Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
311
207 employees · 104 contractors · 90 on an average day Roswell Nursing & Rehab Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Roswell, GA
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 14 points below the Georgia average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 14 points below the Georgia average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Community photos aren’t available yet.
To request photos, use the contact form below.
Roswell Nursing & Rehab Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Roswell, GA
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 14 points below the Georgia average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 14 points below the Georgia average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Roswell Nursing & Rehab Center accepts Medicare, Medicaid, and private pay.
Overview of Roswell Nursing & Rehab Center
Roswell Nursing & Rehab Center provides nursing home care, hospice care, palliative care, respite care, and skilled nursing in Roswell, GA. Skilled nursing includes licensed nursing care on site around the clock, while hospice and palliative care focus on comfort. Respite care provides a short stay when someone’s usual caregiver needs time to travel or recover.
Rehabilitation services are available to help residents regain or maintain function during care. The home has 268 beds, making it a larger community with more residents, staff, and usually more programming. Roswell Nursing & Rehab Center may be a good fit for someone who needs ongoing nursing support or for a family seeking short term respite care.
Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay rather than long term residence, while private pay means the resident or family pays for the stay directly. Total nurse staffing is 3h 0m per resident per day, representing the daily hands on nursing time allocated to each resident.
Ms Opal Dacosta serves as the administrator.
Quality ratings
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 121st out of 168 nursing homes we track in Georgia for nurse hours. 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.
3h 0m
This nursing home is ranked 121st out of 168 nursing homes we track in Georgia for nurse hours. 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.
3h 0mStandout metric: Physical therapist is +48% above Georgia average
4 of 6 metrics below Georgia average
Daily care time per resident, by role
Registered nurse (RN)
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. 18 total: 10 of the facility's own employees and 8 agency contractors.
18 staff · 7.9-hour shifts
18m
↓ 41% · GA 30mThis facility: 18m per resident per day, 41% below the Georgia average of 30m (among Georgia facilities reporting a recent figure).
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. 18 total: 10 of the facility's own employees and 8 agency contractors.
18 staff · 7.9-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
LPN / LVN
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. 134 total: 42 of the facility's own employees and 92 agency contractors.
134 staff · 9.3-hour shifts
1h 6m
↑ 19% · GA 56mThis facility: 1h 6m per resident per day, 19% above the Georgia average of 56m (among Georgia facilities reporting a recent figure).
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. 134 total: 42 of the facility's own employees and 92 agency contractors.
134 staff · 9.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 94 total: 90 of the facility's own employees and 4 agency contractors.
94 staff · 8.8-hour shifts
1h 37m
↓ 25% · GA 2h 10mThis facility: 1h 37m per resident per day, 25% below the Georgia average of 2h 10m (among Georgia facilities reporting a recent figure).
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. 94 total: 90 of the facility's own employees and 4 agency contractors.
94 staff · 8.8-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
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. All 25 are the facility's own employees; no agency contractors work in this role.
25 staff · 7.6-hour shifts
5m
↑ 48% · GA 3mThis facility: 5m per resident per day, 48% above the Georgia average of 3m (among Georgia facilities reporting a recent figure).
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. All 25 are the facility's own employees; no agency contractors work in this role.
25 staff · 7.6-hour shiftsUS average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 36m
↓ 16% · GA 3h 6mThis facility: 2h 36m per resident per day, 16% below the Georgia average of 3h 6m (among Georgia facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
13m
↓ 36% · GA 21mThis facility: 13m per resident per day, 36% below the Georgia average of 21m (among Georgia facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
311
207 employees · 104 contractors · 90 on an average day
311 total staff / 175 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.78 : 1
↑ 28% · GA 1.39This facility: 1.78 staff per resident, 28% above the Georgia average of 1.39 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
311 staff ÷ 175 residents
See full Georgia ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.5 h
↑ 2% · GA 8.3 hThis facility: 8.5 h, 2% above the Georgia average of 8.3 h (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
70,098 staff hours this quarter
See full Georgia ranking →95.3% of staff hours were worked by the facility's own employees
Georgia average: 94.2% · Contractors this quarter: Licensed Practical Nurse (92), Registered Nurse (8), Certified Nursing Assistant (4)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
268
Rank #1 / 206Bed count — State benchmarked This nursing home is ranked 1st out of 206 nursing homes we track in Georgia for bed count. Shows this facility's certified or reported bed count compared to other Georgia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
268
Rank #1 / 206Bed count — State benchmarked This nursing home is ranked 1st out of 206 nursing homes we track in Georgia for bed count. Shows this facility's certified or reported bed count compared to other Georgia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
Years of operating
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #88 / 190Years in operation — State benchmarked This nursing home is ranked 88th out of 190 nursing homes we track in Georgia for years in operation. Shows how long this facility has been in operation compared to other Georgia facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #88 / 190Years in operation — State benchmarked This nursing home is ranked 88th out of 190 nursing homes we track in Georgia for years in operation. Shows how long this facility has been in operation compared to other Georgia facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
12
years
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #89 / 211Walk Score — State benchmarked This nursing home is ranked 89th out of 211 nursing homes we track in Georgia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Georgia facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #89 / 211Walk Score — State benchmarked This nursing home is ranked 89th out of 211 nursing homes we track in Georgia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Georgia facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
54
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #119 / 159Occupancy rate — State benchmarked This nursing home is ranked 119th out of 159 nursing homes we track in Georgia for occupancy. Shows this facility's occupancy rate versus the Georgia average, with its Statewide rank out of 159. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #119 / 159Occupancy rate — State benchmarked This nursing home is ranked 119th out of 159 nursing homes we track in Georgia for occupancy. Shows this facility's occupancy rate versus the Georgia average, with its Statewide rank out of 159. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
69.1%
This home usually has availability
Based on 185.3 residents and 268 beds. Source: CMS Provider Information, average daily residents
Lower than the Georgia average: 81%
Avg. Length of Stay
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.
