Legacy Transitional Care & Rehabilitation
460 Auburn Avenue N.E., Atlanta, GA 30312 · Fulton County · 186 certified beds · avg 183 residents/day · certified since Jul 1, 1995
Part of chain: WELLINGTON HEALTH CARE SERVICES (14 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Mar 11, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 30, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Mar 11, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 30, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 11, 2024 · F-0641 · triggered by a complaint
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Why it matters: An inaccurate assessment can mean the wrong care plan — and needs that go unmet.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 30, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (41)
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 |
|---|---|---|
| Apr 17, 2026 | 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. |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Apr 11, 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 |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · from a complaint |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 11, 2025 | 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. · from a complaint |
| Apr 11, 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 |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Apr 11, 2025 | 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. · from a complaint |
| Nov 8, 2024 | 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 |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Nov 8, 2024 | 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 |
| Nov 8, 2024 | 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 8, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Nov 8, 2024 | 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. · from a complaint |
| May 16, 2024 | 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 |
| May 16, 2024 | 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 |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| May 16, 2024 | 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. · from a complaint |
| May 16, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| May 16, 2024 | 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. · from a complaint |
| Mar 11, 2024 | ▲ K · Immediate jeopardy, repeated | 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 11, 2024 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Mar 11, 2024 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Mar 11, 2024 | 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 11, 2024 | E · Potential for harm, repeated | 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 |
| Mar 11, 2024 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · from a complaint |
| Oct 13, 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. · from a complaint |
| Oct 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 26 | 3 | K ▲ |
| 2025 | 10 | 0 | F |
| 2026 | 1 | 0 | D |
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)
3 fines totaling $113,074.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2024 | Fine | $107,075 |
| Aug 28, 2023 | Fine | $3,176 |
| Aug 21, 2023 | Fine | $2,823 |
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) | 2.99 | 3.54 | 3.95 | bottom 22% in Georgia; bottom 13% in the U.S. |
| Registered Nurse hours | 0.11 | 0.50 | 0.69 | bottom 1% in Georgia; bottom 1% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.09 | 3.50 | bottom 26% in Georgia; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.06 | 0.35 | 0.48 | bottom 1% in Georgia; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 56.1 | 46.0 | 45.8 | bottom 23% in Georgia; bottom 23% in the U.S. |
| RN turnover (%) | 66.7 | 44.5 | 42.9 | bottom 18% in Georgia; bottom 15% 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 2.97, RN 0.11, weekend 2.64. 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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrews, James | Individual | 5% or Greater Indirect Ownership Interest | — | 09/01/2015 |
| Andwell Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2015 |
| Rees, Heather | Individual | 5% or Greater Indirect Ownership Interest | — | 01/28/2017 |
| Rewell Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2015 |
| Wellington Healthcare Services III, LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2015 |
| Wellington Healthcare, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2015 |
| Andrews, James | Individual | Corporate Director | NOT APPLICABLE | 09/01/2015 |
| Andrews, James | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2015 |
| Andrews, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2015 |
| Prescott, David | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/14/2018 |
| Wellington Healthcare Services III, LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 09/01/2015 |
| Wiii GP, LLC | Organization | General Partnership Interest | NOT APPLICABLE | 09/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| A.g. Rhodes Home, INC, the | 0.0 mi | Atlanta, GA | ★★★☆☆ | 3/5 | |
| Westminster Commons | 2.3 mi | Atlanta, GA | ★★☆☆☆ | 2/5 | abuse |
| Pruitthealth - Virginia Park | 3.3 mi | Atlanta, GA | ★★★☆☆ | 3/5 | |
| Reliable Health & Rehab at Lakewood | 4.0 mi | Atlanta, GA | ★★☆☆☆ | 2/5 | |
| Crossings at East Lake of Journey LLC, the | 4.3 mi | Decatur, GA | ★★☆☆☆ | 2/5 | |
| Sadie G. Mays Health & Rehabilitation Center | 4.4 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | |
| Buckhead Center for Nursing & Healing | 4.8 mi | Atlanta, GA | ★☆☆☆☆ | 2/5 | |
| Parkside at Budd Terrace Operating Company LLC | 4.8 mi | Atlanta, GA | ★★☆☆☆ | 1/5 | |
| Pruitthealth - West Atlanta | 4.9 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | |
| Crestview Health & Rehab Ctr | 4.9 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Fulton Center for Rehabilitation LLC | 5.0 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | |
| Terraces at Peachtree Hills Place, the | 5.2 mi | Atlanta, GA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115585.