kitchen under sanitary conditions. This problem can affect 53 of 60 residents that take food by mouth. Findings include: A tour of the kitchen on 03/08/22 at 10:30 a.m. to 10:55 a.m. revealed the following concerns: The kitchen floor was observed with black tile grout, to be very greasy and dirty with large amounts of food debris and dust. Two, four-foot sections of grout were missing causing large caverns under the tile for food and debris to collect. Two floor mats near the stove were observed with large amounts of dust build up and food debris within the open sections of the floor mat. An uncovered meat slicer on the counter near the stove in the kitchen was observed to have large amounts of dust and food debris on the cutting surface and blade. The kitchen ceiling near the steam table was observed with large white dried splashes in an approximate 10-foot section. The wall near the food puree device was observed with splashes of white, brown, and red substances on 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.
- Potential for harm · D2022-03-10 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, interview, record review, and facility policy review, the facility failed to ensure comprehensive care plans were developed to reflect residents care needs for two residents (R) (R#217 and R#5) of 22 sampled residents related to oxygen therapy for R#217 and treatment to prevent further decline of contractures for R#5. Findings include: Review of facility policy titled, Care Plans, dated 12/31/96, revealed, .each patient/resident to have a person-centered .comprehensive care plan developed .to meet a patient/resident's medical, nursing, and psychosocial needs, the services that are to be furnished to attain and maintain the residents .needs . 1. Review of R#217's undated Face Sheet located in the resident's electronic medical record (EMR) under the Face Sheet tab revealed R#217 was admitted to the facility on [DATE] with diagnoses which included pulmonary embolism. Review of R#217's Physician Orders, located in the resident's EMR under the Orders tab revealed, a physician order for, .Oxygen…
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.
- Potential for harm · D2022-03-10 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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 closed record review, and interview, the facility failed to complete a recapitulation of stay for one resident (R) (R#47) of three residents reviewed for discharge. Findings include: Review of R#47's undated Face Sheet located in the resident's electronic medical record (EMR) under the Face Sheet tab revealed the resident was admitted to the facility on [DATE] with diagnoses which included respiratory failure related to COVID-19. Continued review of the face sheet revealed R#47 was discharged home and/or to the community on 2/4/22. Review of R#47's entire closed medical record revealed no documented evidence a recapitulation of the resident's stay was completed. During an interview with the Minimum Data Set Coordinator (MDSC) on 3/10/22 at 2:30 p.m., the MDSC stated she was not aware that a recapitulation of stay was required and verified no recapitulation of stay was documented or completed for R#47. Interview with the Director of Nursing (DON) on 3/10/22 at 3:10 p.m. revealed she thought the document…
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.
- Potential for harm · Dcited before2022-03-10 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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, interview and record review the facility failed to ensure residents centered care and services, were in accordance with the goals for care and professional standards of practice were provided for two residents (R) (R#8 and R#21) of seven residents reviewed for medication administration. Specifically, Licensed Practical Nurse (LPN)1 did not prepare and deliver R#8 and R#21 medications for administration simultaneously. Findings include: Review of facility-provided policy titled Medication Administration: General Guidelines dated 3/23/21 revealed .Medications are administered.with good nursing principles and practices . only one patient/resident's medication are prepared and administered at a time. 1. Review of R#8's undated Face Sheet tab located in the electronic medical record (EMR) revealed R#8 was admitted to the facility on [DATE]. Review of R#8's Orders tab located in the EMR revealed the following the current physician orders: Acetaminophen 325 milligrams (mg) tab orally 2 tablets…
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.
- Potential for harm · D2022-03-10 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 observations, interviews, record review, and facility policy review, the facility failed to provide treatment/services, equipment, supplies and/or assistance to maintain or improve ROM (range of motion)]/mobility for one resident (R) (R#5) out of two residents sampled for ROM. Finding Include: Review of facility-provided policy titled, Therapy Patient/Resident Referral, dated 5/20/21 revealed, It is our policy for a therapy referral form to be completed within Matrix .Nursing should complete an interdisciplinary referral form in the Matrix if a patient has shown changes in condition or has new impairments that should be assessed by therapy .The therapist(s) will review the Interdisciplinary form in the Matrix and verify therapy orders are written for an evaluation . Review of facility-provided policy titled, Restorative Nursing Program, dated 11/4/21 revealed .healthcare center to provide restorative nursing which actively focuses on achieving and maintain optimal physical .functioning and wellbeing of…
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.
- Potential for harm · Dcited before2022-03-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 observations, interviews, record reviews, and facility policy reviews, the facility failed to ensure residents' respiratory equipment was properly stored when not in use; and failed to follow physician's orders (oxygen flow rate) for two residents (R) (R#216 and R#217) of two residents reviewed for oxygen therapy. R#216's nebulizer masked was not stored properly allowing the mask to be exposed to environmental germs. Additionally, R#216 and R#217's physician order for oxygen flow rate was not followed which could lead to possible respiratory distress and their oxygen tubing was not dated to indicate when it was last changed. Finding include: Review of facility-provided policy titled Oxygen Safety and Storage, revealed .assure that oxygen is administered and stored safely . dated 11/5/15. Review of facility-provided policy titled Procedure: Oxygen Administration, revealed .Verify orders .adjust device to ordered level . and .document procedure per facility policy/protocol . dated 2019. Review of…
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.
- Potential for harm · D2022-03-10 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 observations, record reviews, staff interviews, and policy review, the facility failed to ensure controlled medications records were maintained and accounted for one (300 Hall Medication Cart) of three medication carts. A narcotic count of R#26's Tramadol (an opiate, controlled substance that was subject to abuse) on 3/10/22 did not reconcile with the resident's controlled medication record. Findings include: Review of facility-provided policy titled, Medication Administration: General Guidelines, dated 3/23/21 revealed Medications are administered . in accordance with good nursing principles and practices . Review of Mosby's Pocket Guide to Nursing Skills and Procedures-E-Book, Ninth Edition, by [NAME] and [NAME], page 501 of 1150 under heading Oral Medications revealed .Controlled substance laws require nurses to carefully monitor and count dispensed narcotics. Review of R#26's undated Face Sheet located in the resident's electronic medical record (EMR) under the Face Sheet tab revealed R#26 was…
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.
- Potential for harm · Dcited before2022-03-10 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure medications were secure for one of three medication carts. The medication cart contained loose and unidentified medications. Additionally, the facility failed to ensure four residents (R) (R#10, R#50, R#42, and R#215) of 22 resident's medications were stored securely in the medication cart. Findings include: Review of facility-provided policy titled, Medication Storage in the Healthcare Centers, dated 9/15/17 revealed Medications . are stored safely, securely . The medication supply is accessible only to licensed nursing personnel . Medication . carts are locked or attended by persons with authorized access . The provider pharmacy dispenses medication in containers that meet legal requirements . Medications are kept and stored in these containers . medications . containers . without secure closures are immediately removed from stock, disposed. Review of facility-provide policy titled, Medication Administration: General Guidelines…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to PRUITTHEALTH — 95 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.9 | -0.9 vs chain |
| Health inspection | 2 of 5 | 2.8 | -0.8 vs chain |
| Staffing | 3 of 5 | 2.5 | +0.5 vs chain |
| Quality measures | 4 of 5 | 3.6 | +0.4 vs chain |
The other 94 homes this chain runs (chain average 2.9★, per CMS)
Showing 40 of 94; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| ALVEY, CLAIRE | Individual | W-2 MANAGING EMPLOYEE | since 03/14/2021 |
| PRUITT, NEIL | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 09/24/2007 |
CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — 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.
About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115506. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.