Piedmont Hills Center for Nursing and Rehab has a 1 out of 5 star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 3.04 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $121,041 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 27, 2026Penalties, last 24 months: $121,041recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0392.
Staffing detail
Registered nurses
0.16
Licensed practical nurses
0.61
Nurse aides
2.27
Weekend nursing
2.81
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.7%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
7.3%Improving
Residents with a urinary tract infection
0.7%Worsening
Residents who lost too much weight
4.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.4%Improving
Residents whose ability to walk got worse
36.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
24.7%Worsening
Short-stay residents newly given an antipsychotic
2.1%Worsening
Residents with a long-term catheter
1.8%Improving
Residents with new or worsening incontinence
28.1%Worsening
Residents with depressive symptoms
9.3%Worsening
Long-stay residents given the seasonal flu vaccine
96.7%Steady
Long-stay residents given the pneumonia vaccine
79.7%Worsening
Short-stay residents given the seasonal flu vaccine
77.8%Steady
Short-stay residents given the pneumonia vaccine
43.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 726 — 42 CFR §483.35 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $50,505 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,345 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $18,086 was recorded.
PENALTY
A federal fine of $35,105 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $217,827 in total fines · 1 payment denial.
Federal fine
Oct 23, 2025
$50,505
Federal fine
Jun 11, 2025
$17,345
Federal fine
Dec 5, 2024
$18,086
Federal fine
Jul 17, 2024
$35,105
Medicare/Medicaid payment denial
Dec 4, 2023
2 days
Federal fine
Dec 4, 2023
$96,786
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of ALLIANCE HEALTH GROUP · 12 homes · 1.3 stars avg
Occupancy
123.2 residents on an average day (98% of 126 beds)
Resident voice
Resident council
Medicare history
Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.