Pebblebrook Health Center at Park Springs
5610 New Bermuda Road, Stone Mountain, GA 30087
Pebblebrook Health Center at Park Springs, a 60-bed for profit - limited liability company nursing facility in Stone Mountain, GA, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6786843157
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 5.28
- Well above average · nurse hrs/day · nat'l 3.89
- 10
- Inspection findings
- $19K
- Federal penalties (3)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 115694
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare
- Beds
- 60
- Residents
- 30
- In Hospital
- No
- County
- Gwinnett
- Last Inspection
- May 1, 2025
Staffing Data
How the 5.28 total nursing hours per resident-day are staffed:
- RN Hours
- 0.93 (nat'l avg: 0.68)
- LPN Hours
- 0.90
- CNA Hours
- 3.44
- Total Nursing Hours
- 5.28 (nat'l avg: 3.89)
- PT Hours
- 0.04
- Nursing Turnover
- 51.3%
- RN Turnover
- 50.0%
What the CMS Record Reveals About Pebblebrook Health Center at Park Springs
Pebblebrook Health Center at Park Springs operates 60 certified beds in Stone Mountain, GA with approximately 30 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 4★).
The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $19K. Staffing is reported at 5.28 total nursing hours per resident day (national average 3.89), with RN coverage at 0.93 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare" provider, Pebblebrook Health Center at Park Springs falls into a category where comparative context matters. Reported nursing turnover at this facility is 51.3%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 (10 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 15, 2025
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 15, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 15, 2025
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: Jun 15, 2025
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: Jun 15, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jun 15, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 8, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 8, 2023
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: Aug 30, 2022
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 30, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.4% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 8.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 93.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 85.3% | No |
Penalty History 3 penalties totaling $19K
| Date | Type | Amount |
|---|---|---|
| Aug 14, 2023 | Fine | $5K |
| Aug 7, 2023 | Fine | $4K |
| Jul 17, 2023 | Fine | $11K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Pebblebrook Health Center at Park Springs?
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Does Pebblebrook Health Center at Park Springs have any deficiencies on record?
Has Pebblebrook Health Center at Park Springs received any fines or penalties?
Who owns Pebblebrook Health Center at Park Springs?
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What quality measures are tracked for Pebblebrook Health Center at Park Springs?
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.
Read our methodology - how this data is sourced, computed, and verified.
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