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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.
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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May provide extensive amenities, services and programs.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
56% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Georgia average
Roswell Nursing & Rehab Center is administrated by Ms OPAL DACOSTA.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Georgia average: 21 deficiencies
The most recent inspection on April 17, 2025, found no deficiencies and confirmed correction of prior issues. Earlier inspections showed multiple deficiencies, including a resident’s death by choking due to inadequate supervision during meals, infection control lapses, failure to provide requested dietary accommodations, and cleanliness concerns around garbage areas. Life safety code surveys noted fire safety and emergency preparedness issues, and complaint investigations were mostly unsubstantiated or substantiated without deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed previously cited deficiencies, indicating improvement in compliance over time.
Georgia average 3.4
Last Health inspection on Jul 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 29 citations resulted from standard inspections; 2 of 29 resulted from complaint investigations; and 20 of 29 came from combined inspections (standard and complaint).
3
329% worse than Georgia average
Georgia average: 0.7
2
300% worse than Georgia average
Georgia average: 0.5
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 02, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 02, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Corrected
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.
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).
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.
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).
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.
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).
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.
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).
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.
2.8 miles from city center
1109 GREEN STREET, ROSWELL, GA 30075
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Georgia average
Georgia average ratio: 1.45:1
7% better than Georgia average
Georgia average: 8.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This role is partially covered by contractors.
Total hours from contractors
1,502 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
6% worse than Georgia average
Georgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.4
12% worse than Georgia average
Georgia average: 17.4
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
15% worse than Georgia average
Georgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Georgia average
Georgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
24% worse than Georgia average
Georgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Georgia average
Georgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% better than Georgia average
Georgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.3%
8% better than Georgia average
Georgia average: 2.5%
Percent of long-stay residents who lose too much weight
6.8%
14% worse than Georgia average
Georgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.2%
98% better than Georgia average
Georgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
27.1%
41% worse than Georgia average
Georgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
24% worse than Georgia average
Georgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Georgia average
Georgia average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
5% worse than Georgia average
Georgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.3%
97% worse than Georgia average
Georgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
In line with Georgia average
Georgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
439% higher than Georgia average
Georgia average: $40K
In line with Georgia average
Georgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Georgia average
Georgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
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.
Mar 9, 2023
Last updated: Jan 2026
Historical financial and operational data for Roswell Nursing & Rehab Center based on CMS SNF Cost Reports.
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