PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS
CCN: 115694 · STONE MOUNTAIN, GA 30087 · Gwinnett County
Overview
- Address
- 5610 NEW BERMUDA ROAD, STONE MOUNTAIN, GA 30087
- Phone
- 6786843157
- Certified beds
- 60
- Avg daily residents
- 30 (51% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare
- Medicare/Medicaid since
- 2005-05-27
- Setting
- Urban
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 | 5.28 | 3.73 | 5.46 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.93 | 0.65 | 0.97 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.90 | 0.83 | 0.93 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.44 | 2.25 | 3.56 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.83 | — | — | — | |
| 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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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) | 2025-05-01 | 6 | 6 | 6 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2023-11-02 | 2 | 2 | 0 | 12 | 1 | 12 |
Deficiencies (10)
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).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-05-01 | 2025-06-15 |
| 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 | 2025-05-01 | 2025-06-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-05-01 | 2025-06-15 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-05-01 | 2025-06-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-01 | 2025-06-15 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-05-01 | 2025-06-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-02 | 2023-12-08 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-11-02 | 2023-12-08 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2022-07-17 | 2022-08-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-07-17 | 2022-08-30 |
Penalties (3)
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-07 | Fine | $4,235 |
| 2023-08-14 | Fine | $4,587 |
| 2023-07-17 | Fine | $10,586 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| ISAKSON LIVING, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2014 |
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | since 02/04/2016 |
| TRUIST BANK | 5% OR GREATER MORTGAGE INTEREST | since 02/01/2016 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| BERGER, MARK | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| GODWIN, MELODY | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2022 |
| HELMS, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2018 |
| KHAN, KHURRAM | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2022 |
| LEVATO, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | since 06/20/2023 |
| ISAKSON, KEVIN | CORPORATE OFFICER | since 03/11/2003 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- 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 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 110 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 2.16 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 3.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-6,636,459 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,510,922 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 58.0% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $108,796,776 | metrics.total_assets |
| Cost Report | Total Costs ($) | $505,196 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-92,578,310 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $201,375,086 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -19.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.92996 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.56481 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.96586 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.46063 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.20072 | 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 | 30.4 | 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 | 0.82795 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.25020 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.65261 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.73076 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.28827 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | STONE MOUNTAIN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 115694 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Gwinnett | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2005-05-27 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.8016 | Latitude |
| Provider Information | Legal Business Name | PARK SPRINGS LLC | Legal Business Name |
| Provider Information | Location | 5610 NEW BERMUDA ROAD,STONE MOUNTAIN,GA,30087 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.138 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | 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 | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.32164 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.95935 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | 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 | 5610 NEW BERMUDA ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 530 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | 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 | 6 | 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 | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-01 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-02 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 12 | 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 | 0 | 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 | 12 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.75952 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.83190 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.89861 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.44462 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03506 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.93330 | 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 | 5.27653 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | GA | State |
| Provider Information | Telephone Number | 6786843157 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 19408.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.02538 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 51.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 42.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 30087 | ZIP Code |