Roswell Nursing & Rehab Center

Nursing Home, Hospice Care, Palliative Care & Respite Care · Roswell, GA

CMS overall rating

1109 Green Street, Roswell, GA 30075 View map

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Roswell Nursing & Rehab Center accepts Medicare and private pay.

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Roswell Nursing & Rehab Center accepts Medicare and private pay.

Overview of Roswell Nursing & Rehab Center

Roswell Nursing & Rehab Center is dedicated to providing compassionate care and rehabilitation services tailored to each patient's needs. The facility emphasizes a family-like atmosphere, ensuring that residents feel at home while receiving care. It is equipped to handle both skilled nursing and long-term care for patients transitioning from hospital care.

Facility Direct Line (770) 998-1802

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Georgia state averages

Total nursing care / resident

2h 53m per day

This facility Georgia avg (3h 33m per day)

vs Georgia avg

-19%

4 of 6 metrics below state avg

Standout metric LPN / LVN is +16% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	14m per day	▼ 53% State avg: 29m per day · National avg: 41m per day
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.	1h 5m per day	▲ 16% State avg: 55m per day · National avg: 52m per day
Nurse Aide 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.	1h 52m per day	▼ 13% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 58m per day	▼ 5% State avg: 3h 9m per day · National avg: 3h 27m per day
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.	3m per day	▲ 3% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	10m per day	▼ 50% State avg: 20m per day · National avg: 29m per day

Capacity and availability

281 days

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.

Walk Score: 54 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

73%

Lower than the Georgia average: 78.1%

Occupied beds

196 / 268

Average occupied beds in Georgia homes 88 beds

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.

Rehabilitation Services

Email odacosta@cypressga.com

Since 2017 · 9 years of data 72 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2017 vs. Georgia state average

Overall vs. GA average

Latest Inspection April 17, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	GA Average	vs. GA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	72	21	This facility has 243% more total deficiencies than a typical Georgia nursing home (72 vs. GA avg 21).↑ 243% worse
Deficiencies per year Average deficiencies per year since 2017.	8	2.3	This facility has 248% more deficiencies per year than a typical Georgia nursing home (8 vs. GA avg 2.3).↑ 248% worse

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

The April 17, 2025 reinspection found all prior deficiencies corrected and no new federal deficiencies were cited.
The February 20, 2025 annual survey cited 12 deficiencies including immediate jeopardy for inadequate meal supervision causing a resident's death by choking.
Multiple complaint investigations in 2025 included two substantiated complaints without deficiencies and several unsubstantiated complaints, showing mixed outcomes without new citations.

Show Inspection Reports

Inspections since 2020

Total health inspections 4

Georgia average 3.4

Last Health inspection on Jul 2025

Total health citations

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 6 years)

Critical health citations

329% worse than Georgia average

Georgia average: 0.7

Serious health citations

300% worse than Georgia average

Georgia average: 0.5

3 critical citations Georgia average: 0.7

2 serious citations Georgia average: 0.5

24 moderate citations Georgia average: 15.2

0 minor citations Georgia average: 0.2

Citations history (last 6 years)

Pharmacy moderate citation Jul 02, 2025

Corrected

Quality of Care moderate citation Jul 02, 2025

Corrected

Administration critical citation Feb 20, 2025

Corrected

Environmental moderate citation Feb 20, 2025

Corrected

Total staff 311

Employees 207

Contractors 104

Staff to resident ratio 1.67 : 1

18% more staff per resident than Georgia average

Avg staff/day 90

Average shift 8.5 hours

0% compared with Georgia average

Total staff hours (quarter) 70,098

Nursing staff breakdown

7.9 hours

134

9.3 hours

8.8 hours

Contractor staffing

3,300 contractor hours this quarter

Licensed Practical Nurse: 92 Registered Nurse: 8 Certified Nursing Assistant: 4

Staff by category


Certified Nursing Assistant	90	4	94	31,088	92	100%	8.8
Licensed Practical Nurse	42	92	134	16,669	92	100%	9.3
Physical Therapist	25	0	25	7,694	92	100%	7.6
Registered Nurse	10	8	18	2,678	92	100%	7.9
Physical Therapy Aide	4	0	4	1,570	71	77%	6.9
Mental Health Service Worker	3	0	3	1,473	73	79%	9.1
Speech Language Pathologist	3	0	3	1,454	70	76%	7.7
RN Director of Nursing	5	0	5	1,247	70	76%	7.8
Dietitian	4	0	4	1,176	89	97%	6.8
Administrator	2	0	2	897	66	72%	7.5
Respiratory Therapy Technician	4	0	4	894	71	77%	7.6
Qualified Social Worker	2	0	2	840	67	73%	7.2
Clinical Nurse Specialist	5	0	5	701	62	67%	7.5
Qualified Activities Professional	3	0	3	507	59	64%	8.2
Other Dietary Services Staff	1	0	1	442	61	66%	7.2
Nurse Practitioner	1	0	1	405	54	59%	7.5
Occupational Therapy Aide	1	0	1	239	44	48%	5.4
Physical Therapy Assistant	2	0	2	127	33	36%	3.6

