1. Home
  2. Directory
  3. Georgia
  4. Rome
  5. Skilled Nursing Facility
  6. NPI Profile

MAGNOLIA PLACE NURSING AND REHABILITATION
NPI 1124633268
Skilled Nursing Facility in Rome, GA

Active since September 15, 2020CLIA 11D2208220 · Waiver
5/5
Overall Rating
500 EAGLE LAKE TRL, ROME, GA 30165(706) 728-3600 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2021, Nov 20, 2020, Sep 16, 2020 (3 updates tracked since 2020).

About Magnolia Place Nursing And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA PLACE NURSING AND REHABILITATION (NPI 1124633268) is a healthcare organization registered as a skilled nursing facility in Rome, Georgia and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Nick Lancaster, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124633268
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAVENDER MOUNTAIN SENIOR LIVING, INC.
Location Address500 EAGLE LAKE TRLRome, GA 30165-2246
Mailing Address600 Eagle Lake TrlRome, GA 30165-2207 · (706) 728-3600
Phone(706) 728-3600
Organization SubpartNo
Authorized OfficialNick LancasterAdministrator · (170) 672-8360
Enumeration DateSeptember 15, 2020
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1124633268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
500 EAGLE LAKE TRL, Rome, GA 30165
Open in Google Maps ↗

Other Names 1

Doing Business AsMagnolia Place Nursing And Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2208220

Magnolia Place Nursing And Rehabilitation · Rome, GA
Active · expires Jan 4, 2027
CLIA Number11D2208220
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorDr. Shelle Glover
Laboratory Phone(706) 728-3650
Laboratory LocationMagnolia Place Nursing And Rehabilitation500 Eagle Lake Trail, Rome, GA 30165
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Magnolia Place Nursing And Rehabilitation (CMS certification number 115774), from CMS Care Compare.

Magnolia Place Nursing And Rehabilitation

Nursing home · Rome, GA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number115774
Certified Beds34 beds27 residents per day on average
Medicare & Medicaid Participant SinceMay 20, 2021
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
12
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.74 · LPN 1.45 · RN 1.05
5.24 hrs per resident per day
Weekend Nurse Staffing
4.19 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $1,300.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE MILLER PTA
Physical Therapy Assistant
500 EAGLE LAKE TRL
ROME, GA 30165
Floyd County (706) 368-9955
LARKEN LOGAN DPT
Physical Therapist
500 EAGLE LAKE TRL
ROME, GA 30165
Floyd County (706) 728-3709
DENNIS RAMOS DPT
Physical Therapist
500 EAGLE LAKE TRL
ROME, GA 30165
Floyd County (478) 733-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavender Mountain Senior Living, Inc.'s NPI number?

The NPI number for Lavender Mountain Senior Living, Inc. is 1124633268. It was assigned to this organization in the NPPES registry on September 15, 2020. The provider is doing business as Magnolia Place Nursing And Rehabilitation.

Where is Lavender Mountain Senior Living, Inc. located?

Lavender Mountain Senior Living, Inc. is located at 500 Eagle Lake Trl, Rome, GA 30165. The listed phone number is (706) 728-3600.

What is Lavender Mountain Senior Living, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lavender Mountain Senior Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2208220) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lavender Mountain Senior Living, Inc. a Medicare-certified nursing home?

Yes. Magnolia Place Nursing And Rehabilitation is a Medicare-certified nursing home with 34 certified beds.

What quality rating does Lavender Mountain Senior Living, Inc. have?

CMS rates Magnolia Place Nursing And Rehabilitation 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Lavender Mountain Senior Living, Inc. was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.