Deficiency Index

Nurse Care of Buckhead

Atlanta, Georgia · CCN 115129

20 surveys since 2010. The first finding at harm level was recorded in 2025.

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

Citations on record
120
Surveys
20
Harm or worse
4
Immediate jeopardy
3
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

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

The facility

Certified beds
220
Ownership
For profit - Limited Liability company
Chain
WELLINGTON HEALTH CARE SERVICES
County
Fulton
Medicare-certified since
1971

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

Dec 11, 2025

333 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 day3.573.38
Registered-nurse hours per resident day0.23—
Annual nurse turnover67.8%51.7%

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

Enforcement

Fines
$282,268 across 5 penalties
Payment denials
1
Special focus
SFF Candidate

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 jeopardyJ33.8%K—L—
Actual harmG11.3%H—I—
No harm, potential for more than minimalD4455.0%E1316.3%F1721.3%
No harm, potential for minimalA—B11.3%C11.3%
CMS’s current file: 80 of the 120 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6983×

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • F5842×

    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.

  • F5852×

    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.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6102×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Nurse Care of Buckhead, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF656Jun 9, 2025

    null null null Based on observations, interviews, record review, and review of facility policy titled Care Plan, the facility failed to develop or implement a comprehensive care plan for six of 106 sampled residents (R) (R49, R87, R96, R109, R80, and R180) related to dialysis for R49 and 87; related to Post Traumatic Stress Disorder (PTSD) for R96; related to activities of Daily Living (ADL) care for R109; related to pain management for R80; and related to positioning for R180. On 6/3/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF698Jun 9, 2025

    Based on observation, interview, and record review the facility failed to ensure services were provided in accordance with professional standards of practice for two of seven residents (R) (R49 and R87) who are dependent on dialysis three times weekly for end-stage renal disease (ESRD) received reliable transportation to attend life-sustaining dialysis treatments. This failure resulted in missed dialysis sessions and avoidable hospitalizations due to volume overload and severe hyperkalemia. On 6/3/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF835Jun 9, 2025

    Based on record review, staff interviews, and review of the Job Description for the Administrator and the Director of Nursing (DON), it was determined that the facility's Administration did not adequately address issues related to Dialysis and Transportation procedures. Furthermore, they failed to provide sufficient oversight and supervision related to dialysis transportation for two of seven residents (R) (R49 and R87). The facility administration failed to establish systems or offer administrative support to guarantee that residents receive the physician-ordered life-sustaining dialysis treatments. This oversight led to numerous missed dialysis appointments and subsequent hospitalizations. […]

  • Actual harm, isolatedF689Jun 9, 2025

    Based on observations, staff and resident interviews, and review of the facility's policies titled Falls and Fall Risk, Managing and Self-Administration of Medication”, the facility failed to provide an environment free of accident hazards for three of 106 sampled residents (R) (R371, R14, and R159) related to failing to conduct a fall risk assessment and implement fall interventions after a fall that resulted in a major injury for R371 and failed to secure medications at the bedside for R14 and R159. Harm was identified as having occurred on 7/3/2024, when R371 had not been assessed after a fall, resulting in a delay in diagnosis and treatment for a left displaced femoral neck fracture and a closed left hip fracture. Findings included: 1. […]

  • No harm, potential for more than minimal, widespreadF838Dec 11, 2025

    Based on observations, staff interviews, and facility document review, the facility failed to ensure that the Facility Assessment included an accurate and comprehensive review of the facility's resident population, including the identified secure memory unit located on the fifth floor. The failure to identify a secure unit for dementia care or behavioral health meant the facility assessment plan had potentially missed critical care needs, updating the assessment to reflect residents needing secured care, and revising emergency/care plans to include secure protocols and dedicated spaces. This deficient practice had the potential to affect the care provided to the facility population and the training required for both direct and indirect care staff. […]

Read 20 findings in full →The most serious and the most recent: 20 of 120 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 11, 2025Complaint6 findings
  • Jun 9, 2025Complaint28 findings · 4 harm
  • Mar 4, 2025Complaint7 findings
  • Aug 1, 2024Complaint23 findings
  • Sep 7, 2023Standard and complaint13 findings
  • Aug 26, 2022Complaint1 finding
  • Dec 30, 2021Standard3 findings
  • Sep 21, 2021Infection control1 finding
Show the 12 earlier surveys
  • Oct 15, 2020Complaint3 findings
  • Apr 7, 2020Infection control1 finding
  • Oct 18, 2018Standard3 findings
  • Dec 21, 2017Standard3 findings
  • May 21, 2017Complaint4 findings
  • Sep 23, 2016Standard and complaint10 findings
  • Mar 19, 2015Standard2 findings
  • Aug 19, 2014Complaint1 finding
  • Aug 22, 2013—3 findings
  • Feb 23, 2012—3 findings
  • Apr 19, 2011—1 finding
  • Jun 24, 2010—4 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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