Roswell Center for Nursing and Healing LLC
1109 Green Street, Roswell, GA 30075 · Fulton County · 268 certified beds · avg 175 residents/day · certified since Jul 1, 1989
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: ★☆☆☆☆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, one-off · Feb 20, 2025 · F-0656 · triggered by a complaint
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
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 14, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 20, 2025 · F-0677 · triggered by a complaint
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.
Why it matters: Residents who don't get this help can suffer poor hygiene, skin breakdown, weight loss, and a 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: Apr 14, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 20, 2025 · 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 (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 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2025 · F-0694 · triggered by a complaint
The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Why it matters: Improper IV care can cause infections, dehydration, or dangerous fluid imbalances.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 14, 2025 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Mar 26, 2026 | 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 |
| Mar 26, 2026 | 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. |
| Jul 2, 2025 | 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 |
| Jul 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 |
| Feb 20, 2025 | ▲ J · Immediate jeopardy, 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 20, 2025 | ▲ J · Immediate jeopardy, 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 |
| Feb 20, 2025 | ▲ J · Immediate jeopardy, one-off | 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 |
| Feb 20, 2025 | ▲ G · Actual 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 |
| Feb 20, 2025 | ▲ G · Actual harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Feb 20, 2025 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Feb 20, 2025 | 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 |
| Feb 20, 2025 | 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 |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Mar 9, 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. |
| Mar 9, 2023 | 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 9, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 9, 2023 | 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. |
| Mar 9, 2023 | 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2025 | 13 | 5 | J ▲ |
| 2026 | 2 | 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)
1 fine totaling $206,486.
| Date | Type | Amount / length |
|---|---|---|
| Feb 20, 2025 | Fine | $206,486 |
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) | 3.14 | 3.54 | 3.95 | bottom 30% in Georgia; bottom 19% in the U.S. |
| Registered Nurse hours | 0.29 | 0.50 | 0.69 | bottom 22% in Georgia; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.09 | 3.50 | bottom 33% in Georgia; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.35 | 0.48 | bottom 23% in Georgia; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 61.7 | 46.0 | 45.8 | bottom 11% in Georgia; bottom 14% in the U.S. |
| RN turnover (%) | 76.9 | 44.5 | 42.9 | bottom 8% in Georgia; bottom 7% 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 3.36, RN 0.31, weekend 2.93. 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: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Donath, Barry | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Ensh Consulting LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Ga Cy2 Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Heller, Shlomo | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Nussbaum, Ephraim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Swerdloff, Aryeh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/12/2025 |
| Brumfield, Recinda | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Brumfield, Recinda | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Donath, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Donath, Barry | Individual | ADP of the SNF | NOT APPLICABLE | 05/05/2025 |
| Ellis, Renee | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Ellis, Renee | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Empire Care Centers LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Empire Care Centers LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Ensh Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Fennell, Zenobia | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Fennell, Zenobia | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Funderburk, Faith | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
| Funderburk, Faith | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Goodwin, Annette | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/12/2025 |
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 you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| East Cobb Center for Nursing and Healing LLC | 4.8 mi | Marietta, GA | ★★★☆☆ | 3/5 | |
| Sandy Springs Center for Nursing and Healing LLC | 8.8 mi | Atlanta, GA | ★☆☆☆☆ | 2/5 | |
| Pruitthealth - Brookhaven | 9.7 mi | Atlanta, GA | ★★☆☆☆ | 1/5 | |
| Woodstock Center for Nursing and Healing LLC | 10.3 mi | Woodstock, GA | ★☆☆☆☆ | 2/5 | abuse |
| Perimeter Rehabilitation Suites by Harborview | 10.4 mi | Atlanta, GA | —/5 | SFF | |
| A.g. Rhodes Home, INC - Cobb | 10.8 mi | Marietta, GA | ★★★★☆ | 4/5 | |
| Tower Road Post Acute, LLC | 11.7 mi | Marietta, GA | ★☆☆☆☆ | 2/5 | |
| The William Breman Jewish Home | 11.8 mi | Atlanta, GA | ★★★★★ | 5/5 | |
| Lenbrook | 11.8 mi | Atlanta, GA | ★★★★★ | 4/5 | |
| Roselane Health Center by Harborview | 12.0 mi | Marietta, GA | ★★☆☆☆ | 2/5 | abuse |
| Marietta Center for Nursing and Healing | 12.5 mi | Marietta, GA | ★☆☆☆☆ | 2/5 | |
| Nurse Care of Buckhead | 13.4 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 115422.