Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Deficiencies: 0
Nov 15, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction for Baptist Village, Inc., indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies.
Inspection Report
Re-Inspection
Census: 186
Deficiencies: 0
Nov 15, 2024
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the September 19, 2024, Recertification with Complaint Survey.
Findings
All deficiencies cited in the prior Recertification with Complaint Survey were found to be corrected during this revisit survey.
Inspection Report
Follow-Up
Deficiencies: 1
Nov 4, 2024
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
The survey found that all previously cited deficiencies were corrected except for doors with self-closing devices that did not latch upon closing in several locations.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Doors in an exit passageway, stairway enclosure, or hazardous area enclosure did not latch upon closing in Room 173, Room 712, Room 194, and an unnumbered door next to Room 145. | SS= D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed the findings of doors not latching upon closing during the tour of the facility. |
Inspection Report
Life Safety
Census: 185
Capacity: 254
Deficiencies: 2
Sep 20, 2024
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found not in substantial compliance with fire safety requirements, specifically regarding self-closing doors that failed to latch and sprinkler system maintenance issues including wiring attached to sprinkler piping.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Doors in an exit passageway, stairway enclosure, or hazardous area enclosure failed to self-close and positively latch upon closing at multiple locations including Rooms 173, 316, 712, 194, and an unnumbered door next to Room 145. | D |
| Technical or electrical wiring was attached to sprinkler piping above Room 314, violating sprinkler system maintenance requirements. | D |
Report Facts
Census: 185
Total Capacity: 254
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings related to door latch failures and wiring attached to sprinkler piping during facility tour |
Inspection Report
Annual Inspection
Deficiencies: 1
Sep 19, 2024
Visit Reason
A State Licensure survey was conducted at Baptist Village, Inc. from September 17, 2024, through September 19, 2024, to assess compliance with state health regulations.
Findings
The facility failed to ensure urinary catheter drainage bags were covered to protect the dignity of two of four sampled residents with indwelling urinary catheters, potentially diminishing their quality of life.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure urinary catheter drainage bags were covered to protect the dignity of two of four sampled residents (R71 and R94) with indwelling urinary catheters. |
Report Facts
Number of sampled residents with uncovered catheter bags: 2
Survey dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| BB | Licensed Practical Nurse (LPN) | Confirmed that urinary catheter drainage bags for residents R71 and R94 were uncovered and later covered. |
| AA | Assistant Director of Nursing (ADON) | Revealed that all residents with urinary catheters should have the drainage bag in a privacy bag. |
Inspection Report
Routine
Census: 134
Deficiencies: 3
Sep 19, 2024
Visit Reason
A standard survey was conducted from September 17 through September 19, 2024, including investigation of multiple complaint intake numbers which were unsubstantiated without deficiencies.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to failure to protect dignity of residents with urinary catheters and failure to implement care plan interventions, including incorrect oxygen therapy administration for sampled residents.
Complaint Details
Complaint Intake Numbers GA00237574, GA00238572, GA00242650, GA00241716, GA00244104, and GA00245656 were investigated and found unsubstantiated without deficiencies.
Severity Breakdown
D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure urinary catheter drainage bags were covered to protect the dignity of two residents with indwelling urinary catheters. | D |
| Failure to implement care plan interventions for two residents, potentially resulting in inadequate treatment or care. | D |
| Failure to administer oxygen therapy in accordance with physician orders for two residents, including incorrect oxygen flow rates. | D |
Report Facts
Complaint Intake Numbers investigated: 6
Residents sampled: 48
Residents with urinary catheter dignity issue: 2
Residents with care plan intervention failure: 2
Oxygen flow rate orders: 2
Oxygen flow rate observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| BB | Licensed Practical Nurse (LPN) | Confirmed urinary catheter drainage bags were uncovered and oxygen flow rates were incorrect for residents R71, R94, and R66 |
| AA | Assistant Director of Nursing (ADON) | Stated expectations for urinary catheter privacy bags and oxygen flow rate monitoring |
| CC | Licensed Practical Nurse (LPN) | Verified and adjusted oxygen flow rate for resident R66 |
| FF | MDS Coordinator | Stated nursing staff responsibility for ensuring resident care plans were followed |
Inspection Report
Follow-Up
Deficiencies: 0
Jul 18, 2023
Visit Reason
A Follow-Up Survey was conducted via desk review to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 21, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Baptist Village, Inc., indicating a regulatory inspection was conducted.
