Facility type
Nursing Home
Status
Snf/nf Dual Cert
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Roswell Nursing & Rehab Center
Roswell Nursing & Rehab Center provides a patient-centric approach to rehabilitation and nursing care. The facility is designed to make patients feel at home while they transition from hospital care to self-care. It offers a comprehensive range of specialized services tailored to individual needs.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
268
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.2%
Residents per day (avg)
189
Occupancy rate
74.2%
Residents per day (avg)
189
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
56% 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
3 - 4 months
Finances and operations
Privately-owned community
Home revenue
$29.5M
Operating loss
-$1.5M
Privately-owned community
Home revenue
$29,452,297.00
Operating loss
$-1,525,081.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$26.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$31.0M
268-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
12 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
License details
Issuance
January 1, 2014
County:
COBB
Additional licensing details
CMS Certification Number:
115422
Accreditations:
Member of GHCA
Ownership & operating entity
Roswell Nursing & Rehab Center is administrated by Ms OPAL DACOSTA.
Contact Information
Email:
[email protected]
Programs & Activities
Specific Programs
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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.
4 visits/inspections
2 routine inspections
Results
4 with issues
0 without issues
Georgia average: 15 visits/inspections
Show Inspection Reports
Latest inspection
Date:July 2, 2025
Type:Annual Inspection
37 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
4
Georgia average 3.4
Last Health inspection on Jul 2025
Total health citations
29
Georgia average 16.6
Citations per inspection
7.25
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 29 citations resulted from standard inspections; 2 of 29 resulted from complaint investigations; and 20 of 29 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
329% worse than Georgia averageGeorgia average: 0.7
Serious Health citations
2
2
300% worse than Georgia averageGeorgia average: 0.5
3 critical citations
2 serious citations
24 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 02, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 02, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 02, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 02, 2025
Corrected
Administration critical citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 20, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 20, 2025
Corrected
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.
Compare Nursing Homes around Roswell The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
Roswell Nursing & Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ROSWELL
268
74.2%
-5%
2.89
-19%
2
29
5
189
Heintz, Marci
$29,5M
$4,6M
15.6%
115422
Roswell Nursing & Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ROSWELL
268
74.2%
-5%
2.89
-19%
2
29
5
189
Heintz, Marci
$29,5M
$4,6M
15.6%
115422
Brookdale Chambrel Roswell
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ROSWELL
30
-
-
-
-
0
0
0
-
-
-
-
-
-
Brookdale Chambrel Roswell
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ROSWELL
30
-
-
-
-
0
0
0
-
-
-
-
-
-
Places of interest near Roswell Nursing & Rehab Center
2.8 miles from city center
1109 GREEN STREET, ROSWELL, GA 30075
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
265
Employees
232
Contractors
33
Staff to resident ratio
1.42:1
0% compared with Georgia averageGeorgia average ratio: 1.45:1
Avg staff/day
89
Average shift
8.9 hours
7% better than Georgia averageGeorgia average: 8.3 hours
Total staff hours (quarter)
71,733
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
72
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
103
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
2.1%
1,502 contractor hours this quarter
Licensed Practical Nurse: 23
Registered Nurse: 7
Certified Nursing Assistant: 3
Staff by category
| Certified Nursing Assistant | 100 | 3 | 103 | 31,245 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 49 | 23 | 72 | 17,830 | 91 | 100% | 9.7 |
| Physical Therapist | 25 | 0 | 25 | 8,346 | 91 | 100% | 7.4 |
| Registered Nurse | 14 | 7 | 21 | 3,014 | 91 | 100% | 8.9 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,313 | 70 | 77% | 9.3 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,254 | 72 | 79% | 7.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,133 | 76 | 84% | 8.4 |
| RN Director of Nursing | 7 | 0 | 7 | 1,130 | 66 | 73% | 8.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 926 | 67 | 74% | 8.4 |
| Dietitian | 3 | 0 | 3 | 866 | 64 | 70% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 854 | 64 | 70% | 8.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 791 | 63 | 69% | 7.7 |
| Administrator | 4 | 0 | 4 | 709 | 63 | 69% | 7.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 551 | 64 | 70% | 7.1 |
| Qualified Activities Professional | 3 | 0 | 3 | 547 | 62 | 68% | 8.6 |
| Qualified Social Worker | 1 | 0 | 1 | 493 | 62 | 68% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 449 | 57 | 63% | 7.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 284 | 45 | 49% | 6.3 |
103 Certified Nursing Assistant
% of Days
100%
72 Licensed Practical Nurse
% of Days
100%
25 Physical Therapist
% of Days
100%
21 Registered Nurse
% of Days
100%
4 Mental Health Service Worker
% of Days
77%
3 Physical Therapy Aide
% of Days
79%
3 Respiratory Therapy Technician
% of Days
84%
7 RN Director of Nursing
% of Days
73%
4 Other Dietary Services Staff
% of Days
74%
3 Dietitian
% of Days
70%
2 Speech Language Pathologist
% of Days
70%
6 Clinical Nurse Specialist
% of Days
69%
4 Administrator
% of Days
69%
2 Physical Therapy Assistant
% of Days
70%
3 Qualified Activities Professional
% of Days
68%
1 Qualified Social Worker
% of Days
68%
1 Nurse Practitioner
% of Days
63%
1 Occupational Therapy Aide
% of Days
49%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
186 residents
Residents by payment source
Medicare
17 residents (9.1%)
Medicaid
147 residents (79%)
Private pay or other
22 residents (11.8%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
6% worse than Georgia averageGeorgia average: 10.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.4
12% worse than Georgia averageGeorgia average: 17.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
15% worse than Georgia averageGeorgia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.1%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Georgia averageGeorgia average: 19.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
24% worse than Georgia averageGeorgia average: 16.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Georgia averageGeorgia average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% better than Georgia averageGeorgia average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
8% better than Georgia averageGeorgia average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.8%
Percent of long-stay residents who lose too much weight
6.8%
14% worse than Georgia averageGeorgia average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.2%
Percent of long-stay residents who have depressive symptoms
0.2%
98% better than Georgia averageGeorgia average: 8.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.1%
Percent of long-stay residents who received an antipsychotic medication
27.1%
41% worse than Georgia averageGeorgia average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
24% worse than Georgia averageGeorgia average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Georgia averageGeorgia average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
5% worse than Georgia averageGeorgia average: 80.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.3%
Percent of short-stay residents who newly received an antipsychotic medication
4.3%
97% worse than Georgia averageGeorgia average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
In line with Georgia averageGeorgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$216K
439% higher than Georgia averageGeorgia average: $40K
Number of fines
2
In line with Georgia averageGeorgia average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Georgia averageGeorgia average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$216K
Georgia average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2025
$206K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Roswell Nursing & Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
74.2%
↑ 9.9pp vs 2022
Net Income
-$1,525,081
↓ ~$732K vs 2022
Total Payroll
$5,293,830
↑ ~$732K vs 2022
Profit Margin
-5.2%
↓ 2.2pp vs 2022
Loading trend charts...
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