01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-21 | 5 | 2025-11-21 | 5 |
| Cycle 2 | 2024-07-25 | 3 | 2024-07-25 | 0 |
| Cycle 3 | 2022-12-15 | 1 | 2022-12-15 | 0 |
CMS CCN 1152772026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Peachtree Nursing And Rehabilitation Llc
200 Medical Drive · Lagrange, GA 30240 · Troup County
Certified beds150CMS provider file
Recent citation rows14current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
14 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-21 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-12-222025-11-21 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaint2025-11-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaint2025-11-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-222025-11-21 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaint2025-11-21 · FIREK0226Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-12-122025-11-21 · FIREK0311Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-12-122025-11-21 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-12-122025-11-21 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-12-122025-11-21 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-12-122024-07-25 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-07-25 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-07-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-062022-12-15 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-01-2803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PEACH 2 GA LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/08/2025
- AZ 22 TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/08/2025
- ZA 22Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, AVRAHAMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, ZVIIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/08/2025
- 200 PEACHTREE GA LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, AVRAHAMIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, JONATHANIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, MOSHEIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, ZVIIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/08/2025
- 200 PEACHTREE GA LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, AVRAHAMIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, JONATHANIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, MOSHEIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/08/2025
- ROSENBERG, ZVIIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/08/2025
- BOU ALWAN, MELHIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2025
- RAMEY, DONNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2025
- AZ 22 TROrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/08/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.60per resident day
RN hours0.36per resident day
Weekend nurse hours3.09per resident day
Staff turnover46.0%CMS reported field
06 / LOCAL RECORDS
Open the Lagrange ledger →