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Westbury Center of McDonough for Nursing & Healing

198 Hampton Street, McDonough, GA 30253 · Henry County · (770) 957-9081

210 certified beds, about 148 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 115463 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 27, 2025, inspectors cited 2 health deficiencies (the Georgia average is 5, the national average 9.2).

Of 12 health citations since March 2022, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.10 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

38.7% of nursing staff left within the year CMS measured (Georgia average 46.0%).

CMS links it to Empire Care Centers, an affiliated group of 21 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.

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
2D
2E
3F
Potential for minimal harm
0A
0B
0C
January 24, 2026Complaint inspection · 1 citation
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, staff and resident interviews, record review, and a review of the facility's policy titled Abuse, Neglect and Exploitation, the facility failed to protect the Resident's (R) (R1) right to be free from sexual assault by Environmental Service (EVS) Housekeeper EE. The sample size was eight. On January 20, 2026, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator, Director of Nursing (DON), Regional Director of Clinical Operations, and Regional Director of Operations (RDOP) were informed of the Immediate Jeopardy (IJ) on January 20, 2026, at 5:10 pm. The noncompliance related to the IJ was identified to have existed on January 6, 2026. [...]
June 27, 2025Standard inspection, Complaint inspection · 2 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2025
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy titled, Abuse, Neglect, and Exploitation, the facility failed to protect four of 19 residents (R) (R200, R60, R66, and R73) right to be free from physical abuse by R154 and R160. Specifically, the facility failed to ensure R60 was free from physical abuse by R160 resulting in scratches on the face and R154's abuse towards R66 that resulted in actual harm when she sustained a sprained ankle and required an emergency room (ER) visit where an ankle immobilizer was initiated. R154's abuse towards R73 resulted in psychosocial harm using the reasonable person concept when dragged and pinned to the floor by R154.
  2. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2025
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy titled, Safe and Homelike Environment, the facility failed to ensure the environment was homelike, i.e. clean and comfortable, for five residents (R) (R42, R79, R80, R84, R122) attending the resident council interview, for 14 residents residing on the [NAME] Unit in rooms R32, R33, R34, R40, R45, R47, and R48 and for all 44 residents residing on the Heritage Unit and for one resident (R400) residing on the Memory Care Unit out of a total census of 143 residents.
December 21, 2023Standard inspection, Complaint inspection · 3 citations
  1. F
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 4, 2024
    Inspectors wroteBased on record review, staff and resident interviews, and review of the facility policy titled Transactions Involving Resident Funds the facility failed to provide quarterly resident trust fund statements to 82 of 82 residents who have a resident account in the facility.
  2. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 4, 2024
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled, Dialysis: Hemodialysis (HD) - Communication and Documentation and Hemodialysis (HD) Provided by a Certified Dialysis Facility, the facility failed to maintain consistent communication with the dialysis center for three of eight residents (R) (R109, R2, and R381) receiving dialysis. Specifically, the facility failed to review the communication forms upon residents' return to the facility from the dialysis center and to notify the dialysis center when their portion was not completed.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2024
    Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policy titled, Oxygen (O2) Safety, the facility failed to ensure O2 administered by nasal cannula (NC) was set at the rate prescribed by the physician for one of 25 residents (R) (R1) receiving O2 therapy. The deficient practice had the potential to cause R1 respiratory distress.
March 15, 2022Standard inspection · 6 citations
  1. G
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Actual harm, isolated · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on observations, record review, interviews, and review of the facility policies titled Notification of Changes and Accidents/Incidents, the facility failed to promptly notify the Physician and responsible party (RP) timely for a change in condition including a fall and self-injurious behavior after a fall for one of three residents (R) R#119. Actual harm occurred when R#119 had a fall on 2/19/2022 and suffered a laceration to the residents' scalp that required 10 staples and the resident exhibited a change in behavior of banging his head on doorframe of bathroom. The Physician was not notified until the following day at 4:25 p.m., 37 hours after the residents fall.
  2. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on observations, record review, resident and staff interviews, and review of the facility policy titled Abuse Prohibition, the facility neglected to ensure that one of three residents (R) R#119 received timely treatment following a fall and change of condition. Actual harm was identified to have occurred on 2/19/2022 when R#119 had a fall and suffered a laceration to the scalp which required 10 staples. The facility neglected to send the resident to the emergency room (ER) for treatment of the laceration on his head for 37 hours after the resident fell.
  3. G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, isolated · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on observations, record review, staff interviews, and review of the facility policy titled Person Centered Care Plan, the facility failed to implement the person-centered care plan for one resident (R) R#119 care plans reviewed, related to notifying the Physician after a fall. Actual harm was identified to have occurred on 2/19/2022 when R#119 had a fall and suffered a laceration to the scalp which required 10 staples. In addition, the facility failed to follow the care plan for one resident (R#24) reviewed for active range of motion (AROM) to bilateral upper extremities. The sample size was 38.
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on observation and staff interviews, the facility failed to maintain a sanitary condition for one of three ice machines used in the daily operation of dining services. The facility census was 133 residents.
  5. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on record review, interviews and review of policy titled, Antibiotic Stewardship Program, the facility failed to provide evidence of a monitoring system to track and trend antibiotic use for nine months (January 2021 through September 2021). The facility census was 133.
  6. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2022
    Inspectors wroteBased on observations, interviews, record review, and review of the facility policy titled Restorative Nursing, the facility failed to provide restorative nursing services for one resident (R), R#2 as ordered by the physician. Resident #2 had Physician orders dated 7/1/2021 for Restorative Nursing services. The sample size was 38 residents.

