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.
At 1821 Anderson Ave NW in Atlanta’s Dixie Hills neighborhood, Sadie G. Mays Health & Rehabilitation Center operates as a 206-bed nonprofit skilled nursing facility under Kathi Laxton’s ownership and Gerialean Cooper’s administration.
Affiliated with PruithHealth, the facility has served residents for 53 years. Services include 24/7 skilled nursing, rehabilitation programs, personalized care plans, and an active resident council. Current census is predominantly Medicaid (84.9%). Medicare admissions average 1 to 2 months; private-pay residents typically remain 1 to 2 years. Average length of stay across all payers is 385 days.
Since 2017, inspectors documented 142 deficiencies; an annual average of 15.8 violations, 587% above Georgia’s typical 2.3 per year. Seven years of health inspections produced 48 citations, ranked #189 of 191 Georgia facilities.
Citation severity includes three serious violations (compared to state average 0.5), significantly above norm.
A July 2025 complaint investigation identified nine deficiencies affecting 21 residents. Substantive findings involved failure to timely report and investigate substantiated sexual abuse allegations, missed medication doses affecting multiple residents, absent dignity accommodations (no urinary drainage supplies), insufficient supervision correlating with resident falls, and infection control lapses.
An October 2024 complaint survey documented eight deficiencies including improper background checks, infection control failures in equipment handling, antibiotic stewardship documentation gaps, and nonfunctional resident call systems.
A June 2024 routine inspection cited twelve violations spanning environment safety, staff licensing deficiencies, medication administration errors exceeding acceptable rates, unnecessary psychotropic medication continuation, and pest infestation.
Federal penalty imposed June 26, 2024: $54,000 civil money penalty.
Total staff of 432 (75 employees, 357 contractors) generates a 2.44:1 staff-to-resident ratio exceeding state average. However, registered nurse hours remain at 26 minutes daily, 13% below state; with weekend RN coverage just 11 minutes, 45% below state benchmark. Licensed practical nurse and certified nursing assistant roles are heavily contractor-dependent: 93% of LPNs and 77% of CNAs work through temporary staffing.
Payroll comprises 41.3% of revenue, substantially below the 51–61% indicator of operational adequacy.
Long-stay depressive symptom prevalence reaches 0.4% (95% better than state), yet functional decline affects 22% of residents (worse than state). Vaccine coverage shows critical gaps: pneumococcal vaccination 74.2% (19% worse than state), influenza vaccination 47.7% (50% worse). Occupancy contracted from 90.5% in 2019 to 71.6% in 2024; a July 2025 census recorded 10% occupancy.
The facility holds a 1-star CMS rating (61.1% below Georgia average), reflecting compliance violations, abuse reporting failures, medication safety concerns, occupancy decline, and federal financial penalty.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 75th out of 202 homes 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.
| 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.
| 26m per day | ▼ 12% State avg: 30m 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 9m per day | ▲ 23% State avg: 56m 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.
| 2h 5m per day | ▼ 3% State avg: 2h 9m per day · National avg: 2h 21m 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.
| 3h 14m per day | ▲ 4% State avg: 3h 6m per day · National avg: 3h 26m 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 | ▼ 16% 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 | ▼ 51% State avg: 20m per day · National avg: 29m per day |
Sadie G. Mays Health & Rehabilitation Center is administered by Gerialean Cooper.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 142 | 21 | This facility has 576% more total deficiencies than a typical Georgia nursing home (142 vs. GA avg 21).↑ 576% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 15.8 | 2.3 | This facility has 587% more deficiencies per year than a typical Georgia nursing home (15.8 vs. GA avg 2.3).↑ 587% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.5 | 2.1 | This facility has 19% more deficiencies per inspection than a typical Georgia nursing home (2.5 vs. GA avg 2.1).↑ 19% worse |
Inspections
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 57 | 10 | This facility has 470% more total inspections than a typical Georgia nursing home (57 vs. GA avg 10).↑ 470% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
17 of 48 citations resulted from standard inspections; 23 of 48 resulted from complaint investigations; and 8 of 48 came from combined inspections (standard and complaint).
