Douglasville Nursing and Rehabilitation Center
Nursing Home & Assisted Living · Douglasville, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Douglasville Nursing and Rehabilitation Center

Nursing Home & Assisted Living · Douglasville, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Douglasville Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.

Since 2017 · 9 years of data 107 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2017 vs. Georgia state average
Overall vs. GA average 2 Worse Metrics worse than Georgia average:
• Total deficiencies (410% above)
• Deficiencies per year (417% above)
0 Better No metrics in this bucket.
Latest Inspection May 28, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityGA Averagevs. GA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10721 This facility has 410% more total deficiencies than a typical Georgia assisted living residence (107 vs. GA avg 21).↑ 410% worse
Deficiencies per year Info Average deficiencies per year since 2017. 11.92.3 This facility has 417% more deficiencies per year than a typical Georgia assisted living residence (11.9 vs. GA avg 2.3).↑ 417% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on May 28, 2025 found no deficiencies and the complaint investigated was unsubstantiated.
  • The March 12, 2025 survey cited two deficiencies for failure to include and administer seizure medication to one resident, causing a 7-day medication omission.
  • The October 10, 2024 complaint survey found four deficiencies related to resident care failures, abuse investigation lapses, and unsafe mechanical lift use.

Health Inspection History

Inspections since 2019
Total health inspections 8

State average N/A


Last Health inspection on Oct 2025

Total health citations
50 Rank #201 / 203Health citations — State benchmarkedThis home is ranked 201st out of 203 homes in Georgia. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 203 GA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
6.25 Rank #147 / 203Citations per inspection — State benchmarkedThis home is ranked 147th out of 203 homes in Georgia. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 203 facilities with citation data. Lower is better.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 50 citations resulted from standard inspections; 29 of 50 resulted from complaint investigations; and 4 of 50 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
4
In line with State average

State average: N/A

0 critical citations State average: N/A

4 serious citations State average: N/A

46 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 7 years)
Quality of Care serious citation Oct 30, 2025
Corrected

Abuse/Neglect moderate citation Jun 27, 2025
Corrected

Abuse/Neglect moderate citation Jun 27, 2025
Corrected

Administration moderate citation Jun 27, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 302
Employees 300
Contractors 2
Staff to resident ratio 1.47 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 123
Average shift 9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 101,468

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 51 LPN Staff are full-time employees. No contractors work on this role. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 121 CNA Staff are full-time employees. No contractors work on this role. 121
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant121012140,09392100%9.3
Licensed Practical Nurse5105118,24592100%9.8
Medication Aide/Technician200209,79492100%9.8
Physical Therapist230239,55292100%8
Qualified Activities Professional300307,28392100%9.2
Registered Nurse130134,23992100%9.5
Other Dietary Services Staff4041,64192100%6.7
Dental Services Staff4041,6036874%7.4
RN Director of Nursing5051,4407986%8.2
Qualified Social Worker5051,2379098%6.4
Physical Therapy Aide4041,0937683%7.2
Respiratory Therapy Technician3031,0647683%7.2
Physical Therapy Assistant3039246672%7.5
Speech Language Pathologist2028436672%7
Clinical Nurse Specialist6068307076%7.1
Nurse Practitioner1014325762%7.6
Administrator1014265863%7.3
Therapeutic Recreation Specialist1011842325%8
Dietitian1011762224%8
Mental Health Service Worker1011682123%8
Occupational Therapy Aide1011652224%7.5
Occupational Therapy Assistant0112944%7.3
Medical Director0111055%2
121 Certified Nursing Assistant
% of Days 100%
51 Licensed Practical Nurse
% of Days 100%
20 Medication Aide/Technician
% of Days 100%
23 Physical Therapist
% of Days 100%
30 Qualified Activities Professional
% of Days 100%
13 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
4 Dental Services Staff
% of Days 74%
5 RN Director of Nursing
% of Days 86%
5 Qualified Social Worker
% of Days 98%
4 Physical Therapy Aide
% of Days 83%
3 Respiratory Therapy Technician
% of Days 83%
3 Physical Therapy Assistant
% of Days 72%
2 Speech Language Pathologist
% of Days 72%
6 Clinical Nurse Specialist
% of Days 76%
1 Nurse Practitioner
% of Days 62%
1 Administrator
% of Days 63%
1 Therapeutic Recreation Specialist
% of Days 25%
1 Dietitian
% of Days 24%
1 Mental Health Service Worker
% of Days 23%
1 Occupational Therapy Aide
% of Days 24%
1 Occupational Therapy Assistant
% of Days 4%
1 Medical Director
% of Days 5%

Penalties and fines

Includes penalties issued in 2023-2024

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)

Total fines amount $14K Rank #159 / 204Federal fines — State benchmarkedThis home is ranked 159th out of 204 homes in Georgia. Shows this facility's cumulative CMS federal fine dollars versus the Georgia average among facilities with fines, and where it ranks among 204 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
66% lower than State average

State average: $40K

Number of fines 3
46% more fines than State average

State average: 2.1

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $14K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 8, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2023
$5K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.5
7% better than State average

State average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.7
27% better than State average

State average: 17.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.2%
57% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.3%
21% better than State average

State average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.5%
In line with State average

State average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.3%
64% worse than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 12.4%
96% worse than State average

State average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
68% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
25% worse than State average

State average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.0%
20% worse than State average

State average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 54.5%
40% worse than State average

State average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 49.6%
48% worse than State average

State average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 44.5%
45% worse than State average

State average: 80.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
15% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.7%
38% worse than State average

State average: 78.2%

Breakdown by payment type

Medicare

28% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 2 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 206
Medicare
25
12.1% of residents
Medicaid
179
86.9% of residents
Private pay or other
2
1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$23.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$249.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$23.6M Rank #14 / 197Revenue — State benchmarkedThis home is ranked 14th out of 197 homes in Georgia. Shows this facility's annual revenue compared to the Georgia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$249.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$117.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #3 / 197Payroll — State benchmarkedThis home is ranked 3rd out of 197 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.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$14.9M 63.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #24 / 197Payroll % — State benchmarkedThis home is ranked 24th out of 197 homes in Georgia. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$23.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 2 months.

Admissions
484 total

Coverage residents most often arrive under.

Medicare 28%
Private pay 44%
Medicaid 28%
Discharges
491 total

Coverage residents most often leave under.

Medicare 23%
Private pay 41%
Medicaid 36%

Places of interest near Douglasville Nursing and Rehabilitation Center

Address 6.1 miles from city center Info Estimated distance in miles from Douglasville's city center to Douglasville Nursing and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Douglasville Nursing and Rehabilitation Center

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Frequently Asked Questions about Douglasville Nursing and Rehabilitation Center

What is the occupancy rate at Douglasville Nursing and Rehabilitation Center?

Douglasville Nursing and Rehabilitation Center's occupancy is 83%.

What is the best email address for Douglasville Nursing and Rehabilitation Center?

The team at Douglasville Nursing and Rehabilitation Center can be reached at 21moates@tarahc.com.

Does Douglasville Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Douglasville Nursing and Rehabilitation Center is registered as a for-profit in GA.

Who is the administrator of Douglasville Nursing and Rehabilitation Center?

Whitney Greenaway is the administrator of Douglasville Nursing and Rehabilitation Center.

How many beds does Douglasville Nursing and Rehabilitation Center have?

Douglasville Nursing and Rehabilitation Center has 246 beds.

What is the address of Douglasville Nursing and Rehabilitation Center?

Douglasville Nursing and Rehabilitation Center is located at 4028 Hwy 5, Douglasville, GA 30135.

What is the phone number of Douglasville Nursing and Rehabilitation Center?

(770) 942-7111 will put you in contact with the team at Douglasville Nursing and Rehabilitation Center.

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