Fire safety inspections

14 fire safety citations on file: 14 on December 21, 2023.

Every fire safety citation14 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · December 21, 2023 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 21, 2023 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 21, 2023 · Corrected (the home has a date of correction)
  4. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 21, 2023 · Corrected (the home has a date of correction)
  5. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · December 21, 2023 · Corrected (the home has a date of correction)
  6. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · December 21, 2023 · Corrected (the home has a date of correction)
  7. E
    Have properly located and lighted "Exit" signs.
    K 293 · December 21, 2023 · Corrected (the home has a date of correction)
  8. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 21, 2023 · Corrected (the home has a date of correction)
  9. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · December 21, 2023 · Corrected (the home has a date of correction)
  10. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 21, 2023 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · December 21, 2023 · Corrected (the home has a date of correction)
  12. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 21, 2023 · Corrected (the home has a date of correction)
  13. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · December 21, 2023 · Corrected (the home has a date of correction)
  14. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 21, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeGeorgiaUnited States
All nursing staff (RN, LPN and aides)3.103.563.86
Registered nurses0.340.500.69
All nursing staff on weekends2.763.103.42
Nurse aides1.62
Licensed practical nurses1.13
Nursing staff turnover (share who left in a year)38.7%46.0%45.8%
Registered nurse turnover30.8%44.5%42.9%
Administrators who left1

CMS expects 3.72 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 3.23 on weekdays and 2.76 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.10 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.100.343.232.76 0.0%0 of 90148
Oct to Dec 20253.140.333.272.82 0.0%0 of 92143
Jul to Sep 20253.050.303.202.66 0.0%0 of 92147
Apr to Jun 20253.130.293.282.76 0.0%0 of 91147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Georgia, Jan to Mar 20263.500.463.683.033.3%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.

MeasureThis homeGeorgiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.415.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.92.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.63.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.22.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.315.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.85.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.619.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.225.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.511.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.91.8

Owners and operators

Legal business name: MCDONOUGH GA OPCO LLC. CMS links this home to Empire Care Centers, a group of 21 nursing homes averaging 1.8 stars overall.

