DOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC
NPI 1710965033
Skilled Nursing Facility in Douglasville, GA

Q: What is Douglasville Nursing And Rehabilitation Center, LLC's specialty?

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

Q: What quality rating does Douglasville Nursing And Rehabilitation Center, LLC have?

CMS rates Douglasville Nursing And Rehabilitation Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since January 06, 2006

1/5

Overall Rating

4028 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 942-7111(770) 489-1268 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Dec 11, 2023 (2 updates tracked since 2023).

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About Douglasville Nursing And Rehabilitation Center, Llc NPPES

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

DOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC (NPI 1710965033) is a healthcare organization registered as a skilled nursing facility in Douglasville, Georgia and active in the NPI registry since January 2006. The organization lists Norbert A Bennett, Co Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1710965033

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameDOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC

Location Address4028 HIGHWAY 5Douglasville, GA 30135-3530

Mailing AddressP O Box 0428Orchard Park, NY 14127 · (716) 662-4955 · Fax (716) 667-9230

Phone(770) 942-7111

Fax(770) 489-1268

Organization SubpartNo

Authorized OfficialNorbert A BennettCo Chief Executive Officer · (716) 662-4955

Enumeration DateJanuary 6, 2006

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1710965033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in GA · 1-048-1741

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.

4028 HIGHWAY 5, Douglasville, GA 30135

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Other Identifiers 1

Medicaid00141083AGA

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Douglasville Nursing And Rehabilitation Center (CMS certification number 115273), from CMS Care Compare.

Douglasville Nursing And Rehabilitation Center

Nursing home · Douglasville, GA

1/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number115273

Certified Beds246 beds202 residents per day on average

Medicare & Medicaid Participant SinceFebruary 1, 1980

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

1/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

106.67

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 2.2 · LPN 1.15 · RN 0.48

3.83 hrs per resident per day

Weekend Nurse Staffing

3.36 hrs per resident per day

Physical Therapist Staffing

0.03 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

54.6%

Registered Nurse Turnover

61.5%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

2 totaling $13,786.50

Medicare Payment Denials

Total Penalties

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 6

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

CHELSEA MARTIN

Physical Therapist