Douglasville Center for Nursing and Healing LLCCMS ratings, inspections and fines
- Address
- 4028 Hwy 5, Douglasville, GA 30135
- CCN
- 115273
- Ownership type
- For-profit, limited liability company
- Certified beds
- 246
- Chain
- Empire Care Centers
- Residents per day
- 211
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Douglasville Center for Nursing and Healing LLC an overall rating of 1 of 5 stars. The last standard survey was on 27 Jun 2025. The latest survey cycle has 18 health citations. The median for nursing homes in Georgia is 4. CMS lists 3 fines with a total of $13,787 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Georgia median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 356 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Georgia median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Jun 2025 | 18 | 4 |
| Cycle 2 | 8 Feb 2024 | 10 | 5 |
| Cycle 3 | No date | 20 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Jun 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Aug 2026 |
| 19 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 3 Aug 2026 |
| 30 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 11 Dec 2025 |
| 27 Jun 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 15 Sep 2025 |
| 27 Jun 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 21 Aug 2025 |
| 27 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Sep 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Sep 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Apr 2025 |
| 12 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 26 Apr 2025 |
| 10 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 24 Nov 2024 |
| 10 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Nov 2024 |
| 10 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Nov 2024 |
| 10 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Nov 2024 |
| 8 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Mar 2024 |
| 8 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 24 Mar 2024 |
| 8 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Mar 2024 |
| 8 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 24 Mar 2024 |
Survey cycle 3: 20 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Oct 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 17 Nov 2023 |
| 3 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 17 Nov 2023 |
| 28 Jul 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 7 Sep 2022 |
| 28 Jul 2022 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 7 Sep 2022 |
| 28 Jul 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Sep 2022 |
| 28 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Sep 2022 |
| 28 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 7 Sep 2022 |
| 28 Jul 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 7 Sep 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 8 Feb 2024 | Fine | $4,017 | |
| 3 Oct 2023 | Fine | $4,885 | |
| 3 Oct 2023 | Fine | $4,885 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Georgia median | Georgia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.71 | 3.40 | 3.56 |
| Registered nurses (RN) | 0.32 | 0.50 | 0.50 |
| Licensed practical nurses (LPN) | 1.00 | 0.93 | |
| Nurse aides | 2.40 | 2.14 | |
| All nurse staff, weekends | 3.42 | 2.90 | 3.10 |
- Nurse staff turnover in a year
- 58.1%
- Nurse staff turnover, Georgia median
- 45.9%
- RN turnover in a year
- 70.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Georgia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.7% | 14.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.3% | 13.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 12.9% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.4% | 18.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Douglasville Center for Nursing and Healing LLC
- Chain
- Empire Care Centers (20 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tara GA Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2025 |
| Empire Care Centers LLC | Operational/managerial control | 1 Nov 2025 | |
| Empire Care Centers LLC | Adp of the snf | 1 Nov 2025 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Georgia Department of Community Health: file a complaintThe complaint page of the State Survey Agency for Georgia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Douglasville Center for Nursing and Healing LLC (CCN 115273). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/douglasville-center-for-nursing-and-healing-llc-douglasville-ga-115273/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Douglasville Center for Nursing and Healing LLC last inspected?
- The latest inspection with a citation in the CMS record was on 19 Jun 2026. It was a complaint investigation. It gave 8 citations. The standard survey before the last one was on 8 Feb 2024.
- Who operates Douglasville Center for Nursing and Healing LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Empire Care Centers. The CMS ownership file names Empire Care Centers LLC for operational or managerial control. This site does not show the names of persons.
- Is Douglasville Center for Nursing and Healing LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Georgia as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.