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.
266
days
About This Community
Facility TypeNursing Home
StatusSnf/Nf Dual Cert
IssuanceJanuary 1, 2014
CountyCobb
CMS Certification Number115422
AccreditationsMember of GHCA
Roswell Nursing & Rehab Center is administered by Ms. Opal Dacosta.
Resident Council
Stroke Recovery
Physical Therapy
Occupational Therapy
Speech Therapy
Post-Operative Subacute Care
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Diabetes Care
Pain Management
Chronic Kidney Disease Management
Hospice & Palliative Care
Bariatric CareSpecialized care for people with severe obesity, including safe transfers, equipment, mobility support, and management of related health needs.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Mail & Newspaper Service
HousekeepingListed as: Hotel-grade housekeeping
Laundry & Linen
Email
odacosta@cypressga.com
Pets not allowed
Wi-Fi
Cable Tv
Beauty Salon
Activities
Therapeutic Recreation
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
14 points below the Georgia average for CMS-certified facilities (84/100)
Category breakdown
Citations
Concern
78 severity-weighted points (24 deficiencies) · 52% higher than the typical CMS-certified GA facility (median: 51)
Enforcement
Concern
$206,486 in fines · 1 enforcement action
Persistence
Typical
46 days to fix issues · slower than the typical CMS-certified GA facility (median: 44)
Total health inspections
4
↑ 14% · GA 3.5This facility: 4, 14% above the Georgia average of 3.5 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
24
Rank #123 / 171Health citations — State benchmarked This nursing home is ranked 123rd out of 171 nursing homes we track in Georgia for health citations. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 171 GA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 41% · GA 17This facility: 24, 41% above the Georgia average of 17 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6
Rank #115 / 171Citations per inspection — State benchmarked This nursing home is ranked 115th out of 171 nursing homes we track in Georgia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 171 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 26% · GA 4.76This facility: 6, 26% above the Georgia average of 4.76 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
24 of 24 citations corrected
Critical
J–L
3
↑ 400% · GA 0.6This facility: 3, 400% above the Georgia average of 0.6 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
2
↑ 300% · GA 0.5This facility: 2, 300% above the Georgia average of 0.5 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
19
↑ 20% · GA 15.8This facility: 19, 20% above the Georgia average of 15.8 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · GA 0.1This facility: 0, 100% below the Georgia average of 0.1 (among Georgia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 26, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 7 of 24 citations · 8 categories in total
Citations history
Most recent first
Mar 26, 2026
2 citations
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jul 02, 2025
2 citations
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 20, 2025
11 citations
Administration critical citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Care Planning critical citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Mar 09, 2023
9 citations
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 24 citations
Quality of Life & Care
7 deficiencies (29%)
Nutrition & Dietary
4 deficiencies (17%)
Infection Control
3 deficiencies (13%)
Resident Rights
3 deficiencies (13%)
Resident Assessment & Care Planning
2 deficiencies (8%)
Pharmacy Services
2 deficiencies (8%)
Environmental
2 deficiencies (8%)
Administration
1 deficiency (4%)
How citations are counted
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; 2 of 24 resulted from complaint investigations; and 12 of 24 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
1 penalty in the past 3 years
Latest: Feb 20, 2025 · $206,486 civil money penalty
Feb 20, 2025 · $206,486 civil money penalty
Total fines
$206,486
GA avg $37KGeorgia average: $37,053. Average among the 128 Georgia facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #171 / 173Federal fines — State benchmarked This nursing home is ranked 171st out of 173 nursing homes we track in Georgia for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Georgia average among facilities with fines, and where it ranks among 173 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 41% · GA 1.7This facility: 1, 41% below the Georgia average of 1.7. Average among the 128 Georgia facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
GA avg 0.32Georgia average: 0.32. Average among the 128 Georgia facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Feb 20, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$206,486
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$206,486Fine amount comparison
This facility
$206,486
Georgia average
$37,053
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Georgia and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Georgia average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
11.7
Score · lower is better
↑ 32% · GA 8.9This facility: 11.7, 32% above the GA average of 8.9 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
22.6
Score · lower is better
↑ 47% · GA 15.4This facility: 22.6, 47% above the GA average of 15.4 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 3 better, 6 worse, 2 near GA average
3 short-stay measures: 1 better, 1 worse, 1 near GA average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
23.4%
↑ 53% · GA 15.3This facility: 23.4, 53% above the GA average of 15.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
23.4%
↑ 53% · GA 15.3This facility: 23.4, 53% above the GA average of 15.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
21.3%
↑ 40% · GA 15.2This facility: 21.3, 40% above the GA average of 15.2 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
