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CARROLLTON MANOR, INCORPORATED

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CARROLLTON MANOR, INCORPORATED is a for profit - corporation facility in CARROLLTON, GA with 100 certified beds and a 1-star overall CMS rating. The facility has 19 deficiency records on file.

2455 OAK GROVE CHURCH ROAD, CARROLLTON, GA 30117

Phone: 7708341737

Overall Rating

1/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
115638
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
85
In Hospital
No
County
Carroll
Last Inspection
Apr 25, 2025

Staffing Data

RN Hours
0.25 (nat'l avg: 0.68)
LPN Hours
1.13
CNA Hours
2.45
Total Nursing Hours
3.83 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
56.9%
RN Turnover
50.0%

What the CMS Record Reveals About CARROLLTON MANOR, INCORPORATED

CARROLLTON MANOR, INCORPORATED operates 100 certified beds in CARROLLTON, GA with approximately 85 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 19 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.83 total nursing hours per resident day (national average 3.89), with RN coverage at 0.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CARROLLTON MANOR, INCORPORATED falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (19 most recent)

F — Widespread - Minimal harm Apr 25, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 9, 2025

F — Widespread - Minimal harm Apr 25, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 9, 2025

F — Widespread - Minimal harm Apr 25, 2025 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm Apr 8, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 23, 2025

F — Widespread - Minimal harm Mar 2, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Apr 20, 2023

F — Widespread - Minimal harm Mar 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0758

Implement 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2023

E — Pattern - Minimal harm Mar 2, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 20, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 20, 2023

E — Pattern - Minimal harm Mar 5, 2020 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 19, 2020

D — Isolated - Minimal harm Mar 5, 2020 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2020

D — Isolated - Minimal harm Mar 5, 2020 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2020

D — Isolated - Minimal harm Mar 5, 2020 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Apr 19, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 15.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.1% No
Percentage of long-stay residents who were physically restrained Long Stay 2.1% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 65.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 63.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 57.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 57.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.0% Yes

Penalty History

Date Type Amount
Mar 2, 2023 Fine $7K

Frequently Asked Questions

What is the overall CMS rating for CARROLLTON MANOR, INCORPORATED?
CARROLLTON MANOR, INCORPORATED has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (1★).
What are the staffing levels at CARROLLTON MANOR, INCORPORATED?
CARROLLTON MANOR, INCORPORATED reports 3.83 total nursing hours per resident day (national average: 3.89). RN hours are 0.25 per resident day (national average: 0.68). Nursing staff turnover is 56.9%.
How many beds does CARROLLTON MANOR, INCORPORATED have?
CARROLLTON MANOR, INCORPORATED has 100 certified beds with approximately 85 residents. The facility is located at 2455 OAK GROVE CHURCH ROAD, CARROLLTON, GA 30117.
Does CARROLLTON MANOR, INCORPORATED have any deficiencies on record?
Yes, CARROLLTON MANOR, INCORPORATED has 19 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has CARROLLTON MANOR, INCORPORATED received any fines or penalties?
No, CARROLLTON MANOR, INCORPORATED has no fines or penalties on record.
Who owns CARROLLTON MANOR, INCORPORATED?
CARROLLTON MANOR, INCORPORATED is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CARROLLTON MANOR, INCORPORATED last inspected?
The most recent health inspection for CARROLLTON MANOR, INCORPORATED was on Apr 25, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CARROLLTON MANOR, INCORPORATED?
CARROLLTON MANOR, INCORPORATED is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial