1/5
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.
1/5
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.
Located in Lilburn, Georgia, about 20 miles northeast of Atlanta, Pruitthealth – Lilburn is a skilled nursing home owned by Toni Smith. The facility has operated in the community for 48 years. It accepts Medicare, Medicaid, and private pay, giving families different coverage options for both short-term rehabilitation and longer-term nursing care.
The home has a full census of 152 beds. Residents stay an average of 155 days, including those recovering through post-acute rehabilitation and receiving ongoing nursing care.
Registered nurses, licensed practical nurses, and nurse aides provide care throughout the facility. Staffing is available around the clock. Residents receive about 2 hours and 42 minutes of nursing care each day. The facility also offers rehabilitation services, home health, hospice and palliative care, and personal care services. Its mix of services makes it an ideal setting for those recovering from surgery or illness and managing longer-term conditions.
Inspection reports documented deficiencies during earlier surveys. Follow-up surveys later confirmed that corrections had been made and the cited issues were resolved. Families visiting should ask staff about quality assurance practices and ensure that it stays compliant with care standards.
Amenities on-site include a beauty salon and barber shop, laundry services, and recreational programming. There’s a recreational area where activities take place daily. Dietetic services focus on nutritional care, and volunteer support is part of the community as well.
The location has a Walk Score of 50. Some errands and services are within walking distance, but most travel requires a short drive. Lilburn is a residential community with good highway access for visiting family members.
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.
Staffing hours
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.
Hours per resident per day vs Georgia averages
Total nursing care
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.
2h 42m
24% below state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
4 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Georgia average: 78.1%Pruitthealth – Lilburn is administered by Debra Mims.
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, 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.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 102 | 21 | This facility has 386% more total deficiencies than a typical Georgia nursing home (102 vs. GA avg 21).↑ 386% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.8 | 1.2 | This facility has 133% more deficiencies per inspection than a typical Georgia nursing home (2.8 vs. GA avg 1.2).↑ 133% worse |
Inspections
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 37 | 17 | This facility has had 118% more total inspections than the Georgia average (37 vs. GA avg 17). More inspections can mean more regulatory scrutiny rather than worse care.↑ 118% more |
State average 3.4
Last Health inspection on May 2025
State average 16.6
State average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 24 citations resulted from standard inspections; 8 of 24 resulted from complaint investigations; and 6 of 24 came from combined inspections (standard and complaint).
329% worse than State averageState average: 0.7
100% better than State averageState average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident 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.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 58 CNA Staff are full-time employees. No contractors work on this role.
58
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 58 | 0 | 58 | 20,251 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,959 | 92 | 100% | 9.3 |
| Registered Nurse | 15 | 0 | 15 | 5,856 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,534 | 84 | 91% | 9.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 710 | 64 | 70% | 7.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 593 | 68 | 74% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 2 | 0 | 2 | 512 | 67 | 73% | 7.2 |
| RN Director of Nursing | 1 | 0 | 1 | 261 | 34 | 37% | 7.7 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 122 | 12 | 13% | 7.2 |
Includes penalties issued in 2023
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)
48% higher than Georgia averageGeorgia average: $40K
51% fewer fines than Georgia averageGeorgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
252% more payment denials than Georgia averageGeorgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 18, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 18, 2023Last 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.
7.1
31% better than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
22% better than Georgia averageGeorgia average: 17.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.9%
23% better than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
13.6%
30% better than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.2%
12% better than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
42% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.1%
In line with Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.9%
25% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
1.1%
81% better than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
16.7%
91% worse than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
10.4%
46% better than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
8% better than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Georgia averageGeorgia average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
13% better than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
40% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
22% better than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
37.9%
57% worse than Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
In line with Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Georgia averageGeorgia average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
45.9%
9% worse than Georgia averageGeorgia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
11% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
122Residents 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 Pruitthealth – Lilburn from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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.
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 #123 / 177Payroll % — State benchmarkedThis home is ranked 123rd out of 177 homes in Georgia for payroll %. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (75% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lilburn's city center to Pruitthealth – Lilburn's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the GA Dept. of Community Health (DCH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| The William Breman Jewish Home | NH SNF | Atlanta (Buckhead) | 96
Facility
96
GA AVG
87
Rank
#247 / 663 |
96.9%
Facility
96.9%
GA AVG
79.5
Rank
#6 / 154 | +22% | 5.36 | +14% | +51% | $0 | 10 | 3.3 | 2 | 93 | A+ |
23
Facility
23
GA AVG
41
Rank
#597 / 839 | Jeffrey Gopen | $13.2MFiscal year ending 06/2024 | $9.4MFiscal year ending 06/2024 | 70.9%Fiscal year ending 06/2024 | 115022 | ||||
| Ridgecrest Rehab & Skilled Nursing Center | NH SNF | Columbus | 84
Facility
84
GA AVG
87
Rank
#313 / 663 |
46.4%
Facility
46.4%
GA AVG
79.5
Rank
#146 / 154 | -42% | 4.55 | -50% | +28% | $0 | 12 | 4.0 | - | 39 | - |
2
Facility
2
GA AVG
41
Rank
#825 / 839 | Donald Butler | $4.3MFiscal year ending 06/2024 | $2.6MFiscal year ending 06/2024 | 59.8%Fiscal year ending 06/2024 | 115478 | ||||
| Stevens Park Health & Rehabilitation | NH | Augusta (Bonair) | 42
Facility
42
GA AVG
87
Rank
#551 / 663 |
95.2%
Facility
95.2%
GA AVG
79.5
Rank
#16 / 154 | +20% | 4.21 | +69% | +18% | $0 | 3 | 1.5 | - | 40 | - |
26
Facility
26
GA AVG
41
Rank
#568 / 839 | Tina Lane | $4.4MFiscal year ending 06/2024 | $2.9MFiscal year ending 06/2024 | 66%Fiscal year ending 06/2024 | 115294 | ||||
| Lenbrook | NH AL MC SNF | Ne Atlanta | 60
Facility
60
GA AVG
87
Rank
#447 / 663 |
81.7%
Facility
81.7%
GA AVG
79.5
Rank
#90 / 154 | +3% | 7.08 | +38% | +99% | $0 | 2 | 2.0 | - | 49 | A+ |
57
Facility
57
GA AVG
41
Rank
#239 / 839 | Mark Kill | $38.2MFiscal year ending 06/2024 | $21.4MFiscal year ending 06/2024 | 56%Fiscal year ending 06/2024
Facility
56%Fiscal year ending 06/2024
GA AVG
42.6%
Rank
#129 / 177 | 115296 | ||||
| Pruitthealth – Lilburn | NH HOS SNF | Lilburn | 152
Facility
152
GA AVG
87
Rank
#65 / 663 | - | - | 2.69 | +59% | -24% | $59.4k | 24 | 6.0 | 3 | 210 | - |
50
Facility
50
GA AVG
41
Rank
#312 / 839 | Toni Smith | $11.9MFiscal year ending 06/2024 | $6.2MFiscal year ending 06/2024 | 52.1%Fiscal year ending 06/2024
Facility
52.1%Fiscal year ending 06/2024
GA AVG
42.6%
Rank
#123 / 177 | 115516 |
Pruitthealth – Lilburn has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Pruitthealth – Lilburn's occupancy is 100%.
Pruitthealth – Lilburn has been operating for approximately 48 years, based on available licensing and registration records.
No, Pruitthealth – Lilburn has a no-pet policy.
Pruitthealth – Lilburn is registered as a for-profit in GA.
Debra Mims is the administrator of Pruitthealth – Lilburn.
Pruitthealth – Lilburn has 152 beds.
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