100% better than Georgia averageGeorgia average: 0.7
500% worse than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
100% more staff per resident than Georgia average
0% compared with Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
22 total: 5 full-time employees and 17 contractors.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
184 total: 12 full-time employees and 172 contractors.
184
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
198 total: 45 full-time employees and 153 contractors.
198
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
17,549 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 153 | 198 | 24,658 | 92 | 100% | 8 |
| Licensed Practical Nurse | 12 | 172 | 184 | 12,773 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 3,453 | 79 | 86% | 8.3 |
| Registered Nurse | 5 | 17 | 22 | 1,291 | 89 | 97% | 6.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,168 | 68 | 74% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 875 | 65 | 71% | 8.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 526 | 68 | 74% | 7.7 |
| Qualified Social Worker | 0 | 3 | 3 | 514 | 77 | 84% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 499 | 68 | 74% | 6.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 490 | 62 | 67% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Administrator | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
Includes penalties issued in 2024
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)
35% higher than Georgia averageGeorgia average: $40K
51% fewer fines than Georgia averageGeorgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Georgia averageGeorgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 26, 2024 · $54K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
11% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
22% worse than Georgia averageGeorgia average: 17.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
24% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
23.6%
22% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
18% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
22% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.1%
19% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.9%
17% worse than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
4.7%
22% better than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.4%
95% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
14.7%
23% better than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
74.2%
19% worse than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
47.7%
50% worse than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.62
26% better than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.23
38% better than Georgia averageGeorgia average: 1.97
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.9%
33% worse than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
12% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
47% worse than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.0%
In line with Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.3%
40% better than Georgia averageGeorgia average: 12.2%
Rate of successful return to home or community from a skilled nursing facility.
48.1%
5% worse than Georgia averageGeorgia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
78% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
152Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sadie G. Mays Health & Rehabilitation Center from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #40 / 197Payroll — State benchmarkedThis home is ranked 40th out of 197 homes in Georgia. Shows total annual staff payroll benchmarked to the Georgia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #134 / 197Payroll % — State benchmarkedThis home is ranked 134th out of 197 homes in Georgia. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (78% of admissions), and a typical private pay stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.4 miles from city center