Findings
The document contains initial comments and a summary statement of deficiencies identified during the inspection, but no specific deficiencies or findings are detailed on this page.
Inspection Report
Re-Inspection
Census: 186
Deficiencies: 0
Jun 21, 2023
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 4/27/2023 Recertification Survey.
Findings
All deficiencies cited as a result of the 4/27/2023 Recertification Survey were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 1
Jun 16, 2023
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited deficiencies related to facility maintenance and inspection.
Findings
The facility failed to ensure proper inspection, testing, and maintenance of fire doors as required by NFPA standards. No documentation was available to confirm that inspections and testing had been performed by the third party vendor or the Maintenance Director as planned.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure proper inspection, testing, and maintenance of fire doors throughout the facility. | SS=F |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings regarding lack of door inspection documentation during facility tour. |
Inspection Report
Life Safety
Census: 184
Capacity: 254
Deficiencies: 17
Apr 27, 2023
Visit Reason
Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.
Findings
The facility was found not in substantial compliance with multiple Life Safety Code requirements including interior wall finishes, sprinkler system installation and maintenance, fire door inspections, corridor door maintenance, smoke barrier construction, electrical safety, smoking regulations, combustible decorations, portable space heaters, and oxygen cylinder storage.
Severity Breakdown
D: 9
F: 7
Deficiencies (17)
| Description | Severity |
|---|---|
| Facility storing paper bags on shelves in the exit corridor, violating interior wall and ceiling finish requirements. | D |
| Sprinkler riser gauges not replaced or recalibrated every 5 years. | F |
| Sprinkler piping failed to be kept free of external loads; wires supported by sprinkler pipes. | F |
| Backflow preventers throughout the facility not inspected annually; last inspection in 2020. | F |
| 5-year internal inspection of sprinkler system not completed since 2016. | D |
| Fire Department Connections signage illegible and connections seized shut. | D |
| Dry sprinkler riser yellow tagged for non-compliance. | D |
| Damaged door sweeps on corridor doors not providing proper protection. | D |
| Door gap exceeded maximum allowable 1/8 inch. | F |
| Penetrations in fire walls above-ceiling not correctly sealed. | D |
| Power strip in Room 123 not mounted off the floor. | D |
| Junction box above-ceiling near Room 315 missing cover. | F |
| Unsafe smoking practices in designated smoking area; cigarette butts discarded on ground and cigarette refuse container lid missing. | D |
| Privacy curtain in CNA Training Room lacked NFPA 701 compliance tag and fire-retardant treatment records. | F |
| Fire rated doors throughout the facility have not been inspected since 2020. | F |
| Space heaters in Office #111 and Nurse's Station 3 lacked thermostatic documentation. | D |
| Oxygen cylinder storage outside lacked signage for 'full' and 'empty' cylinders. | D |
Report Facts
Census: 184
Total Capacity: 254
Inspection Date: Apr 27, 2023
Years since last sprinkler internal inspection: 7
Years since last backflow preventer inspection: 3
Years since last fire door inspection: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple findings during facility tour on 4/27/2023 |
Inspection Report
Annual Inspection
Deficiencies: 1
Apr 27, 2023
Visit Reason
The inspection was conducted as a State Licensure survey from April 25, 2023 through April 27, 2023 to determine compliance with the State Long Term Care Requirements.
Findings
The facility failed to develop a person-centered care plan related to oxygen use for one resident (R#113) despite physician orders and documented oxygen use. The resident's care plan did not include oxygen therapy instructions.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to develop a person-centered care plan related to oxygen use for resident R#113. | SS= D |
Report Facts
Oxygen use dates: 14
Inspection Report
Complaint Investigation
Census: 184
Deficiencies: 3
Apr 27, 2023
Visit Reason
A standard survey was conducted from April 25, 2023, through April 27, 2023, including investigation of Complaint Intake Number GA00234039, to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to develop a person-centered care plan for oxygen use for one resident, improper cleaning and storage of oxygen equipment for two residents, and failure to designate a qualified Infection Preventionist nurse.
Complaint Details
Complaint Intake Number GA00234039 was investigated in conjunction with the standard survey.
