Roswell Center for Nursing and Healing LLC
Roswell, Georgia · CCN 115422
17 surveys since 2011, 8 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 99
- Surveys
- 17
- Harm or worse
- 8
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 268
- Ownership
- For profit - Limited Liability company
- Chain
- EMPIRE CARE CENTERS
- County
- Fulton
- Medicare-certified since
- 1989
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 somewhat more weighted findings than its peer group.
Weighted by harm level, against 70 for-profit facilities with 128 or more beds in Georgia.
Last survey on record
Mar 26, 2026
228 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.36 | 3.38 |
| Registered-nurse hours per resident day | 0.31 | — |
| Annual nurse turnover | 61.7% | 51.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $206,486 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J312.5% | K— | L— |
| Actual harm | G28.3% | H— | I— |
| No harm, potential for more than minimal | D1250.0% | E729.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F5782×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7612×
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.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Roswell Center for Nursing and Healing LLC, in the surveyor’s own words.
- Immediate jeopardy, isolatedF656Feb 20, 2025
49687 Based on interviews and record review, the facility failed to develop and implement a comprehensive care plan for one of 45 residents (R200) related to a diagnosis of dysphagia (difficulty swallowing) and supervision with meals, resulting in R200's death by choking on a sandwich. On [DATE], 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 (DON) were informed of the Immediate Jeopardy (IJ) on [DATE], at 10:25 am. The noncompliance related to the IJ was identified to have existed on [DATE]. An Acceptable Removal Plan was received on [DATE]. […]
- Immediate jeopardy, isolatedF677Feb 20, 2025
Based on interviews, record review, and the review of the facility policies titled Activities of Daily Living (ADL) and Assistance with Meals, the facility failed to provide supervision and assistance with Activities of Daily Living (ADL) care during meals for one of 45 residents (R) (R200) related to a diagnosis of dysphagia (difficulty swallowing). On [DATE], this failure resulted in R200's death by choking on a sandwich. On [DATE], 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 (DON) were informed of the Immediate Jeopardy (IJ) on [DATE], at 10:25 am. […]
- Immediate jeopardy, isolatedF835Feb 20, 2025
Based on interviews and record review, the facility's Administration failed to provide protective oversight of the facility ensuring that staff followed appropriate policies and procedures to prevent accidents and hazards resulting in Immediate Jeopardy for resident (R) R200 and Harm for R46, R206, and R204. On [DATE], 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 (DON) were informed of the Immediate Jeopardy (IJ) on [DATE] at 10:25 am. The noncompliance related to the IJ was identified to have existed on [DATE]. […]
- Actual harm, isolatedF689Feb 20, 2025
Based on resident and staff interviews, record review, and review of the facility's policy titled Incidents and Accidents, the facility failed to provide adequate supervision to prevent accidents for two of four sampled residents (R) (R46 and R206) reviewed for accidents hazards. Harm was identified to have occurred (1) on 9/25/2023 when R46 sustained a fall resulting in a right femur fracture with possible patella fracture, and (2) on 6/4/2023 when R206 sustained a second-degree burn to bilateral glutes from sitting in spilled hot coffee. Findings included: 1. […]
- Actual harm, isolatedF694Feb 20, 2025
49472 Based on interviews, record review, and review of the facility policy titled Infusion Therapy, the facility failed to monitor one of 19 sampled residents (R) (R204) for complications related to intravenous (IV) therapy, resulting in infiltration of the IV. Harm was identified to have occurred on 8/27/2024 when this failure caused R204 to experience pain and swelling, resulting in R204 being sent to the emergency room (ER) for treatment and observation per family request. Findings included: A review of the undated facility policy titled, Infusion Therapy, revealed that the facility . will have qualified nursing staff present on all shifts to manage the care of patients receiving infusion therapy or maintain access devices. […]
Read 23 findings in full →The most serious and the most recent: 23 of 99 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 26, 2026Standard and complaint2 findings
- Jul 2, 2025Complaint2 findings
- Feb 20, 2025Standard and complaint11 findings · 5 harm
- Mar 9, 2023Standard and complaint9 findings
- Feb 24, 2021Infection control1 finding
- Feb 27, 2020Standard7 findings
- Jan 25, 2019Complaint4 findings
- Sep 28, 2018Standard and complaint18 findings
Show the 9 earlier surveys
- May 17, 2018Complaint2 findings
- Jul 19, 2017Complaint4 findings
- Sep 1, 2016Standard and complaint8 findings
- Oct 29, 2015Standard and complaint15 findings
- Jan 9, 2015Standard6 findings
- Apr 11, 2013—3 findings
- Oct 17, 2012—1 finding
- Dec 8, 2011—3 findings · 3 harm
- Oct 20, 2011—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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