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Nursing HomeMedicaid Investigative

Fifth Avenue Health Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

505 North Fifth Avenue, Rome, GA 30165100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 14 Google reviews

5
4
3
2
1
Fifth Avenue Health Care Nursing Home in Rome, GA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5.0)

Bottom 25% in GA · Critically understaffed (RN) · Worst in RELIABLE HEALTH CARE MANAGEMENT chain · $8,512 in fines

Source: Medicare data

What this means for your family

While this facility previously held a positive reputation for cleanliness and activities, recent reviews indicate a severe decline in the quality of care. We strongly advise families to look elsewhere, as current reports of patient neglect and facility infrastructure failures are deeply concerning.

Google Reviews

Google Reviews

14 reviews on Google
Fifth Avenue Health Care shows a stark decline in quality, transitioning from positive reports of attentive care and cleanliness in 2017 to severe allegations of neglect in recent years. Families currently report alarming issues including poor hygiene management, staff inattentiveness, and critical infrastructure failures like a lack of hot water. While early reviews praised the staff's dedication, recent feedback suggests a culture of unprofessionalism and inadequate patient care.

Quality Themes

Tap a score for details
Food8.0Staff3.0Clean2.0Activities8.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Historically attentive and personable staff
  • Clean, well-maintained facility environment
  • Engaging daily activities for residents
  • Effective rehab therapy services

Concerns

  • Neglect of basic hygiene and patient care (mentioned by 2 reviewers)
  • High staff turnover and unprofessional management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.52017(4)3.52019(2)5.02020(1)2.52022(2)5.02024(2)2.32025(3)

Distribution · 14 analyzed

5
6
4
3
3
0
2
1
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent challenges with staff turnover, what specific steps is management taking to ensure consistent, high-quality care for residents?
  • 2I noticed some concerns regarding basic hygiene and personal care; could you walk me through your daily routine for ensuring residents' comfort and cleanliness?
  • 3With your current staffing levels, how do you ensure that each resident receives the individualized attention they need throughout the day?
  • 4I’ve read positive things about your rehab therapy and daily activities; how do you balance those engaging programs with the core medical needs of the residents?
  • 5What is your protocol for communicating with families when there is a change in a resident’s health status or a medical emergency?
  • 6How do you foster a stable and professional environment for your staff to help maintain the level of attentiveness that many residents appreciate?

Personalized based on this facility's data


Key Review Excerpts

The staff here was very comforting and personable. You can tell that they really truly care for everyone

Memory care family member · 2020★★★★★

CLEANLINESS is one thing that drew us to this facility

Long-term resident's family · 2017☆☆☆☆

CNAs on their phones, patients staying in soiled diapers for extended periods of time causing burns on their skin.

Family member · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
3.30hrs
80%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
GA
10.6%
Floyd
16.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
15.3%
GA
16.6%
Floyd
12.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
GA
16.0%
Floyd
20.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.4%
Worse than Avg
Here
13.4%
US
5.3%
GA
5.7%
Floyd
6.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.4%
Better than Avg
Here
19.4%
US
19.5%
GA
20.5%
Floyd
27.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
GA
91.2%
Floyd
94.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.6%
Worse than Avg
Here
69.6%
US
79.8%
GA
78.4%
Floyd
79.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.4%
Worse than Avg
Here
78.4%
US
81.8%
GA
80.4%
Floyd
84.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
GA
2.4%
Floyd
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Above state avg (6.1)
6 complaint-triggered
$8,512 in fines

Families filed complaints that triggered inspections revealing issues with medication management, safety hazards, and daily care assistance in June 2024. The facility has ongoing problems with fire safety systems, electrical equipment, and food service across all three surveys, suggesting persistent operational challenges. While all deficiencies show correction dates, the repeated nature of safety and infrastructure violations across multiple years indicates systemic issues that families should carefully consider.

Aug 28, 2025Routine
9
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 21, 2024Complaint
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0908Actual harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Jun 21, 2024Routine
3
0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Nov 20, 2022Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Fine

Jun 21, 2024

$4,256

Fine

Jun 21, 2024

$4,256

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fifth Avenue Health Care

Organization Type

for profit

Chain Affiliation

Chain Name

Reliable Health Care Management

Chain Size

7 facilities nationwide

Chain avg rating: 3.2/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Employee Stock Ownership Plan of Select Health Care INC Trust

Owner · Organization

100%

Key personnel

Morris, AndrewOfficer / DirectorBilbo, RichardManagerCromer, MelissaManagerDavis, PamManagerHengen, FrancesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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