94 Certified Nursing Assistant

% of Days 100%

134 Licensed Practical Nurse

% of Days 100%

25 Physical Therapist

% of Days 100%

18 Registered Nurse

% of Days 100%

4 Physical Therapy Aide

% of Days 77%

3 Mental Health Service Worker

% of Days 79%

3 Speech Language Pathologist

% of Days 76%

5 RN Director of Nursing

% of Days 76%

4 Dietitian

% of Days 97%

2 Administrator

% of Days 72%

4 Respiratory Therapy Technician

% of Days 77%

2 Qualified Social Worker

% of Days 73%

5 Clinical Nurse Specialist

% of Days 67%

3 Qualified Activities Professional

% of Days 64%

1 Other Dietary Services Staff

% of Days 66%

1 Nurse Practitioner

% of Days 59%

1 Occupational Therapy Aide

% of Days 48%

2 Physical Therapy Assistant

% of Days 36%

View All Staffing Data in Roswell

Total fines amount $216K

439% higher than Georgia average

Georgia average: $40K

Number of fines 2

In line with Georgia average

Georgia average: 2.1

Payment Denials 0

100% fewer payment denials than Georgia average

Georgia average: 0.3

Fines amount comparison

This facility $216K

Georgia average $40K

Penalty History

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

1 penalty in the past 3 years

Feb 20, 2025 · $206K

Civil Money Penalty Feb 20, 2025

$206K

Last updated: Jan 2026

High-risk clinical events score 10.8

6% worse than Georgia average

Georgia average: 10.3

Functional decline score 19.4

12% worse than Georgia average

Georgia average: 17.4

Long-stay resident measures

Need for Help with Daily Activities Increased 19.3%

15% worse than Georgia average

Georgia average: 16.8%

Walking Ability Worsened 19.1%

In line with Georgia average

Georgia average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence 19.9%

24% worse than Georgia average

Georgia average: 16.1%

Falls with Major Injury 3.2%

In line with Georgia average

Georgia average: 3.2%

High Risk Residents with Pressure Ulcers 5.6%

11% better than Georgia average

Georgia average: 6.3%

Urinary Tract Infection 2.3%

8% better than Georgia average

Georgia average: 2.5%

Lost Too Much Weight 6.8%

14% worse than Georgia average

Georgia average: 6.0%

Depressive Symptoms 0.2%

98% better than Georgia average

Georgia average: 8.7%

Antipsychotic Use 27.1%

41% worse than Georgia average

Georgia average: 19.1%

Pneumococcal Vaccine 69.7%

24% worse than Georgia average

Georgia average: 91.5%

Influenza Vaccine 94.7%

In line with Georgia average

Georgia average: 95.0%

Short-stay resident measures

Pneumococcal Vaccine 76.4%

5% worse than Georgia average

Georgia average: 80.6%

Antipsychotic medication increase 4.3%

97% worse than Georgia average

Georgia average: 2.2%

Influenza Vaccine 76.7%

In line with Georgia average

Georgia average: 78.2%

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

Total residents 186

Medicare

9.1% of residents

Medicaid

147

79% of residents

Private pay or other

11.8% of residents

Programs & Services

Residents Group

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

Active Resident Council

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

Financial Trends

Historical financial and operational data for Roswell Nursing & Rehab Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 74.2% ↑ 9.9pp vs 2022

