Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

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Signature Healthcare at Tower Road, a 138-bed skilled nursing facility in Marietta’s Cobb County, is privately operated by Elevation Holdings Georgia LLC for mixed short-term rehabilitation and longer-term care; with residents averaging 40-day stays across Medicare (33% of admissions), private-pay (58%), and Medicaid (9%) populations. The facility accepts all three payer types and maintains 24-hour staffing. Current resident mix is 57% Medicaid-funded, 23% private-pay, and 20% Medicare.
The facility’s 1-star CMS overall rating is 61.5% below Georgia average and reflects severe deficiency in staffing (55.7% below state). Health inspection performance trailed state norms by 28.4%.
Nursing care totals 3 hours 15 minutes per resident daily, 8% below Georgia’s 3-hour 33-minute average. Staff-to-resident ratio of 1.15:1 is 19% worse than the 1.42:1 state standard. RN presence is critically low at 22 minutes per resident per day (versus 30-minute state average) and only 12 minutes on weekends (versus 20-minute state average). Licensed practical nurses run 1 hour 23 minutes per day (48% above state), while CNAs provide 1 hour 49 minutes (16% below state).
The facility’s 142 staff members include only 7 RNs for 138 beds. One standout metric is physical therapy hours at 67% above state.
Residents show alarming functional decline: 35.2% experience worsened walking ability (81% worse than state), 26% show increased ADL dependency (54% worse), and functional decline composite scores run 61% above state average.
Conversely, infection and safety metrics are strong: pressure ulcers, UTIs, depression rates, and antipsychotic use all significantly outperform state; falls with major injury are 17% better than average. Influenza vaccination falls below target (63% long-stay, 62% short-stay).
The facility faced only $16,000 in federal fines (61% below state average) and zero payment denials in three year.
With $24.5 million in revenue, it posted a $3.2 million operating loss. Payroll represents only 33.4% of revenue, far below the healthy 51-61% range for well-run facilities. The facility ranked 164th of 185 Georgia homes in payroll percentage despite placing 12th in revenue, and it has sustained multi-year losses.
The 1-star rating, paired with understaffing and deteriorating resident functional ability, signals structural capacity gaps, particularly regarding mobility and daily living assistance.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
308 contractor hours this quarter
| 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)
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.
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)
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.
Historical financial and operational data for Signature HealthCARE at Tower Road based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Signature HealthCARE at Tower Road is located in Marietta, Georgia.
Here are the financial assistance programs available to residents in Georgia.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| East Cobb Center for Nursing and Healing |
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). | Marietta | 117
Facility
117
GA AVG
88
Rank
#138 / 672 | 93.2% | +19% | 3.36 | +12% | -6% | $0 | 11 | 3.7 | - | 109 |
63
Facility
63
GA AVG
39
Rank
#168 / 873 | Linda Karling Lott | $18.4M | $8.0M | 43.5% | 115283 | ||||
| Pruitthealth – Marietta |
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. | Marietta | 119
Facility
119
GA AVG
88
Rank
#132 / 672 | 82.4% | +5% | 3.13 | +17% | -12% | $13.5k | 25 | 8.3 | 2 | 98 |
22
Facility
22
GA AVG
39
Rank
#617 / 873 | Suzanne Gerhardt | $12.5M | $5.0M | 39.7% | 115276 | ||||
| Signature HealthCARE at Tower Road |
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. | Marietta | 138
Facility
138
GA AVG
88
Rank
#86 / 672 | - | - | 3.26 | -44% | -8% | $15.6k | 33 | 6.6 | 3 | 122 |
36
Facility
36
GA AVG
39
Rank
#481 / 873 | Elevation Holdings Georgia LLC | $24.5M | $8.2M | 33.4% | 115115 | ||||
| Marietta Center for Nursing and Healing |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Marietta (Northwest Marietta Historic District) | 154
Facility
154
GA AVG
88
Rank
#65 / 672 | 85.7% | +10% | 2.96 | -5% | -17% | $7.9k | 32 | 6.4 | 3 | 132 |
11
Facility
11
GA AVG
39
Rank
#722 / 873 | Kristine Aibangbee | $17.4M | $6.7M | 38.7% | 115206 | ||||
| Autumn Breeze Healthcare 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Marietta | 109
Facility
109
GA AVG
88
Rank
#167 / 672 | 43.1% | -45% | 2.82 | -63% | -21% | $0 | 11 | 3.7 | 5 | 47 |
29
Facility
29
GA AVG
39
Rank
#548 / 873 | Ronald Gooden | $8.4M | $5.0M | 59.2% | 115580 |
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.
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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