Cumming Operating Company LLC
2775 Castleberry Road, Cumming, GA 30040 · Forsyth County · (770) 781-2300
99 certified beds, about 87 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115551 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 1 health deficiency (the Georgia average is 5, the national average 9.2).
None of its 8 health citations since October 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.95 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
66.9% of nursing staff left within the year CMS measured (Georgia average 46.0%).
CMS links it to Michael Feist, an affiliated group of 7 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
210/22
508/24
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
3E
2F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 1 citation
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled, Safe Water Temperatures Policy, the facility failed to ensure hot water temperatures remained within safe limits in 10 of 24 Rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], 200 Hall Shower Room, and the 300 Hall Shower Room) on two of four hallways (200 Hall and 300 Hall). The deficient practice had the potential to place residents at risk of injury. Residents on two of four Halls had the potential to be affected. The facility census was 87 residents.
August 15, 2024Standard inspection, Complaint inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and review of the facility's policy titled, Date Marking for Food Safety, the facility failed to label and date 34 porkchops, eight chicken breast, and six hamburger patties in one of three freezers and the facility failed to discard 22 expired snack cookies on two of two pantries. In addition, the facility failed to maintain proper sanitary conditions for one of three ice machines and the facility failed to discard 140 expired 240 mL (milliliter) water bottles and four cases with six count each of one gallon sized water from the emergency water supply. The total of residents that received an oral diet was 81. Findings Include: [...]
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, staff interviews, record review, and review of facility's policies titled Resident Environmental Quality and Safe and Homelike Environment, the facility failed to maintain a clean and sanitary environment. Specifically, the filters for Heating Ventilation, and Air Conditioning (HVAC) unit vents contained visible thick grayish white dust particles that covered the filters for the residents that occupied rooms (103,100,101,104,105 and 106). This deficient practice had the potential to cause poor air quality that could lead to respiratory illness. The sample size was 40 residents.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interviews, and review of the facility's policy titled Medication Storage, the facility failed to ensure that a Schedule IV medication was secured under double lock and key for one of two medication storage rooms. This deficient practice had the potential to cause loss of controlled and other medications. The facility census was 81 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations and staff interviews, the facility failed to promote care in a manner that maintained or enhanced each resident's dignity and respect. Specifically, the facility failed to provide privacy during incontinent care for one of 40 sampled resident (R) (R132) reviewed for dignity.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interviews, record review, and review of facility's policy title Comprehensive Care Plans, the facility failed to develop a comprehensive person-centered care plan for two residents (R) R8 and R59 that addressed the residents' peripherally inserted central catheter (PICC) line. The sample size was 40 residents.
October 27, 2022Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, and interview, the facility failed to maintain sanitary conditions of the kitchen ice machine. The census was 62 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, interviews, and review of the policy titled Medication Storage, the facility failed to ensure that one of three medication carts was locked and secured when the cart was out of view of the nurse. The census was 62.
Fire safety inspections
16 fire safety citations on file: 4 on December 4, 2025, 5 on August 15, 2024, 7 on October 27, 2022.
Every fire safety citation16 citations
- D Install a fire alarm system that can be heard throughout the facility.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly provide smoke detection systems in areas open to corridors.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- D Install properly constructed windows in hallway walls or doors.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.95 | 3.56 | 3.86 |
| Registered nurses | 0.96 | 0.50 | 0.69 |
| All nursing staff on weekends | 4.13 | 3.10 | 3.42 |
| Nurse aides | 3.10 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 66.9% | 46.0% | 45.8% |
| Registered nurse turnover | 50.0% | 44.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.29 on weekdays and 4.13 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.87 in April to June 2025 to 4.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.95 | 0.96 | 5.29 | 4.13 | 6.8% | 0 of 90 | 87 |
| Oct to Dec 2025 | 4.83 | 0.87 | 5.13 | 4.05 | 7.2% | 0 of 92 | 84 |
| Jul to Sep 2025 | 4.92 | 0.87 | 5.22 | 4.16 | 7.7% | 0 of 92 | 80 |
| Apr to Jun 2025 | 5.87 | 0.98 | 6.30 | 4.80 | 36.4% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.6 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.5 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.9 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.9 | 1.8 |
Owners and operators
Legal business name: CUMMING OPERATING COMPANY LLC. CMS links this home to Michael Feist, a group of 7 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Feist, Michael | 5% or greater direct ownership interest | Individual | 100% | 12/01/2023 |
| Feist, Michael | Contracted managing employee | Individual | 12/01/2023 | |
| Feist, Michael | Corporate officer | Individual | 12/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 15, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 15, 2024: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 15, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Chestnut Ridge Nsg & Rehab Ctr Cumming, 0.9 mi · 1 of 5 stars · 27 citations
- Pruitthealth - Lanier Buford, 9.7 mi · 4 of 5 stars · 19 citations
- D Scott Hudgens Center for Skilled Nursing, the Suwanee, 12.1 mi · 3 of 5 stars · 10 citations
- Salude - the Art of Recovery Suwanee, 12.6 mi · 5 of 5 stars · 1 citation
- Crossroads of Flowery Branch of Journey LLC, the Flowery Branch, 13.8 mi · 1 of 5 stars · 31 citations
- Roswell Center for Nursing and Healing LLC Roswell, 16.6 mi · 1 of 5 stars · 24 citations
- Life Care Ctr of Lawrenceville Lawrenceville, 17.4 mi · 3 of 5 stars · 15 citations
- Delmar Gardens of Gwinnett Lawrenceville, 18 mi · 3 of 5 stars · 16 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is Cumming Operating Company LLC's Medicare star rating?
- CMS rates Cumming Operating Company LLC 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cumming Operating Company LLC get at its last inspection?
- 1 health deficiency at the standard inspection on December 4, 2025. The Georgia average is 5.
- Has Cumming Operating Company LLC been fined?
- CMS lists no fines in the last three years.
- Does Cumming Operating Company LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cumming Operating Company LLC?
- CMS lists 3 owners and managers, and links the home to Michael Feist. Legal business name: CUMMING OPERATING COMPANY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.