Net Patient Income -$1.5M ↓ ~$732.5K vs 2022

Payroll Costs $5.3M ↑ ~$731.9K vs 2022

Operating Margin -7.2% ↓ 3.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	69.8%	72.5%	70.0%	69.1%	68.8%	68.7%	75.9%	77.8%	76.4%	70.0%	66.6%	64.3%	74.2%
Beds	268	268	268	268	268	268	268	268	268	268	268	268	268
Net Income	-$314,266	-$1,764,765	-$1,731,905	-$494,721	-$355,803	-$1,148,510	-$132,396	-$1,632,561	-$272,853	$1,535,387	$1,036,567	-$792,916	-$1,525,081
Gross Revenue	$16,597,690	$18,848,437	$17,252,082	$17,776,931	$17,384,963	$17,690,153	$20,330,531	$22,453,769	$23,792,949	$21,437,278	$21,519,452	$26,483,929	$29,450,678
Operating Expenses	$16,284,566	$18,707,621	$18,423,811	$17,393,618	$16,610,231	$17,714,777	$19,318,484	$21,707,826	$20,445,442	$20,005,706	$19,291,252	$20,099,705	$22,744,261
Net Patient Income	-$323,905	-$1,722,510	-$1,717,526	-$507,316	-$358,087	-$1,153,033	-$133,347	-$1,638,398	-$277,883	-$88,363	$1,030,186	-$794,212	-$1,526,700
Net Patient Revenue	$15,960,661	$16,985,111	$16,706,285	$16,886,302	$16,252,144	$16,561,744	$19,185,137	$20,069,428	$20,167,559	$19,917,343	$20,321,438	$19,305,493	$21,217,561
Payroll Costs	$8,150,665	$9,031,082	$9,352,230	$9,372,464	$8,517,806	$8,810,947	$8,554,480	$8,337,415	$6,807,148	$6,505,145	$5,238,299	$4,561,897	$5,293,830
Operating Margin %	-2.0%	-10.1%	-10.3%	-3.0%	-2.2%	-7.0%	-0.7%	-8.2%	-1.4%	-0.4%	5.1%	-4.1%	-7.2%
Medicare %	10.3%	7.5%	7.4%	7.9%	5.0%	5.3%	6.6%	5.9%	6.4%	6.5%	7.3%	6.5%	8.9%
Medicaid %	74.6%	80.2%	76.0%	74.5%	75.3%	76.8%	75.7%	75.7%	75.9%	75.0%	79.3%	77.5%	74.8%
Private %	15.2%	12.3%	16.6%	17.6%	19.6%	18.0%	17.7%	18.4%	17.7%	18.5%	13.4%	15.9%	16.3%
Net Patient Revenue/Day	$234	$239	$244	$250	$242	$246	$258	$264	$270	$290	$312	$307	$292
Cost/Day	$238	$263	$269	$257	$247	$263	$260	$285	$274	$292	$296	$320	$314
Avg Length of Stay	116.9 days	241.1 days	210.5 days	194.1 days	193.3 days	217.5 days	108.6 days	98.4 days	85.2 days	160.7 days	94.2 days	104.0 days	281.0 days

Finances and operations

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

Net patient revenue

$21.2M

Net patient income

-$1.5M

For-profit Operated by a single business entity.

Net patient revenue

$21.2M

Net patient income

-$1.5M

Other income

$1.6K

Payroll costs

$5.3M 25% of net patient revenue

Other operating costs

$17.5M

Total costs

$22.7M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 56%

Private pay 44%

Coverage residents most often leave under.

Medicare 64%

Private pay 35%

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.

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The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.

2 facilities compared · CMS & GA Dept. of Health data


Sandy Springs Center for Nursing and Healing		NH	Sandy Springs (North Brookhaven)	165 Facility 165 GA AVG 88 Rank #53 / 672	85.5% Facility 85.5% GA AVG 78.1% Rank #95 / 325	+9%	3.05 Facility 3.05 GA AVG 3.56 Rank #151 / 202				-51%	-14%	$0 Facility $0 GA AVG $38.9k Rank #1 / 204	32 Facility 32 GA AVG 16.6 Rank #179 / 203	10.7 Facility 10.7 GA AVG 4.7 Rank #199 / 203	3	137	-	29 Facility 29 GA AVG 39 Rank #548 / 873	Shama Patil	$18.8M Facility $18.8M GA AVG $15.7M Rank #28 / 197	$7.4M Facility $7.4M GA AVG $4.3M Rank #48 / 197	39.6% Facility 39.6% GA AVG 42.6% Rank #169 / 197	115504
Roswell Nursing & Rehab Center		NH HC PC RC	Roswell	268 Facility 268 GA AVG 88 Rank #4 / 672	73.1% Facility 73.1% GA AVG 78.1% Rank #168 / 325	-6%	2.89 Facility 2.89 GA AVG 3.56 Rank #159 / 202				-33%	-19%	$206.5k Facility $206.5k GA AVG $38.9k Rank #201 / 204	29 Facility 29 GA AVG 16.6 Rank #164 / 203	7.3 Facility 7.3 GA AVG 4.7 Rank #170 / 203	5	181	-	54 Facility 54 GA AVG 39 Rank #271 / 873	Marci Heintz	$21.2M Facility $21.2M GA AVG $15.7M Rank #6 / 197	$5.3M Facility $5.3M GA AVG $4.3M Rank #100 / 197	25% Facility 25% GA AVG 42.6% Rank #190 / 197	115422

Nursing Home Explorer

Community Care Services Program

Georgia Medicaid CCSP

Age 65+ or disabled

General Georgia resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

High rural demand; waitlists possible.

