| Sandtown Health and Rehabilitation | |
| 1480 Sandtown Road Sw, Marietta, Georgia 30008 | |
| (770) 422-1755 | |
| Name | Sandtown Health and Rehabilitation |
|---|---|
| Location | 1480 Sandtown Road Sw, Marietta, Georgia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 109 |
| Occupancy Rate | 76.7% |
| Medicare ID (CCN) | 115580 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1053797340 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | C.R. of Autumn Breeze, LLC |
| Doing Business As | Autumn Breeze Health and Rehab |
| Address | 1480 Sandtown Rd Sw, Marietta, GA 30008 |
| Phone Number | 770-442-1755 |
| NPI Number | 1053366336 |
| Match | Possible same name, address or phone number |
| Organization Name | Mt. Kenn Nursing, LLC |
| Doing Business As | Autumn Breeze Healthcare Center |
| Address | 1480 Sandtown Road, Marietta, GA 30008 |
| Phone Number | 770-442-1755 |
| NPI Number | 1629936380 |
| Match | Possible same name, address or phone number |
| Organization Name | Autumn Breeze Operations LLC |
| Doing Business As | Autumn Breeze Health and Rehab |
| Address | 1480 Sandtown Rd Sw, Marietta, GA 30008 |
| Phone Number | 770-422-1755 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.21 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 0.86 |
| Nurse aide hours per resident per day | 2.11 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.01 | 3.42 |
| RN hours per resident per day on the weekend | 0.13 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 23.2% | 45.8% |
| Registered nurse turnover | 20% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 12, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 28, 2026 |
| Mar 12, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2026 |
| Feb 6, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2025 |
| Nov 14, 2022 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940, Administration, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2023 |
| Nov 14, 2022 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.19 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.18 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.63 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.66 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 27.21 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.49 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.41 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.38 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.9 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.13 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.89 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.96 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 16.67 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.46 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.08 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 40.51 | 15.38 |
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