PEACHTREE NURSING AND REHABILITATION LLC
200 MEDICAL DRIVE
LAGRANGE, GA, 30240
7068453256
CCN: 115277
3
Overall3
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (8)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ATLANTA MEDICAL CENTER
1128a1
Excluded 2016-09-30
CREST MEDICAL CENTERS, INC
1128b11
Excluded 1993-12-20
GEORGIA COMMUNITY HELP CENTER
1128b8
Excluded 1999-01-20
GEORGIA MEDICAL AMB & CONV SVC
1128b8
Excluded 1998-01-20
GEORGIA REFERRAL, INC
1128b8
Excluded 1999-07-20
NORTH FULTON MEDICAL CENTER, I
1128a1
Excluded 2016-09-30
PEDIAPLUS MEDICAL CENTER
1128b8
Excluded 2002-10-20
ROOSEVELT MEDICAL CENTER, INC
1128a1
Excluded 1999-06-17
Ownership
| Name | Role | % |
|---|---|---|
| WEST GEORGIA MEDICAL CENTER, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| WELLSTAR HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| AZIZ, ARIF | CORPORATE DIRECTOR | NOT APPLICABLE |
| BECKFORD, AVRIL | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROCK, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRUMBY, OTIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| BURDETTE, HIRAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| CUNNINGHAM, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| DOUGLASS, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOLMES, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| HORNSBY, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, TERRELL | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCKIBBEN, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MILLER, GARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOORE, MITZI | CORPORATE DIRECTOR | NOT APPLICABLE |
| MORGAN, GREG | CORPORATE DIRECTOR | NOT APPLICABLE |
| RICHARDSON, EDWARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROS, FRANK | CORPORATE DIRECTOR | NOT APPLICABLE |
| SWAYZE, ORRIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| YADAV, AMBICA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SAUNDERS, CANDICE | CORPORATE OFFICER | NOT APPLICABLE |
| BUDZINSKI, ANTHONY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| ERZUAH, EBENEZER | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SAUNDERS, CANDICE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (9)
2025-11-21 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F578 · Resident Rights Deficiencies
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.
2024-07-25 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2022-12-15 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.67
RN Hrs/Resident/Day0.54
0.50
LPN Hrs/Resident/Day0.81
1.04
CNA Hrs/Resident/Day2.33
2.13
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01