Deficiency Index

Fulton Center for Rehabilitation LLC

Atlanta, Georgia · CCN 115569

22 surveys since 2010. The first finding at harm level was recorded in 2020.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
82
Surveys
22
Harm or worse
7
Immediate jeopardy
4
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
109
Ownership
For profit - Limited Liability company
Chain
EMPIRE CARE CENTERS
County
Fulton
Medicare-certified since
1994

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 96 for-profit facilities of 100–127 beds in Georgia.

Last survey on record

May 1, 2025

557 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.923.35
Registered-nurse hours per resident day0.29—
Annual nurse turnover54.9%46.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$105,368 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ417.4%K—L—
Actual harmG14.3%H—I—
No harm, potential for more than minimalD1565.2%E28.7%F14.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 82 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at Fulton Center for Rehabilitation LLC, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Nov 2, 2023

    Based on observations, interviews, record review, and facility policy review, the facility failed to ensure residents were free from abuse. Specifically, the facility failed to ensure two residents (R) (R15 and R13) were free from abuse related to: (1) R15 exposed to sexual abusive behaviors presented by R16, and (2) R13 experiencing physical abuse from R20. On 10/26/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF609Nov 2, 2023

    Based on observations, interviews, record review, and facility policy review, the facility failed to report an incident of alleged abuse. Specifically, the facility failed to report an incident of sexual abuse for one of 27 residents (R) (R15). On 10/26/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), Regional Director of Clinical Operations (RDCO), and [NAME] President of Clinical Operations (VPCO) were informed of the Immediate Jeopardy (IJ) on 10/26/2023 at 5:36 pm. The noncompliance related to the IJ was identified to have existed on 8/31/2023. […]

  • Immediate jeopardy, isolatedF610Nov 2, 2023

    Based on observations, interviews, record review, and review of the facility policy, the facility failed to investigate incidents of alleged abuse. Specifically, the facility failed to thoroughly investigate an incident of sexual abuse for one of 27 residents (R) (R15). On 10/26/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), Regional Director of Clinical Operations (RDCO), and [NAME] President of Clinical Operations (VPCO) were informed of the Immediate Jeopardy (IJ) on 10/26/2023 at 5:36 pm. […]

  • Immediate jeopardy, isolatedF835Nov 2, 2023

    Based on observations, interviews, record review, and review of the Administrator position description, facility Administration failed to effectively oversee an abuse prevention program to promote, foster and maintain an abuse free environment. The facility census was 95. On 10/26/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), Regional Director of Clinical Operations (RDCO), and [NAME] President of Clinical Operations (VPCO) were informed of the Immediate Jeopardy (IJ) on 10/26/2023 at 5:36 pm. […]

  • Actual harm, isolatedF686Nov 2, 2023

    Based on observations, interviews, and record review, the facility failed to provide daily wound care treatments, as ordered, for one of five residents (R) (R9) reviewed for pressure sores. Actual harm was identified to have occurred on 1/12/2023 when the facility failed to identify and provide for R9 related to a Stage 3 facility acquired pressure ulcer to her sacrum. Findings included: A review of the clinical record revealed that R9 was admitted to the facility on [DATE] with diagnoses including cerebral infarction with encephalopathy, acute chronic respiratory failure, and anoxic brain injury. […]

Read 22 findings in full →The most serious and the most recent: 22 of 82 on record.

Every survey on record

FindingsAt actual harm or above

  • May 1, 2025Standard9 findings
  • Nov 2, 2023Complaint6 findings · 5 harm
  • Oct 19, 2023Standard3 findings
  • Aug 26, 2022Standard and complaint5 findings
  • Jul 2, 2021Standard5 findings
  • Dec 4, 2020Complaint3 findings · 2 harm
  • Nov 26, 2019Complaint2 findings
  • Sep 19, 2019Complaint2 findings
Show the 14 earlier surveys
  • Sep 27, 2018Standard and complaint8 findings
  • Oct 6, 2017Standard5 findings
  • Aug 25, 2017Complaint3 findings
  • Aug 4, 2016Standard5 findings
  • Mar 10, 2016Complaint2 findings
  • May 14, 2015Standard4 findings
  • Dec 1, 2014Complaint1 finding
  • Dec 5, 2013—2 findings
  • May 3, 2012—1 finding
  • Apr 12, 2012—9 findings
  • Dec 14, 2011—1 finding
  • Apr 19, 2011—1 finding
  • Mar 15, 2011—2 findings
  • Sep 17, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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