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.
Owned by Elevation Holdings Georgia LLC, Signature Healthcare at Tower Road is a nursing home in Marietta, Georgia. The facility accepts Medicare, Medicaid, and private pay, providing multiple options for residents and families to access care.
The home mainly provides short-term rehabilitation and recovery. Most residents stay for an average of 40 days, reflecting its focus on post-acute rehabilitation after surgery, hospitalization, or other medical events. Daily nurse staffing averages 3 hours and 15 minutes per resident, combining staffing from registered nurses, nursing aides, and LPN/LVNs.
The surrounding area has a Walkability Score of 36. Some nearby services are accessible on foot, though most errands and appointments will require a short drive. This setting may suit families who value proximity to local resources and are comfortable using transportation in a typical suburban Georgia neighborhood.
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 103rd 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.
| 17m per day | ▼ 44% 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 25m per day | ▲ 51% 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.
| 1h 51m per day | ▼ 14% 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 4m per day | ■ Avg 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.
| 5m per day | ▲ 65% 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.
| 13m per day | ▼ 36% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
19% fewer 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.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
All 29 LPN Staff are full-time employees. No contractors work on this role.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
All 56 CNA Staff are full-time employees. No contractors work on this role.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
308 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 0 | 56 | 18,944 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 29 | 0 | 29 | 12,419 | 92 | 100% | 10.1 |
| RN Director of Nursing | 6 | 0 | 6 | 2,071 | 70 | 76% | 8.9 |
| Registered Nurse | 7 | 0 | 7 | 1,701 | 86 | 93% | 9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,044 | 69 | 75% | 6.8 |
| Dental Services Staff | 2 | 0 | 2 | 898 | 62 | 67% | 7.8 |
| Qualified Activities Professional | 5 | 0 | 5 | 895 | 80 | 87% | 10.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 847 | 81 | 88% | 5.4 |
| Qualified Social Worker | 4 | 0 | 4 | 756 | 79 | 86% | 7.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 641 | 64 | 70% | 7.7 |
| Physical Therapy Aide | 3 | 0 | 3 | 619 | 71 | 77% | 6.4 |
| Speech Language Pathologist | 4 | 0 | 4 | 617 | 74 | 80% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 564 | 65 | 71% | 8.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 490 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 467 | 61 | 66% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 232 | 41 | 45% | 5.7 |
| Medical Director | 0 | 4 | 4 | 39 | 16 | 17% | 2.2 |
| Feeding Assistant | 0 | 2 | 2 | 37 | 16 | 17% | 2.2 |
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)
61% lower 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
14.9
45% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.9
61% 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
26.0%
54% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
35.2%
81% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
41% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
17% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.9%
26% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
4.9%
19% better than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
3.2%
63% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
4.0%
79% better than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.3%
In line with Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
62.8%
34% worse than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.53
30% better than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.61
69% 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
83.1%
In line with Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
25% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.9%
21% worse than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
In line with Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
56% better than Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
