Harborview Decatur
Harborview Decatur
2.7 (46 reviews)
Skilled Nursing Facility • 73 Licensed Beds
2787 North Decatur Road, Decatur, GA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Claimed

Harborview Decatur

Skilled Nursing Facility • 73 Licensed Beds
2787 North Decatur Road,
Decatur, GA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Harborview Decatur – Medicare Certified Since 1976

Harborview Decatur is a Medicare and Medicaid certified skilled nursing facility located in Decatur, Georgia. This is a for profit - limited liability company facility that has been serving the community for 50 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 73 certified beds with a current occupancy rate of 96% (averaging 70 residents per day), which is very high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.08 hours of total nursing care per resident per day (2.02 hours from CNAs, 0.84 hours from LPNs, 1.22 hours from RNs). Physical therapy staffing is 0.13 hours per resident per day. This staffing level meets research-recommended quality thresholds.

Medicare Quality Ratings: According to CMS, Harborview Decatur has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 1 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Harborview Decatur compares to 108 facilities in Atlanta-Sandy Springs-Alpharetta, GA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
2.3
Quality Measures
Clinical outcomes & safety
1
3.1
Health Inspections
State survey results
3
2.5
Staffing
Nurse-to-resident ratio
3
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
1.22 hrs
0.44 hrs
LPN/LVN Hours
Licensed practical nurses
0.84 hrs
0.94 hrs
CNA Hours
Certified nursing assistants
2.02 hrs
2.13 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.08 hrs
3.51 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
4.2 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
5.3 %
CNA Agency Use
% of CNA hours from contractors
0 %
4.0 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
71 %
49 %
Occupancy Rate
Percentage of beds filled
96 %
86 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$386
$363
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 108 facilities in Atlanta-Sandy Springs-Alpharetta, GA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of March 2026

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
1/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 108 other nursing homes in Atlanta-Sandy Springs-Alpharetta, GA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Harborview Decatur
Atlanta-Sandy Springs-Alpharetta, GA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Harborview Decatur
Atlanta-Sandy Springs-Alpharetta, GA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Harborview Decatur
Atlanta-Sandy Springs-Alpharetta, GA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Harborview Decatur
Atlanta-Sandy Springs-Alpharetta, GA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of March 2026

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
121
minutes/day
CNAs
Certified Nursing Assistants
51
minutes/day
LPNs
Licensed Practical Nurses
73
minutes/day
RNs
Registered Nurses
8
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Harborview Decatur
Atlanta-Sandy Springs-Alpharetta, GA Average (85.5%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of March 2026

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$386
per resident per day
Compared to 108 facilities in your area
Above local median ($363)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-4% -2% Below
Net Income
Annual profit or loss
$-195,764 $-120,089.5 Below
Staff Cost per Resident
Daily salary expense per resident
$154/day $138/day Higher
Occupancy Rate
Bed utilization percentage
96% 84% Higher
Est. Daily Rate
Average revenue per patient day
$386/day $363/day Higher
Total Beds
Licensed bed capacity
73 121 Smaller

Local comparisons based on 108 skilled nursing facilities in the Atlanta-Sandy Springs-Alpharetta, GA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$7,926,612
Operating Expenses
Total operating costs
$8,277,373
Total Salaries
Staff compensation
$3,708,719

Payer Mix

Medicare
11%
Medicaid
54%
Private Pay & Other
35%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
24,016
Medicare
Short-term skilled nursing
11%
Medicaid
Long-term care residents
54%
Private Pay / Other
Self-pay, insurance, VA
35%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
45.66
days
Medicare Stays
27.95
days
Medicaid Stays
81.42
days
Total Admissions
507
Total Discharges
526
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in DECATUR

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Reviews

2.7 (46 reviews)
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Derek S.'s profile photo
Derek S. 8 months ago

