Deficiency Index

Sandtown Health and Rehabilitation

Marietta, Georgia · CCN 115580

19 surveys since 2010. The first finding at harm level was recorded in 2022.

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

Citations on record
53
Surveys
19
Harm or worse
5
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

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 - Corporation
Chain
Independent
County
Cobb
Medicare-certified since
1995

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Mar 12, 2026

242 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 day3.343.35
Registered-nurse hours per resident day0.21—
Annual nurse turnover23.2%46.5%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K541.7%L—
Actual harmG—H—I—
No harm, potential for more than minimalD650.0%E—F18.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 53 citations on record.

In the surveyor’s words

From the most serious findings on record at Sandtown Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Nov 14, 2022

    Based on observations, record reviews, resident and staff interviews, and policy review, the facility failed to maintain an environment free from verbal and physical abuse for eight residents (R#156, R#16, R#11, R#23, R#25, R#39, R#101 and R#27) of 47 sampled residents. Specifically: 1. R#68 engaged in ongoing verbal and physical abuse of residents including R#156, R#16, R#11, R#23, R#25, R#39, and R#101. 2. R#27 was physically held down by a staff member while being dressed. On 11/10/22 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, patternF656Nov 14, 2022

    Based on observations, electronic and paper medical record reviews, facility policy reviews, and staff interviews, the facility failed to ensure care plan interventions for emergency tracheostomy (trach) care were developed for four residents (R) (R#6, R#91, R#96, and R#256) reviewed for tracheostomy care. Additionally, the facility failed to ensure a care plan was developed to include special treatments (hemodialysis) for one resident (R#85) reviewed for dialysis. The sample size was 47 residents. On 11/10/22 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, patternF695Nov 14, 2022

    Based on observations, record reviews, staff interviews, and policy review, the facility failed to ensure staff were trained for emergency care of tracheostomies (trachs) and provide emergency tracheostomy kits for four of four residents (R) (R#96, R#91, R#6, and R#256) reviewed for tracheostomy care. The facility's failure to train staff and provide emergency tracheostomy kits in the event that the resident's airway was compromised, placed all residents with tracheostomies at increased likelihood of serious harm or death. On 11/10/22 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, patternF835Nov 14, 2022

    Based on observation, record review, interview, and facility policy review, the facility failed to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable level of well-being four of four residents (R) (R#96, R#91, R#6, and R#256) reviewed for tracheostomy care and for seven residents reviewed for abuse (R#156, R#16, R#11, R#23, R#25, R#39, R#101 and R#27). Specifically: 1. The facility administration failed to ensure competent clinical staff and provide supplies to care for residents with tracheostomies to include emergency care for accidental trach dislodgement for four of four residents (R) (R#96, R#91, R#6, and R#256). Cross Refer to F695. 2. […]

  • Immediate jeopardy, patternF940Nov 14, 2022

    Based on observations, record reviews, staff interviews, and policy review, the facility failed to ensure competent clinical staff were trained to care for residents with tracheostomies and for emergency care for accidental trach dislodgement for four of four residents (R) (R#96, R#91, R#6, and R#256) reviewed for tracheostomy care. The facility's failure to properly train staff for complex care of tracheostomies and emergency airway maintenance placed all residents with tracheostomies at increased likelihood of serious harm or death. On 11/10/22 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. […]

Read 20 findings in full →The most serious and the most recent: 20 of 53 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 12, 2026Standard2 findings
  • Feb 6, 2025Standard1 finding
  • Nov 14, 2022Standard and complaint9 findings · 5 harm
  • Apr 29, 2021Standard1 finding
  • Jan 15, 2020Complaint1 finding
  • Mar 14, 2019Standard4 findings
  • Oct 11, 2018Complaint2 findings
  • Mar 9, 2018Standard6 findings
Show the 11 earlier surveys
  • Sep 24, 2015Standard7 findings
  • Oct 16, 2014Standard5 findings
  • Oct 3, 2014Complaint1 finding
  • Jan 8, 2014—4 findings
  • Jun 6, 2013—1 finding
  • Jan 24, 2013—2 findings
  • Nov 13, 2012—2 findings
  • Oct 24, 2012—2 findings
  • Apr 24, 2012—1 finding
  • Jul 28, 2011—1 finding
  • Nov 17, 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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