Starfile

Starfile / Georgia

BHM Carrollton OpCo Inc

2327 NORTH HIGHWAY 27, CARROLLTON, GA 30117 · CCN 115368

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★☆☆☆ 2
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
159
Avg residents/day
100.5
Phone
7708344404

Inspection history vs Georgia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityGeorgia avgNational avgvs state
12025-03-20166.19.5+9.9 worse
22023-12-0745.89.8-1.8 better
32022-03-31144.89.3+9.2 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care3
Resident assessment and care planning1
Resident rights2
Nutrition and dietary4
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)1.4072.4%
RN staffing (reported)0.1966.7%
Total nurse staffing (adjusted)1.53

Fines & penalties

Total fines
$3,728
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
CYPRESS SKILLED NURSING
Facilities in chain
8
Chain avg overall
1.90 / 5

Inspection citations (34)3 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-09 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  2. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  7. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-20 · Health · corrected 2025-06-13

    Actual harm

  8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  9. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  10. DF0758Implement 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.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  11. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  12. DF0803Ensure 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.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  13. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  14. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  15. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  16. FF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  17. DF0567Honor the resident's right to manage his or her financial affairs.2023-12-07 · Health · corrected 2024-01-21

    Potential for more than minimal harm

  18. EF0584Honor 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.2023-12-07 · Health · corrected 2024-01-21

    Potential for more than minimal harm

  19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-07 · Health · corrected 2024-01-21

    Potential for more than minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2024-01-21

    Potential for more than minimal harm

  21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  22. DF0610Respond appropriately to all alleged violations.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  23. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  25. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  26. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-03-31 · Health · corrected 2022-05-20

    Actual harm

  27. DF0687Provide appropriate foot care.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  28. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-31 · Health · corrected 2022-05-20

    Actual harm

  29. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  30. DF0758Implement 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.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  31. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  32. DF0880Provide and implement an infection prevention and control program.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  33. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

  34. FF0908Keep all essential equipment working safely.2022-03-31 · Health · corrected 2022-05-20

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CYPRESS SKILLED NURSING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2013-11-12
CYPRESS OPERATING LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2013-11-12
CARTER, JANICEIndividualOPERATIONAL/MANAGERIAL CONTROL2017-03-21
OVITS, ISAACIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-01
PATTERSON, DIANNEIndividualCORPORATE DIRECTOR2018-05-07
OVITS, ISAACIndividualCORPORATE OFFICER2014-01-01

Other facilities in CARROLLTON

NameOverallBeds
PruittHealth - Carrollton★★★☆☆42
BHM Pine Knoll OpCo Inc★★★☆☆122
CARROLLTON MANOR, INCORPORATED★☆☆☆☆100

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.