Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at A.g. Rhodes Home, Inc, The during CMS and state inspections, most recent first.
A resident who was dependent on staff for toileting assistance was left waiting over two hours after pressing her call light for incontinence care. An LPN entered the room, said she would find a CNA, but did not return to provide care while busy with G-tubes, and the resident remained in urine and feces until CNA II later assisted her. The resident stated the delay made her feel as if she did not matter, and the DON stated call lights were expected to be answered within five minutes.
A resident with multiple complex medical conditions had inaccurate documentation of a skin condition by an LPN, who mistakenly recorded an open area instead of discoloration. Additionally, staff failed to consistently document the resident's meal, supplement, and fluid intake, with several omissions found in the records. Facility leadership confirmed that documentation was expected to be complete but could not explain the missing entries.
A facility failed to ensure an RN had an active license while providing care to residents. The RN worked without a valid license on two occasions, providing wound care and working on the medication cart. The facility's policy requires verification of licenses, but staff interviews revealed a lack of awareness and communication regarding the expired license. The alert system for license expiration was ineffective for multi-state licenses.
A resident with severe cognitive impairment alleged abuse during a care encounter, but the facility failed to report the incident to the State Agency within the required two-hour timeframe. The report was submitted the following day, exceeding the mandated reporting period. The resident required significant assistance with daily activities and exhibited aggressive behaviors.
A facility failed to accurately assess a resident's hearing status, as documented in the MDS assessments. The resident, diagnosed with unspecified hearing loss and cognitive communication deficit, was noted to have minimal difficulty in a previous assessment but was later documented as having adequate hearing. Interviews and observations confirmed the resident's hearing difficulty, requiring amplifying headphones for communication. The MDS Director acknowledged the discrepancy.
A resident with severe cognitive impairment and multiple diagnoses had a DNR form signed, but their care plan and physician's orders incorrectly reflected a full code status. Despite the resident going into respiratory distress and being treated as a DNR, the facility staff failed to update the care plan and orders, leading to a potential risk of not receiving appropriate care. Interviews with staff revealed a lack of communication and responsibility in updating the care plan.
A resident with multiple health conditions experienced delays in receiving assistance with ADLs, leading to missed activities and dissatisfaction. Despite the facility's policy to honor resident preferences for ADL timing, the resident and her family reported significant delays, including a three-hour wait for assistance after a bowel movement. Staff interviews confirmed that residents should receive timely care, but this was not consistently provided.
Delayed Incontinence Care and Call Light Response
Penalty
Summary
The facility failed to provide ADL care for one resident who was dependent on staff for toileting assistance. The resident, who had diagnoses including severe persistent asthma with acute exacerbation, chronic diastolic heart failure, Parkinson's disease without dyskinesia, obesity, and age-related osteoporosis, had a BIMS score of 15 and was coded as requiring assistance of two or more staff members for toileting hygiene. Her care plan documented that she was dependent on staff for toileting assistance, and the facility policy stated that residents unable to perform ADLs would receive the necessary services to maintain personal and oral hygiene. On 12/3/2025 at 2:21 pm, the resident pressed her call button because she needed to be changed. The device activity report showed the call light remained on for 96 minutes and 24 seconds, until 3:57 pm. Camera review showed an LPN entered the room at 2:23 pm, an unknown CNA entered and exited at 2:24 pm, and the LPN exited at 2:28 pm. Two unknown CNAs were seen outside the room at 2:41 pm, and CNA II did not enter the room until 3:44 pm, then returned at 3:54 pm and exited at 4:13 pm with soiled linen and trash bags. During interviews, the resident stated she was left in urine and later had a bowel movement before staff assisted her, and that she was not changed until after 4:00 pm because of shift change. She said the delay made her feel really bad, as if she did not matter and staff did not care about her. The LPN stated she told the resident she would find a CNA, found the assigned CNA busy with another resident, and did not return to provide incontinent care because she was busy hanging G-tubes. The DON stated call lights were expected to be answered within five minutes and that staff should communicate with residents if the request could not be met at that time.
Incomplete and Inaccurate Medical Record Documentation for a Resident
Penalty
Summary
The facility failed to maintain accurate and complete medical records for one resident with significant medical conditions, including chronic kidney disease, acute kidney failure, hemiplegia, severe malnutrition, and vascular dementia. Documentation errors included an LPN incorrectly recording the presence of an open area on the resident's genital skin, when in fact the area was only discolored. The LPN later clarified that the documentation was an error due to language barriers, as she spoke English as a second language. Additionally, staff did not consistently document the resident's meal intake, nutritional supplement consumption, or fluid intake as required. Multiple instances were found where the Medication Administration Record and Documentation Survey Reports lacked entries for whether nutritional supplements were provided and the percentages of meals and fluids consumed. Interviews with facility staff, including the Clinical Nurse Consultant, Director of Clinical Reimbursement, and DON, confirmed that documentation was expected to be complete and accurate, but they were unable to explain the omissions.
