Rose Haven Retreat earns a solid B grade from CMS data, with a score of 73/100. Performing above average across most metrics, this Atlanta facility ranks in the 84th percentile among Texas nursing homes.
Rose Haven Retreat provides above-average staffing with 5.16 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 34 deficiencies at Rose Haven Retreat, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.16 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.88 | 2.4 | Above Average |
| Weekend Total Nursing | 4.52 | 3.8 | Above Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 6, 2025 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 6, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.May 6, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.May 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 6, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.4% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 29.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 2.4% | 14.0% | Better |
| Excessive weight loss | 0.8% | 7.5% | Better |
| New/worsened incontinence | 1.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,281
How This Grade Was Calculated
This facility's grade of B is based on a score of 73 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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