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Nursing HomeMedicaid Investigative

Roswell Center for Nursing and Healing LLC

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

1109 Green Street, Roswell, GA 30075268 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 332 Google reviews

5
4
3
2
1
Roswell Center for Nursing and Healing LLC Nursing Home in Roswell, GA — Street View
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6/ 10
high 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 (13 vs median 5.0)
  • High staff turnover (78%)
  • High RN turnover (67%)

Bottom 25% in GA · Critically understaffed (RN) · Very high staff turnover · Worst in CYPRESS SKILLED NURSING chain · $206,486 in fines

Source: Medicare data

What this means for your family

The facility's rehab department is highly praised, making it a strong candidate for short-term recovery. However, families should be vigilant regarding long-term care; we recommend asking specifically about night-shift staffing ratios and the facility's policy on securing personal belongings.

Google Reviews

Google Reviews

332 reviews on Google
Roswell Center for Nursing and Healing has seen a significant influx of positive reviews following recent management changes and facility renovations, with many visitors praising the clean environment and attentive staff. However, the facility faces serious allegations from a minority of families regarding neglect, poor hygiene, and unprofessional communication during end-of-life care or medical emergencies. Families should weigh the high praise for the rehab department against these critical reports of staffing shortages and communication failures.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean8.0ActivitiesN/AMeds8.0MemoryN/AComms5.0ValueN/A

Strengths

  • Highly regarded rehab and therapy team
  • Clean, newly renovated facility
  • Friendly and attentive nursing staff
  • Welcoming administrative leadership

Concerns

  • Staffing shortages and slow response times (mentioned by 3 reviewers)
  • Poor hygiene and lack of basic care (mentioned by 3 reviewers)
  • Unprofessional communication and hostility from management (mentioned by 2 reviewers)
  • Missing personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62025(88)4.72026(89)

Distribution · 177 analyzed

5
154
4
10
3
1
2
0
1
12
39 reviews posted between Mar 15, 2026Mar 21, 2026 · 36 were 5-star
22 reviews posted between Mar 22, 2026Mar 27, 2026 · 22 were 5-star
12 reviews posted between Nov 17, 2025Nov 21, 2025 · 10 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has undergone recent renovations; how do these updates specifically improve the daily living experience and comfort for residents?
  • 2Given your high rate of responsiveness to online feedback, what is your process for addressing family concerns or communication issues if they arise during my loved one's stay?
  • 3With the rehab and therapy team being a standout feature here, how do you integrate their care plans with the daily nursing support to ensure consistent progress?
  • 4I understand that staffing can be a challenge in this industry; what specific measures are in place to ensure that residents receive timely assistance with basic hygiene and daily needs?
  • 5How do you maintain the security of personal belongings and ensure that residents' items are well-managed and accounted for?
  • 6What protocols are in place to ensure that medical care remains seamless and responsive, especially during shifts where staffing levels might be lower?

Personalized based on this facility's data


Key Review Excerpts

My mom is here for rehab after breaking her femur. She does complain that the meals are usually cold when they should be hot but overall she seems well cared for and her roommate is lovely.

Rehab patient's family · 2025★★★☆☆

My MoM has been a resident at Roswell Center for Nursing and Healing for over two years. The ongoing care, compassion and broad range of services delivered on a daily basis by the entire staff is to be commended.

Long-term resident's family · 2026★★★★★

Your overnight nurses earned this rating. I would really recommend both the missing personal effects and if a patient does die you don't accuse the patient family of yelling.

Family member of deceased resident · 2026☆☆☆☆
Source: 332 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
3.17hrs
77%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
70%
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
1/ 5
Better Than Avg

4

measures

Worse Than Avg

8

measures

Mixed Results

5

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility71.5%
Worse than Avg
Here
71.5%
US
93.4%
GA
91.2%
Fulton
90.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
GA
10.6%
Fulton
14.9%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
15.4%
GA
20.1%
Fulton
13.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
19.5%
GA
20.5%
Fulton
19.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
15.3%
GA
16.6%
Fulton
13.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
19.4%
GA
16.0%
Fulton
20.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.7%
Worse than Avg
Here
70.7%
US
81.8%
GA
80.4%
Fulton
76.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.7%
Mixed vs Avgs
Here
76.7%
US
79.7%
GA
78.4%
Fulton
68.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Mixed vs Avgs
Here
2.2%
US
1.6%
GA
2.4%
Fulton
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Well above state avg (6.1)
14 complaint-triggered
$206,486 in fines

Multiple families have filed reports triggering 22 complaint-based deficiencies, revealing recurring problems with daily care assistance, care planning, and safety hazards. The facility shows repeated violations across four surveys spanning from 2020 to 2025, with the same issues in daily living assistance and care planning persisting over time. While all deficiencies have correction dates, the pattern of ongoing complaints suggests systemic care quality concerns that families should carefully investigate.

Mar 26, 2026Complaint
1
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.

Jul 2, 2025Complaint
2
0761Potential for harm · PatternCorrected

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.

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.

Feb 20, 2025Complaint
11
0656Immediate jeopardy · 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.

0677Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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.

0694Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0578Potential for harm · IsolatedCorrected

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Feb 20, 2025Routine
5
0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Mar 9, 2023Routine
14
0812Potential for harm · PatternCorrected

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 · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0578Potential for harm · IsolatedCorrected

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.

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.

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0887Potential for harm · IsolatedCorrected

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.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Feb 27, 2020Routine
9
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Federal Penalties

Fine

Feb 20, 2025

$206,486

Ownership & Operations

Who Operates This Facility

Owner / Operator

Roswell Center for Nursing and Healing LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Empire Care Centers

Chain Size

19 facilities nationwide

Chain avg rating: 1.9/5 · Rank 5 of 8 (Worst)

Ownership & Management

Owners

Ga Cy2 Holdco LLC

Owner · Organization

Ensh Consulting LLC

Owner (parent company) · Organization

Donath, Barry

Owner (parent company)

Heller, Shlomo

Owner (parent company)

Nussbaum, Ephraim

Owner (parent company)

Swerdloff, Aryeh

Owner (parent company)

Heller, Shlomo

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Heller, ShlomoManaging Control - Governing BodyNussbaum, EphraimManaging Control - Governing BodyEmpire Care Centers LLCManagerBrumfield, RecindaManagerDonath, BarryManager
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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