21.3%
↑ 40% · GA 15.2This facility: 21.3, 40% above the GA average of 15.2 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.2%
↑ 47% · GA 15.8This facility: 23.2, 47% above the GA average of 15.8 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.2%
↑ 47% · GA 15.8This facility: 23.2, 47% above the GA average of 15.8 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 18% · GA 2.5This facility: 2.9, 18% above the GA average of 2.5 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 18% · GA 2.5This facility: 2.9, 18% above the GA average of 2.5 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
↓ 7% · GA 3.2This facility: 3.0, 7% below the GA average of 3.2 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
↓ 7% · GA 3.2This facility: 3.0, 7% below the GA average of 3.2 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.8%
↑ 4% · GA 5.6This facility: 5.8, 4% above the GA average of 5.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.8%
↑ 4% · GA 5.6This facility: 5.8, 4% above the GA average of 5.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.1%
↓ 8% · GA 5.6This facility: 5.1, 8% below the GA average of 5.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.1%
↓ 8% · GA 5.6This facility: 5.1, 8% below the GA average of 5.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · GA 11.3This facility: 0.0, 100% below the GA average of 11.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · GA 11.3This facility: 0.0, 100% below the GA average of 11.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 26% · GA 19.9This facility: 25.0, 26% above the GA average of 19.9 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 26% · GA 19.9This facility: 25.0, 26% above the GA average of 19.9 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
↓ 23% · GA 91.4This facility: 70.6, 23% below the GA average of 91.4 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
↓ 23% · GA 91.4This facility: 70.6, 23% below the GA average of 91.4 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
≈ 0% · GA 95.0This facility: 94.7, level with the GA average of 95.0 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
≈ 0% · GA 95.0This facility: 94.7, level with the GA average of 95.0 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↓ 7% · GA 2.6This facility: 2.4, 7% below the GA average of 2.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↓ 7% · GA 2.6This facility: 2.4, 7% below the GA average of 2.6 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
63.4%
↓ 21% · GA 80.3This facility: 63.4, 21% below the GA average of 80.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
63.4%
↓ 21% · GA 80.3This facility: 63.4, 21% below the GA average of 80.3 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
↓ 2% · GA 78.4This facility: 76.7, 2% below the GA average of 78.4 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
↓ 2% · GA 78.4This facility: 76.7, 2% below the GA average of 78.4 (among GA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Roswell Nursing & Rehab Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 165 Georgia nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−6.6% operating margin
+0.6 pts vs prior year
An operating loss in 7 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Georgia homes
27.8% payroll share of revenue
GA average 56.1%Rank #159 / 165Payroll % of net patient revenue — State benchmarked This nursing home is ranked 159th out of 165 nursing homes we track in Georgia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Georgia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.6M while revenue rose $0.0M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Georgia homes.
Revenue & profit
Big revenue, persistent losses
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | GA median | Compared with GA homesRank in GA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $21.3M | +$0.0M | Trend 20172024 | GA median $10.4M | Rank in GA Rank #12 / 165Net patient revenue — State benchmarked This nursing home is ranked 12th out of 165 nursing homes we track in Georgia for net patient revenue. Shows this facility's net patient revenue compared to the Georgia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Top 7% in GA Higher net patient revenue than 93% of GA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $22.7M | −$0.1M | Trend 20172024 | GA median — | Rank in GA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.4M | +$0.1M | Trend 20172024 | GA median — | Rank in GA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −6.6% | +0.6 pts | Trend 20172024 | GA median — | Rank in GA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | GA median — | Rank in GA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.4M | +$0.1M | Trend — | GA median — | Rank in GA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Georgia homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | GA median | Compared with GA homesRank in GA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.9M | +$0.6M | Trend 20172024 | GA median $5.5M | Rank in GA Rank #66 / 165Payroll costs — State benchmarked This nursing home is ranked 66th out of 165 nursing homes we track in Georgia for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Georgia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Above GA median Higher payroll than 60% of GA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 27.8% | +2.8 pts | Trend 20172024 | GA median 51.6% | Rank in GA Rank #159 / 165Payroll % of net patient revenue — State benchmarked This nursing home is ranked 159th out of 165 nursing homes we track in Georgia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Georgia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Georgia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | 28.3 pts under GA average The GA average is 56.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · GA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Georgia payroll average.
