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Nursing HomeMedicaid Investigative

Harborview Decatur

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

2787 North Decatur Road, Decatur, GA 3003373 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 59 Google reviews

5
4
3
2
1
Harborview Decatur Nursing Home in Decatur, 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 staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 5.0)
  • High staff turnover (68%)
  • High RN turnover (73%)

Above average in GA · Meets national RN staffing standard · Above average staffing · Chain outperformer · $6,292 in fines

Source: Medicare data

What this means for your family

While the rehabilitation team is frequently highlighted as a strength, the recurring reports of neglect and poor hygiene are critical red flags. If you consider this facility, we strongly recommend unannounced visits during evening and weekend hours to observe actual staffing levels and cleanliness for yourself.

Google Reviews

Google Reviews

59 reviews on Google
Harborview Decatur receives highly polarized feedback, with many families reporting severe neglect, unsanitary conditions, and chronic understaffing. While some residents and family members praise specific staff members and the rehabilitation department, these positive experiences are frequently overshadowed by reports of residents left in soiled bedding, poor communication, and unprofessional conduct.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean1.0Activities5.0Meds2.0MemoryN/AComms2.0Value1.0

Strengths

  • Effective physical and occupational therapy team
  • Select dedicated and compassionate nursing staff
  • Professional and helpful admissions/case management staff

Concerns

  • Chronic understaffing leading to long response times (mentioned by 6 reviewers)
  • Poor hygiene, foul odors, and lack of cleanliness (mentioned by 8 reviewers)
  • Residents left in soiled clothing or bedding for extended periods (mentioned by 5 reviewers)
  • Unprofessional staff behavior and poor communication (mentioned by 7 reviewers)

Rating Trends

Tap a year to see what changed

2341.02022(1)2.32023(9)3.32024(8)2.42025(19)1.02026(3)

Distribution · 40 analyzed

5
12
4
2
3
1
2
0
1
25

How They Respond to Reviews

35%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I've heard wonderful things about your physical and occupational therapy teams; how often do residents get to work with them on their mobility goals?
  • 2With the admissions and case management team being so helpful, how can we best stay in the loop regarding any changes in our loved one's care plan?
  • 3What specific protocols do you have in place to ensure rooms and common areas are cleaned frequently and kept smelling fresh for the residents?
  • 4How do you manage staffing during the night or weekend shifts to ensure that call bells are answered quickly and residents are changed promptly if needed?
  • 5Can you tell me more about the daily meal schedule and how you ensure the dining experience is both nutritious and enjoyable for everyone?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The rehabilitation department was exceptional. He received great physical and occupational therapy and was able to make progress to be able to return home in two weeks.

Long-term resident's family · 2026

My mother arrived alert and attentive and passed less than 3 Weeks later due level 4 bedsores. She supposed to have a wound care specialist take care of her, how did this happen????

Long-term resident's family · 2025☆☆☆☆

I came to visit and found he was laying in his poop and still took 2 hours to come clean and change him.

Long-term resident's family · 2025☆☆☆☆
Source: 59 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.22hrs
OK
Registered nurses for medical care
Total Nursing
4.08hrs
100%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
86%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
1/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility70.2%
Worse than Avg
Here
70.2%
US
12.1%
GA
10.6%
De kalb
21.5%

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 Facility46.3%
Worse than Avg
Here
46.3%
US
15.3%
GA
16.6%
De kalb
15.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility73.3%
Worse than Avg
Here
73.3%
US
93.4%
GA
91.2%
De kalb
89.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
19.5%
GA
20.5%
De kalb
18.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
GA
95.0%
De kalb
92.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
14.4%
GA
15.7%
De kalb
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
81.8%
GA
80.4%
De kalb
76.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.1%
Worse than Avg
Here
47.1%
US
79.7%
GA
78.4%
De kalb
75.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
GA
2.4%
De kalb
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
2penalties
Well above state avg (6.1)
5 complaint-triggered
$6,292 in fines

Families have filed multiple complaint reports triggering inspections at this facility, raising concerns about care quality. The most recurring issues involve care planning and assessment problems, resident rights violations, and medical care deficiencies including wound care and respiratory treatment. All identified deficiencies have reportedly been corrected by the facility, though the pattern of complaints suggests ongoing scrutiny is warranted.

May 7, 2025Routine
8
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 7, 2025Complaint
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Jun 8, 2023Complaint
3
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

Nov 10, 2021Routine
1
0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Federal Penalties

Fine

Jan 2, 2024

$2,098

Fine

Dec 11, 2023

$4,194

Ownership & Operations

Who Operates This Facility

Owner / Operator

Harborview Decatur

Organization Type

for profit

Chain Affiliation

Chain Name

Harborview Health Systems

Chain Size

22 facilities nationwide

Chain avg rating: 2.0/5 · Rank 4 of 20

Ownership & Management

Owners

Ga Nc 14, LLC

Owner · Organization

100%

Cl 2022 Irrv Tr

Owner (parent company) · Organization

50%

De 2021 Irrv Tr

Owner (parent company) · Organization

50%

Key personnel

Thomas, LizzieW-2 Managing EmployeeEnglander, DavidOfficer / DirectorLeibowitz, ChaimOfficer / Director
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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