Nurse Care of Buckhead
2920 Pharr Court South Nw · Atlanta, GA · 30305 · 4042619043
220 certified beds For profit - Limited Liability company Chain: Wellington Health Care Services
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $268,005 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$268,005 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 5 · $277,501 |
Inspection citations (80 in the current record)
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Potential for harm · D December 11, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 11, 2026 · Resident Rights
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Potential for harm · D December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 11, 2026 · Pharmacy Service
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Potential for harm · F December 11, 2025 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected February 11, 2026 · Administration
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Immediate jeopardy · J June 9, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 5, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 9, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 5, 2025 · Quality of Life and Care
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Immediate jeopardy · J June 9, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 6, 2025 · Administration
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Actual harm · G June 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D June 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
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.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 9, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · F June 9, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D June 9, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · E June 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 5, 2025 · Pharmacy Service
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Potential for harm · D June 9, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected August 5, 2025 · Pharmacy Service
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Potential for harm · E June 9, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 5, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 9, 2025 | Fine | $262,659 |
| August 1, 2024 | Fine | $5,346 |
| August 1, 2024 | Payment Denial | 43 days |
| February 20, 2024 | Fine | $2,659 |
| February 12, 2024 | Fine | $2,279 |
| January 22, 2024 | Fine | $4,558 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115129 · certified since December 22, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.