SNF
UNIVERSITY NURSING & REHAB CTR
CCN: 115467 · ATHENS, GA 30606 · Clarke County
Overview
- Address
- 180 EPPS BRIDGE RD, ATHENS, GA 30606
- Phone
- 7065495382
- Certified beds
- 122
- Avg daily residents
- 106 (87% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-01-01
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.29 | 3.80 | 3.34 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.10 | 0.67 | 0.11 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.81 | 0.84 | 0.82 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.38 | 2.29 | 2.41 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 0.91 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.93
hrs / resident / day
RN (weekend)
0.11
hrs / resident / day
Total nurse (adjusted, weekend)
2.98
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
78.9%
annual
RN turnover
93.8%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-03 | 3 | 3 | 0 | 28 | 1 | 28 |
| Cycle 2/3 (prior) | 2023-12-09 | 15 | 14 | 12 | 92 | 1 | 92 |
Total weighted health score
44.0
lower is better
Deficiencies (26)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
25 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0584 | 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. | E | 2025-04-03 | 2025-05-05 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-03 | 2025-05-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-03 | 2025-05-05 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-12-09 | 2024-01-23 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-12-09 | 2024-01-23 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-09 | 2024-01-23 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-12-09 | 2024-01-23 |
| 0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2023-12-09 | 2024-01-23 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-12-09 | 2024-01-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-09 | 2024-01-23 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-12-09 | 2024-01-23 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-09 | 2024-01-23 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-12-09 | 2024-01-23 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2023-12-09 | 2024-01-23 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-12-09 | 2024-01-23 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-12-09 | 2024-01-23 |
| 0881 | Implement a program that monitors antibiotic use. | F | 2023-12-09 | 2024-01-23 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-05-02 | 2023-06-16 |
| 0578 | 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. | D | 2022-06-20 | 2022-08-12 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-06-20 | 2022-08-12 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-06-20 | 2022-08-12 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-06-20 | 2022-08-12 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-06-20 | 2022-08-12 |
| 0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | 2022-06-20 | 2022-08-12 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-06-20 | 2022-08-12 |
| 0761 | 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. | D | 2022-06-20 | 2022-08-12 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.5% Medicaid 76.1% Other 16.4%
Operating performance
Operating Margin
-6.4%
Total Margin
-6.4%
Occupancy Rate
77.4%
Cost per Resident Day
$22
Revenue & costs
Net Patient Revenue
$9.5M
Total Costs
$761K
Net Income
-$612K
Balance sheet
Total Assets
$2.0M
Total Liabilities
$3.4M
Fund Balance
-$1.4M
Current Ratio
0.89
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CYPRESS SKILLED NURSING
- Chain ID
176- Facilities in chain
- 8
- Legal business name
- UNIVERSE CYPRESS LLC
Chain-average star ratings (for peer context)
Overall
1.9
Health
2.6
Staffing
1.0
QM
1.9
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| CYPRESS SKILLED NURSING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/12/2013 |
| CYPRESS OPERATING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/12/2013 |
| ENIN TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/12/2013 |
| SNF TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/12/2013 |
| CYPRESS SKILLED NURSING LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2014 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| BENDER, SARA | OPERATIONAL/MANAGERIAL CONTROL | since 07/02/2025 |
| MACATULA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | since 07/31/2017 |
| NORDHOLM, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | since 01/24/2014 |
| OVITS, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2014 |
| PATTERSON, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | since 05/07/2018 |
| POPE, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2003 |
| PUGHSLEY, SONIA | OPERATIONAL/MANAGERIAL CONTROL | since 11/05/2024 |
| REDDICK, JOANE | OPERATIONAL/MANAGERIAL CONTROL | since 02/11/2025 |
| SIMS, DEMARIOUS | OPERATIONAL/MANAGERIAL CONTROL | since 03/18/2025 |
| UDO, EMEM | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2023 |
| VAUGHAN, ALYSSA | OPERATIONAL/MANAGERIAL CONTROL | since 04/10/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $22 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.89 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 76.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-611,847 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,547,777 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 77.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -6.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,019,331 | metrics.total_assets |
| Cost Report | Total Costs ($) | $760,923 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,376,177 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,395,508 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -6.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.82362 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.41441 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.10521 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.34323 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.97890 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 106.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84399 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.29377 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66525 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.80301 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.35195 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 1.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 176 | Chain ID |
| Provider Information | Chain Name | CYPRESS SKILLED NURSING | Chain Name |
| Provider Information | City/Town | ATHENS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 115467 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Clarke | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1990-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.9425 | Latitude |
| Provider Information | Legal Business Name | UNIVERSE CYPRESS LLC | Legal Business Name |
| Provider Information | Location | 180 EPPS BRIDGE RD,ATHENS,GA,30606 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -83.429 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 122 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 8 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.34723 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.97792 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 180 EPPS BRIDGE RD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | UNIVERSITY NURSING & REHAB CTR | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 28 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-03 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 28 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 14 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 92 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 12 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 92 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.11462 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 93.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 0.91489 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.81127 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.37818 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03653 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.10363 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.29308 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | GA | State |
| Provider Information | Telephone Number | 7065495382 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.93422 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 78.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 44.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 30606 | ZIP Code |