Chestnut Ridge Nsg & Rehab Ctr
125 Samaritan Drive, Cumming, GA 30040 · Forsyth County · 150 certified beds · avg 130 residents/day · certified since Jul 1, 1989
Part of chain: CYPRESS SKILLED NURSING (5 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Feb 2, 2025 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Feb 2, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 2, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Feb 2, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 2, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Feb 2, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Feb 2, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Nov 7, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 1 | 0 | E |
| 2025 | 7 | 0 | F |
| 2026 | 12 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Georgia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.56 | 3.54 | 3.95 | top 43% in Georgia; bottom 39% in the U.S. |
| Registered Nurse hours | 0.32 | 0.50 | 0.69 | bottom 27% in Georgia; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.09 | 3.50 | top 32% in Georgia; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.35 | 0.48 | bottom 34% in Georgia; bottom 17% in the U.S. |
| Total nursing staff turnover (%) | 73.8 | 46.0 | 45.8 | bottom 3% in Georgia; bottom 4% in the U.S. |
| RN turnover (%) | 57.1 | 44.5 | 42.9 | bottom 27% in Georgia; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.32, weekend 3.28. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Enin Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/12/2013 |
| SNF Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/12/2013 |
| Bender, Sara | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/2025 |
| Bender, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
| Cypress Skilled Nursing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Cypress Skilled Nursing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/18/2025 |
| Macatula, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/31/2017 |
| Macatula, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2017 |
| Moss, Brent | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/05/2025 |
| Moss, Brent | Individual | ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| Nardiello, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2018 |
| Nardiello, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2018 |
| Nordholm, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Nordholm, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Ovits, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2014 |
| Ovits, Isaac | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Ovits, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Patterson, Dianne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/07/2018 |
| Patterson, Dianne | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/07/2018 |
| Patterson, Dianne | Individual | ADP of the SNF | NOT APPLICABLE | 05/07/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cumming Operating Company LLC | 0.9 mi | Cumming, GA | ★★★★★ | 4/5 | |
| Pruitthealth - Lanier | 9.7 mi | Buford, GA | ★★★★☆ | 4/5 | |
| D Scott Hudgens Center for Skilled Nursing, the | 12.7 mi | Suwanee, GA | ★★★☆☆ | 4/5 | |
| Salude - the Art of Recovery | 13.2 mi | Suwanee, GA | ★★★★★ | 5/5 | |
| Crossroads of Flowery Branch of Journey LLC, the | 13.5 mi | Flowery Branch, GA | ★☆☆☆☆ | 2/5 | |
| Roswell Center for Nursing and Healing LLC | 17.4 mi | Roswell, GA | ★☆☆☆☆ | 1/5 | |
| Life Care Ctr of Lawrenceville | 17.9 mi | Lawrenceville, GA | ★☆☆☆☆ | 1/5 | |
| Delmar Gardens of Gwinnett | 18.8 mi | Lawrenceville, GA | ★★☆☆☆ | 3/5 | |
| Cherokee Center for Nursing and Healing LLC | 19.0 mi | Canton, GA | ★★☆☆☆ | 1/5 | |
| Willowbrooke Court at Lanier Village Estates | 19.5 mi | Gainesville, GA | ★★★★★ | 5/5 | |
| Canton Center for Nursing and Healing LLC | 19.9 mi | Canton, GA | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115423.