% of net patient revenue
Payroll share Operating margin GA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $19.2M | $20.1M | $20.2M | $19.9M | $20.3M | $19.3M | $21.2M | $21.3M |
| Operating expenses | $19.3M | $21.7M | $20.4M | $20.0M | $19.3M | $20.1M | $22.7M | $22.7M |
| Net patient income | −$0.1M | −$1.6M | −$0.3M | −$0.1M | $1.0M | −$0.8M | −$1.5M | −$1.4M |
| Operating margin | −0.7% | −8.2% | −1.4% | −0.4% | 5.1% | −4.1% | −7.2% | −6.6% |
| Net income | −$0.1M | −$1.6M | −$0.3M | $1.5M | $1.0M | −$0.8M | −$1.5M | −$1.4M |
| Payroll costs | $8.6M | $8.3M | $6.8M | $6.5M | $5.2M | $4.6M | $5.3M | $5.9M |
| Payroll share of revenue | 44.6% | 41.5% | 33.8% | 32.7% | 25.8% | 23.6% | 25.0% | 27.8% |
| Beds | 268 | 268 | 268 | 268 | 268 | 268 | 268 | 268 |
| Gross revenue | $20.3M | $22.5M | $23.8M | $21.4M | $21.5M | $26.5M | $29.5M | $27.7M |
| Salaries | $7.2M | $7.2M | $5.8M | $5.4M | $4.5M | $3.9M | $4.6M | $5.2M |
| Wage-related costs | $1.3M | $1.2M | $1.0M | $1.1M | $0.7M | $0.6M | $0.7M | $0.7M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $10.8M | $13.4M | $13.6M | $13.5M | $14.1M | $15.5M | $17.5M | $16.8M |
| Net patient revenue per day | $258 | $264 | $270 | $290 | $312 | $307 | $292 | $299 |
| Cost per day | $260 | $285 | $274 | $292 | $296 | $320 | $314 | $319 |
| Average length of stay | 108.6 days | 98.4 days | 85.2 days | 160.7 days | 94.2 days | 104.0 days | 281.0 days | 266.4 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
269 admissions · FY2024
Residents admitted during the year.
Medicare
122 · 45%
Medicaid
27 · 10%
Private pay & other
120 · 45%
Resident snapshot
175 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
27 · 15%
Medicaid
147 · 84%
Private pay & other
1 · 1%
Leaving
267 discharges · FY2024
Residents discharged during the year.
Medicare
129 · 48%
Medicaid
34 · 13%
Private pay & other
104 · 39%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Roswell Nursing & Rehab Center
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.
Calculate Travel Distance to Roswell Nursing & Rehab Center
Add your location
Financial Assistance for
Nursing Home in Georgia
Roswell Nursing & Rehab Center is located in ROSWELL, Georgia.
Here are the financial assistance programs available to residents in Georgia.
Know before you visit
Frequently Asked Questions about Roswell Nursing & Rehab Center
Quick answers from public records and the community's own listing.01 Is Roswell Nursing & Rehab Center in a walkable area?
Roswell Nursing & Rehab Center has a walk score of 54. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Roswell Nursing & Rehab Center?
Roswell Nursing & Rehab Center's occupancy is 69.1%.
03 How long has Roswell Nursing & Rehab Center been in business?
Roswell Nursing & Rehab Center has been operating for approximately 12 years, based on available licensing and registration records.
04 Are pets allowed at Roswell Nursing & Rehab Center?
No, Roswell Nursing & Rehab Center has a no-pet policy.
05 What is the best email address for Roswell Nursing & Rehab Center?
The team at Roswell Nursing & Rehab Center can be reached at shanwilliams@roswellnursing.com.
06 Does Roswell Nursing & Rehab Center operate as a for-profit or non-profit?
Roswell Nursing & Rehab Center is registered as a for-profit in GA.
07 Who is the administrator of Roswell Nursing & Rehab Center?
Ms. Opal Dacosta is the administrator of Roswell Nursing & Rehab Center.
Updated on
