Powder Springs Center for Nursing & Healing
3460 Powder Springs Road, Powder Springs, GA 30127 · Cobb County · 208 certified beds · avg 194 residents/day · certified since Feb 25, 1993
Part of chain: EMPIRE CARE CENTERS (20 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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, one-off · Apr 15, 2024 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
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: Aug 12, 2022 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Apr 15, 2024 · F-0770 · triggered by a complaint
The facility did not provide timely, quality laboratory tests to meet residents' needs.
Why it matters: Slow or unreliable lab work can delay diagnosis and treatment of serious conditions.
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: Aug 12, 2022 (Past Non-Compliance)
All citations in the current public record (24)
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 |
|---|---|---|
| Jan 9, 2026 | 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 |
| Jan 9, 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 |
| Jan 9, 2026 | C · Minimal risk, facility-wide | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · from a complaint |
| Jun 27, 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. |
| Apr 15, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 15, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Apr 15, 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 |
| Apr 15, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Apr 15, 2024 | F · Potential for harm, facility-wide | 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 |
| Apr 15, 2024 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
| Apr 15, 2024 | 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 |
| Apr 15, 2024 | 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. · from a complaint |
| Apr 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Apr 15, 2024 | 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 |
| Apr 15, 2024 | 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 |
| Apr 15, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 15, 2024 | 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 22, 2022 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Apr 22, 2022 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Apr 22, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Apr 22, 2022 | 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 22, 2022 | 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. |
| Apr 22, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | F |
| 2024 | 14 | 2 | J ▲ |
| 2026 | 3 | 0 | F |
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 $16,802, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2024 | Fine | $3,465 |
| Apr 15, 2024 | Fine | $5,636 |
| Apr 15, 2024 | Fine | $7,701 |
| Apr 15, 2024 | Payment Denial | 2 days from May 18, 2024 |
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) | 3.01 | 3.54 | 3.95 | bottom 23% in Georgia; bottom 14% in the U.S. |
| Registered Nurse hours | 0.41 | 0.50 | 0.69 | bottom 45% in Georgia; bottom 24% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.09 | 3.50 | bottom 24% in Georgia; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.35 | 0.48 | top 48% in Georgia; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 22.9 | 46.0 | 45.8 | top 3% in Georgia; top 5% in the U.S. |
| RN turnover (%) | 18.8 | 44.5 | 42.9 | top 10% in Georgia; top 12% 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 3.19, RN 0.44, weekend 2.77. Staffing rating: 2/5.
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: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Powder Springs Operating LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/10/2020 |
| Heller, Shlomo | Individual | Corporate Officer | NOT APPLICABLE | 12/10/2020 |
| Heller, Shlomo | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/10/2020 |
| Nussbaum, Ephraim | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/10/2020 |
| Shuler, Valeria | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can I see where garbage is stored and how often it's removed?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Presbyterian Village | 2.2 mi | Austell, GA | ★★☆☆☆ | 2/5 | |
| Anderson Mill Center for Nursing and Healing LLC | 2.3 mi | Austell, GA | ★★★☆☆ | 3/5 | |
| Pruitthealth - Austell | 2.9 mi | Austell, GA | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Marietta | 6.9 mi | Marietta, GA | ★★★★☆ | 3/5 | |
| Sandtown Health and Rehabilitation | 7.0 mi | Marietta, GA | ★★★★☆ | 4/5 | |
| Delmar Gardens of Smyrna | 7.9 mi | Smyrna, GA | ★★★☆☆ | 2/5 | |
| Ross Memorial Health Care Ctr | 9.2 mi | Kennesaw, GA | ★★★★★ | 4/5 | |
| Roselane Health Center by Harborview | 9.4 mi | Marietta, GA | ★★☆☆☆ | 2/5 | abuse |
| Tower Road Post Acute, LLC | 9.7 mi | Marietta, GA | ★☆☆☆☆ | 2/5 | |
| Marietta Center for Nursing and Healing | 9.7 mi | Marietta, GA | ★☆☆☆☆ | 2/5 | |
| A.g. Rhodes Home, INC - Cobb | 9.7 mi | Marietta, GA | ★★★★☆ | 4/5 | |
| Blue Ridge Care Center LLC | 12.2 mi | Dallas, GA | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115538.