Benefits

Personal care (5-7 hours/day) Adult day care (~$75/day) Respite (240 hours/year) Meals

Respite Care Program

Georgia NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)

General Georgia resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Focus on metro and rural balance.

Benefits

In-home aide (4-6 hours/day) Adult day care (~$75/day) Facility stay (up to 5 days)

Home and Community Services (HCS)

Georgia Home and Community Services (Non-Medicaid)

Age 60+

General Georgia resident, functionally impaired, at risk of nursing home placement.

Income Limits (2025) No strict limit; prioritizes ~$41,000/year; cost-sharing for higher incomes.

Asset Limits Not specified; need-based.

Non-Medicaid; AAA-managed.

Benefits

Personal care (4-6 hours/day) Homemaker Adult day care ($80/day) Respite (~5 days/year)

Medicare Savings Program (MSP)

Georgia Medicare Savings Program

Age 65+ or disabled

General Georgia resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI).

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; entitlement benefit.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Georgia Medicaid PACE

Age 55+

General Georgia resident, nursing home-level care need, safe with PACE support.

Income Limits (2025) ~$2,829/month 300% FBR

Asset Limits $2,000 (individual), $3,000 (couple).

Limited areas (e.g., Macon, Augusta).

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

SOURCE (Service Options Using Resources in a Community Environment)

Georgia Medicaid SOURCE Program

Age 65+ or disabled

General Georgia resident, Medicaid-eligible, frail but not necessarily nursing home-level.

Income Limits (2025) ~$914/month (SSI level); QIT allowed.

Asset Limits $2,000 (individual), $3,000 (couple).

Enhanced primary care model; statewide via 12 sites.

Benefits

Personal care (4-6 hours/day) Case management Adult day health ($80/day) Respite (limited)

Optional State Supplementation (OSS)

Georgia Optional State Supplementation

Age 65+ or disabled

General Georgia resident, in approved facility, low-income/SSI recipient.

Income Limits (2025) ~$1,004/month including SSI

Asset Limits $2,000 (individual), $3,000 (couple).

~$20-$489/month based on facility type.

Benefits

Cash (~$20-$489/month) for room/board in personal care homes

Is Roswell Nursing & Rehab Center in a walkable area?

Roswell Nursing & Rehab Center has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Roswell Nursing & Rehab Center?

Roswell Nursing & Rehab Center's occupancy is 73%.

What is the best email address for Roswell Nursing & Rehab Center?

The team at Roswell Nursing & Rehab Center can be reached at odacosta@cypressga.com.

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.

Who is the administrator of Roswell Nursing & Rehab Center?

Ms OPAL DACOSTA is the administrator of Roswell Nursing & Rehab Center.

How many beds does Roswell Nursing & Rehab Center have?

Roswell Nursing & Rehab Center has 268 beds.

What is the address of Roswell Nursing & Rehab Center?

Roswell Nursing & Rehab Center is located at 1109 Green Street, Roswell, GA 30075.

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Roswell Nursing & Rehab Center

Overview of Roswell Nursing & Rehab Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Contact Roswell Nursing & Rehab Center

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

94 Certified Nursing Assistant

134 Licensed Practical Nurse

25 Physical Therapist

18 Registered Nurse

4 Physical Therapy Aide

3 Mental Health Service Worker

3 Speech Language Pathologist

5 RN Director of Nursing

4 Dietitian

2 Administrator

4 Respiratory Therapy Technician

2 Qualified Social Worker

5 Clinical Nurse Specialist

3 Qualified Activities Professional

1 Other Dietary Services Staff

1 Nurse Practitioner

1 Occupational Therapy Aide

2 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Roswell Nursing & Rehab Center

Calculate Travel Distance to Roswell Nursing & Rehab Center

Compare Nursing Homes around Roswell

Financial Assistance for Nursing Home in Georgia

Community Care Services Program

Respite Care Program

Home and Community Services (HCS)

Medicare Savings Program (MSP)

Program of All-Inclusive Care for the Elderly (PACE)

SOURCE (Service Options Using Resources in a Community Environment)

Optional State Supplementation (OSS)

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Georgia