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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 150th out of 190 homes in Georgia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day |
Lower than the Georgia average: 78.1%Roswell Nursing & Rehab Center is administrated by Ms Opal Dacosta.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 72 | 21 | This facility has 243% more total deficiencies than a typical Georgia nursing home (72 vs. GA avg 21).↑ 243% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 8 | 2.3 | This facility has 248% more deficiencies per year than a typical Georgia nursing home (8 vs. GA avg 2.3).↑ 248% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 17, 2025, found no deficiencies and confirmed correction of prior issues. Earlier inspections showed multiple deficiencies, including a resident’s death by choking due to inadequate supervision during meals, infection control lapses, failure to provide requested dietary accommodations, and cleanliness concerns around garbage areas. Life safety code surveys noted fire safety and emergency preparedness issues, and complaint investigations were mostly unsubstantiated or substantiated without deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed previously cited deficiencies, indicating improvement in compliance over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsGeorgia average 3.4
Last Health inspection on Jul 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 29 citations resulted from standard inspections; 2 of 29 resulted from complaint investigations; and 20 of 29 came from combined inspections (standard and complaint).
329% worse than Georgia averageGeorgia average: 0.7
300% worse than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
18% better than Georgia average
0% compared with Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,300 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 90 | 4 | 94 | 31,088 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 42 | 92 | 134 | 16,669 | 92 | 100% | 9.3 |
| Physical Therapist | 25 | 0 | 25 | 7,694 | 92 | 100% | 7.6 |
| Registered Nurse | 10 | 8 | 18 | 2,678 | 92 | 100% | 7.9 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,570 | 71 | 77% | 6.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,473 | 73 | 79% | 9.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,454 | 70 | 76% | 7.7 |
| RN Director of Nursing | 5 | 0 | 5 | 1,247 | 70 | 76% | 7.8 |
| Dietitian | 4 | 0 | 4 | 1,176 | 89 | 97% | 6.8 |
| Administrator | 2 | 0 | 2 | 897 | 66 | 72% | 7.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 894 | 71 | 77% | 7.6 |
| Qualified Social Worker | 2 | 0 | 2 | 840 | 67 | 73% | 7.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 701 | 62 | 67% | 7.5 |
| Qualified Activities Professional | 3 | 0 | 3 | 507 | 59 | 64% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 442 | 61 | 66% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 239 | 44 | 48% | 5.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 127 | 33 | 36% | 3.6 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
439% higher than Georgia averageGeorgia average: $40K
In line with Georgia averageGeorgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Georgia averageGeorgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 20, 2025 · $206K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
6% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.4
12% worse than Georgia averageGeorgia average: 17.4
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
15% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
24% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.3%
8% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
6.8%
14% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.2%
98% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
27.1%
41% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
24% worse than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Georgia averageGeorgia average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
5% worse than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.3%
97% worse than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
In line with Georgia averageGeorgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
56% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
186Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Roswell Nursing & Rehab Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #91 / 185Payroll — State benchmarkedThis home is ranked 91st out of 185 homes in Georgia. Shows total annual staff payroll benchmarked to the Georgia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
2.8 miles from city center
Estimated distance in miles from Roswell's city center to Roswell Nursing & Rehab Center's address, calculated via Google Maps.
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Roswell Nursing & Rehab Center is located in ROSWELL, Georgia.
Here are the financial assistance programs available to residents in Georgia.
Roswell Nursing & Rehab Center has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Roswell Nursing & Rehab Center's occupancy is 73%.
The team at Roswell Nursing & Rehab Center can be reached at [email protected].
Ms OPAL DACOSTA is the administrator of Roswell Nursing & Rehab Center.
Roswell Nursing & Rehab Center has 268 beds.
Roswell Nursing & Rehab Center is located at 1109 GREEN STREET.
(770) 998-1802 will put you in contact with the team at Roswell Nursing & Rehab Center.
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