NameRoleTypeShareSince
Ga4 Opco Holding LLCDirect ownership interestOrganization05/01/2021
Ensh Consulting LLCIndirect ownership interestOrganization05/01/2021
Heller, ShlomoIndirect ownership interestIndividual05/01/2021
Nussbaum, EphraimIndirect ownership interestIndividual05/01/2021
Swerdloff, AryehIndirect ownership interestIndividual05/01/2021
Donath, BarryManaging control - governing bodyIndividual06/07/2021
Heller, ShlomoManaging control - governing bodyIndividual05/01/2021
Nussbaum, EphraimManaging control - governing bodyIndividual05/01/2021
Empire Care Centers LLCOperational/managerial controlOrganization05/01/2021
Bonner, AshleyOperational/managerial controlIndividual02/27/2023
Chamblin, DiannaOperational/managerial controlIndividual06/20/2022
Donath, BarryOperational/managerial controlIndividual06/07/2021
Dunning, AndrewOperational/managerial controlIndividual01/20/2025
Ellis, ReneeOperational/managerial controlIndividual05/01/2021
Hardy, LeanthonyOperational/managerial controlIndividual05/01/2021
Heller, ShlomoOperational/managerial controlIndividual05/01/2021
McKenzie, RosemarieOperational/managerial controlIndividual09/03/2024
Nussbaum, EphraimOperational/managerial controlIndividual05/01/2021
Reed, JoelOperational/managerial controlIndividual03/01/2023
Ryan, VickiOperational/managerial controlIndividual05/01/2021
Smith, DeaysiaOperational/managerial controlIndividual06/07/2021
Sone-Ebeloue, GladysOperational/managerial controlIndividual05/01/2021
Stephens, CarrieOperational/managerial controlIndividual01/09/2025
Swerdloff, AryehOperational/managerial controlIndividual05/01/2021
Tucker, BrittneyOperational/managerial controlIndividual05/06/2024
Twedell, GeraldOperational/managerial controlIndividual03/24/2025
Empire Care Centers LLCAdp of the SNFOrganization05/12/2026
Ensh Consulting LLCAdp of the SNFOrganization05/01/2021
Bonner, AshleyAdp of the SNFIndividual02/27/2023
Chamblin, DiannaAdp of the SNFIndividual06/20/2022
Donath, BarryAdp of the SNFIndividual06/07/2021
Dunning, AndrewAdp of the SNFIndividual01/20/2025
Ellis, ReneeAdp of the SNFIndividual05/01/2021
Hardy, LeanthonyAdp of the SNFIndividual05/01/2021
Heller, ShlomoAdp of the SNFIndividual05/01/2021
McKenzie, RosemarieAdp of the SNFIndividual09/03/2024
Nussbaum, EphraimAdp of the SNFIndividual05/01/2021
Reed, JoelAdp of the SNFIndividual03/01/2023
Ryan, VickiAdp of the SNFIndividual05/01/2021
Smith, DeaysiaAdp of the SNFIndividual06/07/2021
Sone-Ebeloue, GladysAdp of the SNFIndividual05/01/2021
Stephens, CarrieAdp of the SNFIndividual01/09/2025
Swerdloff, AryehAdp of the SNFIndividual05/01/2021
Tucker, BrittneyAdp of the SNFIndividual05/06/2024
Twedell, GeraldAdp of the SNFIndividual03/24/2025

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 24, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 27, 2025: "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."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 21, 2023: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 15, 2022: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the Georgia average of 3.10.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Georgia contacts for a concern about a nursing home

These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Westbury Center of McDonough for Nursing & Healing's Medicare star rating?
CMS rates Westbury Center of McDonough for Nursing & Healing 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Westbury Center of McDonough for Nursing & Healing get at its last inspection?
2 health deficiencies at the standard inspection on June 27, 2025. The Georgia average is 5.
Has Westbury Center of McDonough for Nursing & Healing been fined?
CMS lists no fines in the last three years.
Does Westbury Center of McDonough for Nursing & Healing 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 Westbury Center of McDonough for Nursing & Healing?
CMS lists 45 owners and managers, and links the home to Empire Care Centers. Legal business name: MCDONOUGH GA OPCO LLC.

Sources

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