01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-01 | 6 | 2025-05-01 | 0 |
| Cycle 2 | 2023-11-02 | 2 | 2023-11-02 | 1 |
| Cycle 3 | 2022-07-17 | 2 | 2022-07-17 | 11 |
CMS CCN 1156942026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pebblebrook Health Center At Park Springs
5610 New Bermuda Road · Stone Mountain, GA 30087 · Gwinnett County
Certified beds60CMS provider file
Recent citation rows22current 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
22 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.
2025-05-01 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-06-15 · complaint2025-05-01 · 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 · 2025-06-15 · complaint2025-05-01 · HEALTHF0689Severity E · pattern; 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 · 2025-06-15 · complaint2025-05-01 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-06-15 · complaint2025-05-01 · 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 · 2025-06-15 · complaint2025-05-01 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-15 · complaint2023-11-02 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-12-082023-11-02 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2023-12-082023-11-02 · FIREK0291Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2023-12-082022-07-17 · FIREE0001Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-08-302022-07-17 · 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 · 2022-08-302022-07-17 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0352Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · 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 · 2022-09-092022-07-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0791Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-07-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-09-0903 / 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
- CRUDEN CAPITAL LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- ISAKSON/BARNHART RETIREMENT DEVELOPMENT COOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- STANDARD PARK SPRINGS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- WHITE-PARKSIDE STONE MOUNTAIN LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- MICHAEL BRIGHT WHITE CHILDRENS TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- OTTLEY PROPERTIES, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- PITOT OTTLEY, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- STANDARD MORTGAGE CORPORATIONOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/12/2003
- BARNHART, DAVIDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/11/2003
- ISAKSON, EDWINIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/11/2003
- ISAKSON, KEVINIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/11/2003
- TRUIST BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/01/2016
- TRUIST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 02/04/2016
- BARNHART, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/11/2003
- ISAKSON, EDWINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/11/2003
- ISAKSON, KEVINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/11/2003
- ISAKSON, KEVINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/11/2003
- ISAKSON LIVING, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2014
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 hours5.39per resident day
RN hours0.84per resident day
Weekend nurse hours5.12per resident day
Staff turnover34.1%CMS reported field
06 / LOCAL RECORDS
Open the Stone Mountain ledger →