Harborview Decatur Skilled Nursing Facility exceeded my expectations and was truly an answer to my prayers. My older sister is a US Veteran living in Georgia, who required short-term skilled nursing and rehabilitative care following a partial foot amputation. Her VA social worker provided me with a list of eight VA-contracted facilities (with the potential for long term care) located in the Atlanta area. I was immediately distraught because I have seen and heard so many horror stories about abuse and neglect involving nursing facilities, especially government contracted ones. It was not financially feasible to relocate my sister closer to me on the west coast, so naturally I was terrified at the thought of having her so far away and expected the worst possible scenario. However, upon comparing each nursing facility, in-person and on paper, I found Harborview Decatur in Decatur, GA to be the best choice for my sister, and I’m so glad I made this decision. Harborview Decatur is relatively small (70 beds), safe, clean, with adequate facilities and an unassuming overall appearance. I observed residents in the common areas, and they all looked like they were treated well, while the overall interiors were both clean and inviting. There are no citations for abuse or neglect and staffing was rated as Average. Although their facility rating seemed appropriate (if not significantly better than most other places I visited), where it excels is at the staff level. Ms. Nakia Wilcher is the Social Service Director for Harborview Decatur and is the first person I met who coordinated my sister’s transition from the local hospital. I found Ms. Wilcher to be straightforward and transparent, yet very empathetic. She is also genuinely friendly, highly professional, extremely knowledgeable, and very welcoming to discuss all possible options for my sister’s rehabilitative care. Utilizing a personalized treatment approach, Ms. Wilcher was able to successfully address my sister’s unique mental, emotional, and physical needs at the time. While seemingly able to understand the initial trepidation both my sister and I had, she quickly helped to put our fears at ease through her continued communication with me, as well as ongoing support for my sister. Along with this, Ms. Wilcher’s skill and expertise in successfully collaborating with the VA, local hospital and other healthcare professionals was outstanding--helping to ensure a seamlessly coordinated healthcare experience. I simply can’t thank her enough! The same high quality of care is provided by the entire Harborview Decatur staff who are genuinely friendly, courteous, attentive, respectful and caring, which helped to make my sister’s stay so special. Kindness and peace were felt when we walked through the front door. It was a bit rough at first as my sister grew accustomed to the place, but the staff diligently worked to get her established and comfortable. Pretty soon she was happy to see her caregivers and entrusted them, especially Nurse Donna and the resident hair stylist. Again, I was kept fully informed as to any changes or needs that may have arisen. I firmly believe the staff is the reason for her timely recovery. My sister had all her meals served either in the dining room or in her room and access to plenty of snacks, which she loved. Her meds were administered correctly, her laundry was done regularly, and she was kept clean and content. There were lots of activities for the residents, but her immediate focus was on physical rehabilitation. My sister was there for about six months before being transferred to a long-term assisted living facility. Even after my sister’s departure from Harborview Decatur, Ms. Wilcher made herself available to ensure my sister’s smooth transition to her new home. I can’t speak positively enough about the gracious care and respect my sister, and I received. It is something I will be forever thankful for. I highly recommend Harborview Decatur and their entire team.

Jackie White's profile photo
Jackie White a month ago

During one of my visits to my father’s room, I encountered a disturbing situation involving the housekeeping supervisor. She entered the room smelling strongly of marijuana and, when I addressed it, she simply responded, “my bad.” This behavior is unacceptable and raises questions about whether proper background checks or drug testing are being conducted. I am at the facility frequently, and I can confidently say that many employees display unprofessional behavior and inappropriate language around residents and visitors. I strongly believe an investigation into management practices and employee conduct is warranted. Thank you for your time and attention to this matter. I hope these concerns will be taken seriously and addressed promptly.

Barbara Delaney's profile photo
Barbara Delaney a month ago

I went to the facility 10/15/25 for a tour and to consider placing my family member. I was appalled at the lack of customer service and zero professionalism. I live out of state and was seeking specific information about their services. The admission coordinator"s demeanor while interacting with me was unwelcoming, curt and abrupt. First impressions speaks volume, I would not reccomend this facility.

Laketa White's profile photo
Laketa White in the last week

Been waiting on a $4000 refund from them since October, after I paid over $9700 for room and board for my elderly uncle. Supposedly the checks in the mail since 11/3. Even after several attempts to get refund, noone has responded.

Itss Kia Pope's profile photo
Itss Kia Pope 6 months ago

This facility is sad to be in. Don’t be fooled by the morning shifts! The night shift is poor. Floors are so sticky every room and every hallway. No proper air flow. No railings on the bed for the people that may fall off. No proper lighting, this facility is no place you should leave your family members to be peaceful at. There’s no fun or colors, I see inconsistency with workers. On their phones or just poor attitudes. This place made me sad for my grandma and I really didn’t want to leave her but we have no choice for now! Please please please help the elders at this facility! This facility is unbearable. What a sad sight to see.

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