Estimated distance in miles from Atlanta's city center to Sadie G. Mays Health & Rehabilitation Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Budd Terrace | NH | Atlanta (Clifton Road Northeast) | 250
Facility
250
GA AVG
88
Rank
#10 / 672 |
100.0%
Facility
100.0%
GA AVG
78.1%
Rank
#185 / 325 | +28% | 4.04
Facility
4.04
GA AVG
3.56
Rank
#41 / 202 | +35% | +14% | $0
Facility
$0
GA AVG
$38.9k
Rank
#1 / 204 | 30
Facility
30
GA AVG
16.6
Rank
#167 / 203 | 6.0
Facility
6.0
GA AVG
4.7
Rank
#131 / 203 | - | 401 | - |
51
Facility
51
GA AVG
39
Rank
#302 / 873 | John Pulliam | $13.4M
Facility
$13.4M
GA AVG
$15.7M
Rank
#73 / 197 | $11.0M
Facility
$11.0M
GA AVG
$4.3M
Rank
#11 / 197 | 82.2%
Facility
82.2%
GA AVG
42.6%
Rank
#1 / 197 | 115682 | ||||
| Westminster Commons | NH HC RC | Atlanta (Midtown Atlanta) | 90
Facility
90
GA AVG
88
Rank
#278 / 672 |
93.3%
Facility
93.3%
GA AVG
78.1%
Rank
#40 / 325 | +19% | 3.76
Facility
3.76
GA AVG
3.56
Rank
#59 / 202 | +4% | +6% | $23.5k
Facility
$23.5k
GA AVG
$38.9k
Rank
#173 / 204 | 35
Facility
35
GA AVG
16.6
Rank
#189 / 203 | 8.8
Facility
8.8
GA AVG
4.7
Rank
#189 / 203 | - | 81 | - |
93
Facility
93
GA AVG
39
Rank
#4 / 873 | - | $8.3M
Facility
$8.3M
GA AVG
$15.7M
Rank
#140 / 197 | $4.2M
Facility
$4.2M
GA AVG
$4.3M
Rank
#132 / 197 | 50.2%
Facility
50.2%
GA AVG
42.6%
Rank
#80 / 197 | 115674 | ||||
| Sadie G. Mays Health & Rehabilitation Center | NH HC NC RC | Atlanta (Dixie Hills) | 206
Facility
206
GA AVG
88
Rank
#22 / 672 | - | - | 3.55
Facility
3.55
GA AVG
3.56
Rank
#75 / 202 | -41% | 0% | $54.0k
Facility
$54.0k
GA AVG
$38.9k
Rank
#185 / 204 | 48
Facility
48
GA AVG
16.6
Rank
#200 / 203 | 9.6
Facility
9.6
GA AVG
4.7
Rank
#195 / 203 | 3 | 21 | - |
31
Facility
31
GA AVG
39
Rank
#524 / 873 | Kathi Laxton | $15.5M
Facility
$15.5M
GA AVG
$15.7M
Rank
#42 / 197 | $6.8M
Facility
$6.8M
GA AVG
$4.3M
Rank
#40 / 197 | 43.9%
Facility
43.9%
GA AVG
42.6%
Rank
#134 / 197 | 115542 | ||||
| Bonterra Transitional Care and Rehabilitation | NH MC | Atlanta (River Park) | 118
Facility
118
GA AVG
88
Rank
#134 / 672 |
96.6%
Facility
96.6%
GA AVG
78.1%
Rank
#22 / 325 | +24% | 2.92
Facility
2.92
GA AVG
3.56
Rank
#159 / 202 | -64% | -18% | $47.7k
Facility
$47.7k
GA AVG
$38.9k
Rank
#183 / 204 | 41
Facility
41
GA AVG
16.6
Rank
#194 / 203 | 8.2
Facility
8.2
GA AVG
4.7
Rank
#185 / 203 | 7 | 110 | - |
56
Facility
56
GA AVG
39
Rank
#254 / 873 | Wellington Healthcare Services III, LP | $10.6M
Facility
$10.6M
GA AVG
$15.7M
Rank
#78 / 197 | $5.9M
Facility
$5.9M
GA AVG
$4.3M
Rank
#75 / 197 | 56%
Facility
56%
GA AVG
42.6%
Rank
#123 / 197 | 115555 | ||||
| Buckhead Center for Nursing and Healing | NH HC PC RC | Atlanta (Buckhead) | 179
Facility
179
GA AVG
88
Rank
#39 / 672 | - | - | 2.91
Facility
2.91
GA AVG
3.56
Rank
#159 / 202 | -5% | -18% | $29.4k
Facility
$29.4k
GA AVG
$38.9k
Rank
#179 / 204 | 39
Facility
39
GA AVG
16.6
Rank
#193 / 203 | 6.5
Facility
6.5
GA AVG
4.7
Rank
#157 / 203 | 6 | 33 | - |
83
Facility
83
GA AVG
39
Rank
#16 / 873 | Ga 2 Holdco LLC | $14.9M
Facility
$14.9M
GA AVG
$15.7M
Rank
#65 / 197 | $5.7M
Facility
$5.7M
GA AVG
$4.3M
Rank
#79 / 197 | 38.6%
Facility
38.6%
GA AVG
42.6%
Rank
#163 / 197 | 115110 |
Sadie G. Mays Health & Rehabilitation Center is located in Atlanta, Georgia.
Here are the financial assistance programs available to residents in Georgia.
Sadie G. Mays Health & Rehabilitation Center is in the Dixie Hills neighborhood of Atlanta.
Sadie G. Mays Health & Rehabilitation Center has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Sadie G. Mays Health & Rehabilitation Center's occupancy is 71.6%.
The team at Sadie G. Mays Health & Rehabilitation Center can be reached at mhakeem@sgmays.org.
Sadie G. Mays Health & Rehabilitation Center is registered as a non-profit in GA.
Gerialean Cooper is the administrator of Sadie G. Mays Health & Rehabilitation Center.
Sadie G. Mays Health & Rehabilitation Center has 206 beds.
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