SNF
POWDER SPRINGS CENTER FOR NURSING & HEALING
CCN: 115538 · POWDER SPRINGS, GA 30127 · Cobb County
Overview
- Address
- 3460 POWDER SPRINGS ROAD, POWDER SPRINGS, GA 30127
- Phone
- 7704399199
- Certified beds
- 208
- Avg daily residents
- 182 (88% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1993-02-25
- 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 | 3.32 | 4.22 | 3.04 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.43 | 0.74 | 0.39 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.99 | 0.94 | 0.91 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.91 | 2.55 | 1.74 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.42 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.10 | — | — | — |
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)
2.85
hrs / resident / day
RN (weekend)
0.28
hrs / resident / day
Total nurse (adjusted, weekend)
2.61
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
29.8%
annual
RN turnover
30.8%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.50
higher acuity than avg
Case-Mix Index Ratio
1.09
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) | 2024-06-27 | 4 | 1 | 3 | 28 | 1 | 28 |
| Cycle 2/3 (prior) | 2022-04-22 | 20 | 7 | 13 | 200 | 1 | 200 |
Total weighted health score
71.0
lower is better
Infection-control citations
13
last cycle
Deficiencies (24)
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).
1 A/B/C No actual harm — minor
21 D/E/F Actual harm — potential for minor
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-09 | 2026-02-14 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-09 | 2026-02-14 |
| 0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | C | 2026-01-09 | 2026-02-14 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-06-27 | 2024-08-11 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-04-15 | 2024-05-20 |
| 0585 | 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. | D | 2024-04-15 | 2024-05-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-15 | 2024-05-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-15 | 2024-05-20 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | 2024-04-15 | 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. | E | 2024-04-15 | 2024-05-20 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | J | 2024-04-15 | 2022-08-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-15 | 2024-05-20 |
| 0814 | Dispose of garbage and refuse properly. | F | 2024-04-15 | 2024-05-20 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-15 | 2024-05-20 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2024-04-15 | 2024-05-20 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2024-04-15 | 2024-05-20 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-04-15 | 2024-05-20 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-04-22 | 2022-06-06 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-04-22 | 2022-06-06 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2022-04-22 | 2022-06-06 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-04-22 | 2022-06-06 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-04-22 | 2022-06-06 |
| 0881 | Implement a program that monitors antibiotic use. | F | 2022-04-22 | 2022-06-06 |
| 0886 | Perform COVID19 testing on residents and staff. | F | 2022-04-22 | 2022-06-06 |
Penalties (4)
Fines issued
3
last 3 years
Total fines
$16,802
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2024-04-15 | Fine | $3,465 |
| 2024-04-15 | Fine | $5,636 |
| 2024-04-15 | Fine | $7,701 |
| 2024-04-15 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 9.0% Medicaid 60.7% Other 30.3%
Operating performance
Operating Margin
3.3%
Total Margin
3.3%
Occupancy Rate
87.1%
Cost per Resident Day
$34
Revenue & costs
Net Patient Revenue
$21.6M
Total Costs
$2.3M
Net Income
$715K
Balance sheet
Total Assets
$9.3M
Total Liabilities
$7.0M
Fund Balance
$2.3M
Current Ratio
0.62
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: EMPIRE CARE CENTERS
- Chain ID
202- Facilities in chain
- 18
- Legal business name
- PS OPERATOR LLC
Chain-average star ratings (for peer context)
Overall
1.8
Health
2.2
Staffing
1.3
QM
3.2
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| POWDER SPRINGS OPERATING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/10/2020 |
| ENSH CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/10/2020 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| HELLER, SHLOMO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/10/2020 |
| NUSSBAUM, EPHRAIM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/10/2020 |
| HELLER, SHLOMO | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2020 |
| NUSSBAUM, EPHRAIM | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2020 |
| HELLER, SHLOMO | CORPORATE OFFICER | since 12/10/2020 |
| SHULER, VALERIA | W-2 MANAGING EMPLOYEE | since 01/01/2021 |
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 Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 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 2024, 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 ($) | $34 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.62 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 9.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $714,546 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $21,607,067 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 3.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,271,826 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,281,588 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,257,101 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,014,725 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.90512 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.74205 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.38887 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.03604 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.60833 | 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 | 182.0 | 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 | 0.93702 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.54660 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.73857 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.22219 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.72141 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 202 | Chain ID |
| Provider Information | Chain Name | EMPIRE CARE CENTERS | Chain Name |
| Provider Information | City/Town | POWDER SPRINGS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 115538 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Cobb | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1993-02-25 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.8597 | Latitude |
| Provider Information | Legal Business Name | PS OPERATOR LLC | Legal Business Name |
| Provider Information | Location | 3460 POWDER SPRINGS ROAD,POWDER SPRINGS,GA,30127 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.654 | 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 | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 208 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 13 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 18 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.49573 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.08571 | 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 - Limited Liability company | 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 | 3460 POWDER SPRINGS ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | POWDER SPRINGS CENTER FOR NURSING & HEALING | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 290 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | 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 | 3 | 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 | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-06-27 | 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 | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-04-22 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 200 | 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 | 13 | 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 | 200 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 20 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.28401 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 30.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.41507 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.98981 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.90505 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.09714 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.42525 | 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 | 3.32011 | 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 | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | GA | State |
| Provider Information | Telephone Number | 7704399199 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 16802.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.85238 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 4 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 29.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 71.000 | 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 | 30127 | ZIP Code |