5% worse than Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.2%
12% worse than Georgia averageGeorgia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.2%
21% better 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.
33% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
123Residents 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 Signature HealthCARE at Tower Road from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 01/2024.
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 #32 / 197Payroll — State benchmarkedThis home is ranked 32nd 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 #174 / 197Payroll % — State benchmarkedThis home is ranked 174th out of 197 homes in Georgia. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Autumn Breeze Healthcare Center | NH AL IL MC | Marietta | 109
Facility
109
GA AVG
88
Rank
#167 / 672 |
43.1%
Facility
43.1%
GA AVG
78.1%
Rank
#260 / 325 | -45% | 2.82
Facility
2.82
GA AVG
3.56
Rank
#173 / 202 | -63% | -21% | $0
Facility
$0
GA AVG
$38.9k
Rank
#1 / 204 | 11
Facility
11
GA AVG
16.6
Rank
#62 / 203 | 3.7
Facility
3.7
GA AVG
4.7
Rank
#69 / 203 | 5 | 47 | - |
29
Facility
29
GA AVG
39
Rank
#548 / 873 | Ronald Gooden | $7.3M
Facility
$7.3M
GA AVG
$15.7M
Rank
#147 / 197 | $5.0M
Facility
$5.0M
GA AVG
$4.3M
Rank
#112 / 197 | 68.3%
Facility
68.3%
GA AVG
42.6%
Rank
#26 / 197 | 115580 | ||||
| East Cobb Center for Nursing and Healing | NH HC PC | Marietta | 117
Facility
117
GA AVG
88
Rank
#138 / 672 |
93.2%
Facility
93.2%
GA AVG
78.1%
Rank
#43 / 325 | +19% | 3.36
Facility
3.36
GA AVG
3.56
Rank
#91 / 202 | +12% | -6% | $0
Facility
$0
GA AVG
$38.9k
Rank
#1 / 204 | 11
Facility
11
GA AVG
16.6
Rank
#62 / 203 | 3.7
Facility
3.7
GA AVG
4.7
Rank
#69 / 203 | - | 108 | - |
63
Facility
63
GA AVG
39
Rank
#168 / 873 | Linda Karling Lott | $16.5M
Facility
$16.5M
GA AVG
$15.7M
Rank
#45 / 197 | $8.0M
Facility
$8.0M
GA AVG
$4.3M
Rank
#37 / 197 | 48.6%
Facility
48.6%
GA AVG
42.6%
Rank
#113 / 197 | 115283 | ||||
| Signature HealthCARE at Tower Road | NH AL | Marietta | 138
Facility
138
GA AVG
88
Rank
#85 / 672 |
79.8%
Facility
79.8%
GA AVG
78.1%
Rank
#134 / 325 | +2% | 3.26
Facility
3.26
GA AVG
3.56
Rank
#103 / 202 | -44% | -8% | $0
Facility
$0
GA AVG
$38.9k
Rank
#1 / 204 | 33
Facility
33
GA AVG
16.6
Rank
#185 / 203 | 6.6
Facility
6.6
GA AVG
4.7
Rank
#162 / 203 | 3 | 112 | - |
36
Facility
36
GA AVG
39
Rank
#481 / 873 | Elevation Holdings Georgia LLC | $15.7M
Facility
$15.7M
GA AVG
$15.7M
Rank
#15 / 197 | $7.6M
Facility
$7.6M
GA AVG
$4.3M
Rank
#32 / 197 | 48.7%
Facility
48.7%
GA AVG
42.6%
Rank
#174 / 197 | 115115 | ||||
| Marietta Center for Nursing and Healing | NH HC NC PC RC | Marietta (Northwest Marietta Historic District) | 154
Facility
154
GA AVG
88
Rank
#65 / 672 |
80.5%
Facility
80.5%
GA AVG
78.1%
Rank
#131 / 325 | +3% | 2.96
Facility
2.96
GA AVG
3.56
Rank
#151 / 202 | -5% | -17% | $7.9k
Facility
$7.9k
GA AVG
$38.9k
Rank
#139 / 204 | 32
Facility
32
GA AVG
16.6
Rank
#179 / 203 | 6.4
Facility
6.4
GA AVG
4.7
Rank
#155 / 203 | 3 | 131 | - |
11
Facility
11
GA AVG
39
Rank
#722 / 873 | Kristine Aibangbee | $15.9M
Facility
$15.9M
GA AVG
$15.7M
Rank
#51 / 197 | $6.7M
Facility
$6.7M
GA AVG
$4.3M
Rank
#62 / 197 | 42.3%
Facility
42.3%
GA AVG
42.6%
Rank
#151 / 197 | 115206 | ||||
| Roselane Health Center by Harborview | NH MC | Marietta | 137
Facility
137
GA AVG
88
Rank
#87 / 672 |
89.8%
Facility
89.8%
GA AVG
78.1%
Rank
#64 / 325 | +15% | 2.85
Facility
2.85
GA AVG
3.56
Rank
#173 / 202 | +18% | -20% | $86.2k
Facility
$86.2k
GA AVG
$38.9k
Rank
#191 / 204 | 20
Facility
20
GA AVG
16.6
Rank
#132 / 203 | 5.0
Facility
5.0
GA AVG
4.7
Rank
#113 / 203 | 4 | 123 | A+ |
65
Facility
65
GA AVG
39
Rank
#148 / 873 | Juliet D'alessandro | $14.0M
Facility
$14.0M
GA AVG
$15.7M
Rank
#59 / 197 | $7.2M
Facility
$7.2M
GA AVG
$4.3M
Rank
#53 / 197 | 51.4%
Facility
51.4%
GA AVG
42.6%
Rank
#106 / 197 | 115660 |
Signature HealthCARE at Tower Road is located in Marietta, Georgia.
Here are the financial assistance programs available to residents in Georgia.
Signature HealthCARE at Tower Road has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Signature HealthCARE at Tower Road's occupancy is 79.8%.
Yes — there is 1 photo of Signature HealthCARE at Tower Road in the photo gallery on this page.
(770) 422-8913 will put you in contact with the team at Signature HealthCARE at Tower Road.
Yes — Signature HealthCARE at Tower Road is a CMS-certified provider of Medicare and Medicaid.
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