Deficiency Index

Legacy Transitional Care & Rehabilitation

Atlanta, Georgia · CCN 115585

19 surveys since 2010. The first finding at harm level was recorded in 2016.

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

Citations on record
79
Surveys
19
Harm or worse
14
Immediate jeopardy
14
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy14

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/19

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

The facility

Certified beds
186
Ownership
For profit - Corporation
Chain
WELLINGTON HEALTH CARE SERVICES
County
Fulton
Medicare-certified since
1995

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
1

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 70 for-profit facilities with 128 or more beds in Georgia.

Last survey on record

Apr 17, 2026

206 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 day2.973.38
Registered-nurse hours per resident day0.11—
Annual nurse turnover56.1%51.7%

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

Enforcement

Fines
$107,075 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 jeopardyJ12.4%K24.9%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2868.3%E717.1%F37.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 41 of the 79 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5846×

    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.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F9193×

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

In the surveyor’s words

From the most serious findings on record at Legacy Transitional Care & Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF835Sep 24, 2022

    Based on record review, interviews, policy review, and review of the Centers for Disease Control and Prevention (CDC) COVID-19 guidance, the facility administration failed to provide oversight and monitoring of the Infection Control Program by not implementing the Center for Medicare and Medicaid Services (CMS) and CDC recommended practices to prevent the spread of COVID-19 to residents. Specifically, the facility failed to promptly and correctly initiate COVID-19 outbreak testing, failed to properly cohort COVID-19 positive and negative residents, and failed to perform COVID-19 testing of staff based on the level of community transmission. […]

  • Immediate jeopardy, widespreadF880Sep 24, 2022

    Based on observations, record review, staff interviews, and policy review, the facility failed to maintain an effective infection control program to prevent the spread of COVID-19 on three of three nursing units (second floor, third floor, and fourth floor). Specifically, the following failures were identified: 1.The facility failed to ensure one resident (R) (R#233) of 11 residents admitted in the last 30 days was promptly tested for COVID-19 and quarantined, which resulted in failure to separate COVID-positive and COVID-negative residents to the extent possible. 2. The facility failed to ensure testing of residents and staff for COVID-19 was promptly initiated when a COVID-19 outbreak was identified in the facility. 3. […]

  • Immediate jeopardy, widespreadF886Sep 24, 2022

    Based on record review, interviews, and policy review, the facility failed to conduct routine and outbreak testing for COVID-19 for all staff and residents in accordance with Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) requirements, which potentially caused delays in identifying, treating, and isolating COVID-19 positive residents and staff on 3 of 3 resident-occupied floors of the facility (second floor, third floor, and fourth floor). […]

  • Immediate jeopardy, patternF600Mar 11, 2024

    Based on observations, interviews, and record review, the facility failed to ensure eight of 30 sampled residents (R) (R16, R17, R19, R12, R1, R18, R30 and R22) were free from abuse. On 2/28/2024, 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 and Director of Nursing were informed of the Immediate Jeopardy (IJ) on 2/28/2024 at 3:05 pm. The noncompliance related to the IJ was identified to have existed on 9/30/2023. An Acceptable Removal Plan was received on 3/4/2024. […]

  • Immediate jeopardy, patternF835Mar 11, 2024

    Based on record review, interviews, and review of the Administrator's Job Description, Administration failed to provide protective oversight of the facility environment including adequate supervision for wandering residents and failed to protect residents on the secured memory unit from an abuse free environment. This failure had the likelihood of affecting all residents residing on the secured memory unit. In addition, the facility failed to ensure that the call light communication system was functioning to alert staff that residents required assistance on one of four floors (Fourth Floor) in the facility. […]

Read 34 findings in full →The most serious and the most recent: 34 of 79 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 17, 2026Standard1 finding
  • Nov 17, 2025Standard and complaint3 findings
  • Apr 11, 2025Standard and complaint7 findings
  • Nov 8, 2024Standard and complaint9 findings
  • May 16, 2024Standard and complaint8 findings
  • Mar 11, 2024Complaint9 findings · 3 harm
  • Oct 13, 2023Standard and complaint2 findings
  • Aug 10, 2023Complaint2 findings
Show the 11 earlier surveys
  • Jun 16, 2023Complaint5 findings
  • Sep 24, 2022Standard and complaint12 findings · 5 harm
  • Jul 23, 2021Infection control2 findings · 2 harm
  • Dec 13, 2018Standard2 findings
  • Jan 12, 2018Standard5 findings
  • Dec 15, 2016Standard and complaint1 finding
  • Mar 23, 2016Complaint5 findings · 4 harm
  • Jan 31, 2014—1 finding
  • May 10, 2012—3 findings
  • Aug 24, 2011—1 finding
  • Sep 30, 2010—1 finding

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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