Nurse Care of Buckhead
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 211 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (41 vs median 5.0)
- High staff turnover (67%)
- High RN turnover (79%)
Bottom 25% in GA · Critically understaffed (RN) · Worst in WELLINGTON HEALTH CARE SERVICES chain · $14,842 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
This facility has a high volume of serious reports regarding patient neglect and unsanitary conditions that should be carefully considered. While the therapy department receives some praise, the recurring themes of poor hygiene and medication errors represent a significant risk. We strongly advise visiting the facility unannounced and checking the most recent state inspection reports before making a decision.
Google Reviews
Google Reviews
211 reviews on Google“Nurse Care of Buckhead receives highly polarized reviews, with many families reporting severe neglect, unsanitary conditions, and poor communication. While some reviewers praise specific therapy staff and individual nurses, a significant number of reports describe patients left in soiled conditions, medication errors, and a lack of basic empathy. Families should be aware that the facility's reputation is heavily marred by consistent allegations of patient abuse and high staff turnover.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Helpful admissions and administrative staff
- Some individual nurses and aides provide compassionate care
Concerns
- Neglect and poor hygiene (soiled linens, lack of bathing) (mentioned by 28 reviewers)
- Medication management errors and delays (mentioned by 12 reviewers)
- Unsanitary facility conditions (odors, pests, dirty floors) (mentioned by 14 reviewers)
- High staff turnover and lack of communication (mentioned by 9 reviewers)
- Rude or abusive staff behavior (mentioned by 11 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 40 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent feedback regarding facility cleanliness and odors, what specific protocols are currently in place to ensure daily hygiene standards and deep cleaning for resident rooms?
- 2Can you walk me through the current medication administration process, specifically how you prevent delays or errors for residents who require strict adherence to their schedules?
- 3With high staff turnover being a common concern, what steps is the facility taking to improve staff retention and ensure that residents receive consistent, compassionate care from familiar faces?
- 4How do you ensure that residents receive regular, dignified assistance with bathing and changing linens, and how is this care documented and monitored by nursing supervisors?
- 5What does a typical day look like for residents in terms of social engagement and activities, and how do you ensure these programs are consistently offered despite staffing challenges?
- 6When a family member has a concern or question, what is the established communication loop to ensure they receive a timely and transparent response from the nursing or administrative team?
Personalized based on this facility's data
Key Review Excerpts
“My mother was here shortly after fracturing her hip. She would call in tears and I'd hear nurses scolding her and mistreating her in the background. Shed be in pain and I'd wait on the phone with her as she buzzed for a nurse...many times they didn't come.”
“After 2 months, the stage 4 wound is almost completely healed. My mom is always happy when I visit her. The staff there are great with her. Her Alzheimer’s makes her moody something’s and they are beyond patient with her.”
“The CNA's and 2 of the nurses that work here are great. The wound Care Dept has been good to me. My therapists are working with me to get back my strength. EVERYTHING ELSE SUCKS BIG TIME!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
11
measures
1
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with 88 deficiencies across six surveys, with 77 triggered by family and resident complaints. The most recurring problems involve administration and oversight, medication management, and resident rights protections. Issues persist across multiple surveys, including repeated violations for staff training, infection control, and proper notification procedures. While the facility reports correcting violations, the high volume of complaint-driven deficiencies suggests ongoing quality concerns that families should carefully consider before visiting.
Dec 11, 2025Complaint6
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jun 9, 2025Complaint28
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Jun 9, 2025Routine3
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Mar 4, 2025Complaint7
Resident Rights Deficiencies
Provide information about how to apply for and use Medicare and Medicaid benefits.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Aug 1, 2024Complaint23
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Sep 7, 2023Routine5
Egress Deficiencies
Install proper backup exit lighting.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Federal Penalties
Fine
Jun 9, 2025
$262,659
Fine
Aug 1, 2024
$5,346
Payment Denial
Aug 1, 2024
43-day denial
Fine
Feb 20, 2024
$2,659
Fine
Feb 12, 2024
$2,279
Fine
Jan 22, 2024
$4,558
Ownership & Operations
Who Operates This Facility
Nurse Care of Buckhead
for profit
Chain Affiliation
Wellington Health Care Services
14 facilities nationwide
Chain avg rating: 1.7/5 · Rank 8 of 13 (Worst)
Ownership & Management
Owners
Wellington Healthcare Services Lp
Owner · Organization
Andwell Investments, LLC
Owner (parent company) · Organization
Andrews, James
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
211 reviews from families & visitors
Official Website
Visit nursecareofbuckhead.com
Medicare data downloads
Original nursing home datasets
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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.
Buckhead Center for Nursing and Healing
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Pruitthealth - Virginia Park
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Sandy Springs Center for Nursing and Healing LLC
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Peachtree Creek Assisted Living Community
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Decatur Center for Nursing and Healing LLC
6.6 miNursing Home · Decatur, GA
Briarwood Health Center by Harborview
7.3 miNursing Home · Tucker, GA