Failure to Verify RN License
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) had an active license while providing professional nursing services to the residents. The facility's policy requires that all licensed and certified employees have their credentials verified through the appropriate issuing agency upon initial employment and ongoing thereafter. However, the facility did not adhere to this policy, as evidenced by RN FF working without an active nursing license. The RN's license had expired, and she continued to work on two separate days, providing wound care and treatments, as well as working on the medication cart. Interviews with facility staff revealed a lack of awareness and communication regarding the expired license. The Chief Human Resources Officer confirmed the expiration of RN FF's license and acknowledged that the nurse worked without an active license. The Director of Nursing (DON) was unaware of the situation and stated that the Human Resources Director was responsible for checking licenses. The Administrator also confirmed that the Human Resources Director was responsible for ensuring licenses were current and mentioned that the alert system for license expiration did not work effectively for multi-state licenses.
Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident with severe cognitive impairment within the required two-hour timeframe. The facility's policy mandates that any alleged abuse must be reported immediately, but not later than two hours after the allegation is made if it involves abuse or results in serious bodily injury. In this case, the allegation was made by a resident who claimed he was raped during a care encounter. The incident occurred during the 3:00 pm to 11:00 pm shift, but the report was not submitted to the State Agency until the following day at 5:39 pm, exceeding the required reporting timeframe. The resident involved had a Brief Interview for Mental Status (BIMS) score of 4, indicating severe cognitive impairment, and exhibited physical and verbal aggressive behaviors. He required two-person total assistance for all activities of daily living except eating. The incident involved a Licensed Practical Nurse and a Certified Nursing Assistant who were performing care when the resident alleged abuse. The Director of Nursing acknowledged awareness of the reporting regulation but was not present at the facility during the incident and could not explain the delay in reporting.
Inaccurate Hearing Assessment for Resident
Penalty
Summary
The facility failed to accurately assess the hearing status of a resident, identified as R37, which could potentially affect the quality of care and life for the resident. The facility's policy, titled MDS 3.0 Completion Policy, requires a comprehensive assessment process to identify care needs and develop an interdisciplinary care plan. However, a review of R37's electronic medical record revealed diagnoses of unspecified hearing loss and cognitive communication deficit. The Significant Change Minimum Data Set (MDS) assessment for R37 documented her hearing status as adequate, despite a previous Annual MDS assessment indicating minimal difficulty. This discrepancy was confirmed by the MDS Director. Interviews and observations further highlighted the inconsistency in the assessment of R37's hearing status. An LPN stated that R37 was hard of hearing and sometimes refused care and medications. During an interview with R37, she confirmed her difficulty with hearing and required amplifying headphones to communicate effectively. R37 expressed a preference not to wear hearing aids due to their cost and the risk of loss or damage. The MDS Director acknowledged the discrepancy in the assessment and confirmed it would be corrected.
Failure to Update Advanced Directives in Care Plan
Penalty
Summary
The facility failed to revise a person-centered comprehensive care plan for a resident regarding their advanced directives. The resident, who was admitted with diagnoses including diabetes, hyperlipidemia, malnutrition, and depression, had a severe cognitive impairment as indicated by a BIMS score of 3. Despite having a Do Not Resuscitate (DNR) form signed by the primary physician, a concurring physician, an appointed health care agent, and a relative, the resident's care plan and physician's orders continued to reflect a full code status. This discrepancy was not corrected, leading to a situation where the resident went into respiratory distress and was treated as a DNR, contrary to the documented full code status. Interviews with facility staff, including the MDS Director, Director of Nursing (DON), and the Administrator, revealed a lack of communication and failure to update the care plan and orders to reflect the resident's DNR status. The MDS Director confirmed that the care plan and orders were not updated, and the DON stated that the MDS Coordinator was responsible for updating care plans. The Administrator acknowledged that care plans and orders should be updated when there is a change in advanced directive code status. This oversight had the potential to result in the resident not receiving care or treatment according to their needs.
Failure to Provide Timely ADL Assistance
Penalty
Summary
The facility failed to provide timely assistance with Activities of Daily Living (ADLs) for a resident, identified as R73, according to her preferences. R73, who has diagnoses including type 2 diabetes mellitus, chronic systolic heart failure, and cerebral infarction, was assessed to have little to no cognitive impairment and required staff assistance for ADLs. Despite her care plan indicating the need for timely assistance, observations and interviews revealed that R73 experienced delays in receiving help with transfers and dressing. On multiple occasions, she was left waiting in bed for assistance, which led to her missing scheduled activities and expressing dissatisfaction with the care provided. Further interviews with staff, including CNAs and the Assistant Director of Nursing, confirmed that residents should be granted their preference for the timing of morning ADLs. However, R73's family expressed concerns about the facility's response time, citing an incident where R73 waited three hours for assistance after a bowel movement, leading her to call 911. Additionally, there was an instance where R73 did not receive a bath over the weekend, highlighting a pattern of inadequate response to her needs. The facility's policy states that call lights should be answered immediately, yet this was not adhered to, contributing to the deficiency in care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Atlanta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legacy Transitional Care & Rehabilitation | 0 mi | — | 9 | 0 |
| Westminster Commons | 2.3 mi | ★★★★★ | 0 | 0 |
| Buckhead Center For Nursing And Healing | 3.1 mi | ★★★★★ | 13 | 0 |
| Pruitthealth - Virginia Park | 3.3 mi | ★★★★★ | 0 | 0 |
| Reliable Health & Rehab At Lakewood | 4 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.