Severity Breakdown
SS= D: 2
SS= F: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to develop a person-centered care plan related to oxygen use for resident #113. | SS= D |
| Failure to ensure oxygen equipment was properly cleaned and stored when not in use for residents #113 and #159, increasing risk of respiratory infections. | SS= D |
| Failure to designate at least one qualified Infection Preventionist responsible for infection prevention, control, and immunizations. | SS= F |
Report Facts
Resident census: 184
Oxygen liters per minute: 2
Oxygen liters per minute: 3
BIMS score: 14
BIMS score: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| EE | Licensed Practical Nurse (LPN) | Responsible for maintenance and cleaning of oxygen equipment for resident #159; mentioned resident refused assistance and care orders changed to PRN. |
| AA | Assistant Director of Nursing (ADON) | Confirmed oxygen equipment was lying on the floor and not properly stored. |
| DON | Director of Nursing | Confirmed nurse assigned to resident's hall responsible for oxygen equipment maintenance and cleaning; confirmed no qualified Infection Preventionist nurse. |
| Administrator | Confirmed no policy for storing respiratory equipment; confirmed no qualified Infection Preventionist nurse after previous nurse resigned on 4/18/2023. |
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 28, 2022
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Baptist Village, Inc., indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.
Findings
The report lists deficiencies identified during the inspection; however, no specific deficiencies or severity levels are detailed in the provided document.
Inspection Report
Re-Inspection
Census: 178
Deficiencies: 0
Nov 28, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the September 16, 2022 Complaint Survey.
Findings
All deficiencies cited as a result of the September 16, 2022 Complaint Survey were found to be corrected.
Complaint Details
The visit was a follow-up to a complaint survey conducted on September 16, 2022; all cited deficiencies were corrected.
Report Facts
Census: 178
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 28, 2022
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00227521.
Findings
The investigation of complaint GA00227521 was unsubstantiated, with no deficiencies noted in the report.
Complaint Details
Complaint GA00227521 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 16, 2022
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00225682, initiated on 2022-08-09 and concluded on 2022-09-16 after receipt of hospital records.
Findings
Although a concern was identified during the investigation, no State Licensure deficiencies were cited.
Complaint Details
Investigation of complaint GA00225682; no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 16, 2022
Visit Reason
The inspection was initiated as an Abbreviated/Partial Extended Survey investigating complaint GA00225682, which was substantiated after review of hospital records and incident details.
Findings
The facility failed to ensure proper supervision and use of appropriate techniques during Activities of Daily Living (ADL) care for one resident, resulting in a fall from bed and a cervical fracture. The investigation found that a Certified Nursing Assistant (CNA) rolled the resident away from herself during care, leading to the resident falling and sustaining harm.
Complaint Details
Complaint GA00225682 was substantiated. Actual harm occurred on 6/29/2022 when resident #1 fell from bed during ADL care, sustaining a cervical fracture. The CNA was found to have rolled the resident away from herself contrary to proper technique. The facility acknowledged the issue and took immediate corrective action, including removing the CNA from the facility.
Severity Breakdown
G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that Activities of Daily Living (ADL) care was provided using appropriate techniques to prevent accidents, resulting in a resident fall and cervical fracture. | G |
Report Facts
Date of fall: Jun 29, 2022
Brief Interview Mental Status score: 12
Admission date: Oct 13, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA EE | Certified Nursing Assistant | Named in fall incident for improper technique during ADL care |
| LPN KK | Licensed Practical Nurse | Present during fall incident, documented and reported events |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided statement regarding the fall incident |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jan 26, 2022
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00218197.
Findings
The complaint #GA00218197 was substantiated with no deficiencies cited during the survey.
Complaint Details
Complaint #GA00218197 was substantiated with no deficiencies cited.
Inspection Report
Renewal
Census: 171
Deficiencies: 0
Sep 24, 2021
Visit Reason
A Recertification Survey was conducted by Ascellon on behalf of the Georgia Department of Community Health (DCH) at Baptist Village from September 21, 2021 through September 24, 2021.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483.5-483.95, Subpart B Requirements for Long Term Care Facilities.
Inspection Report
Renewal
Census: 171
Deficiencies: 0
Sep 24, 2021
Visit Reason
A Licensure Survey was conducted by Ascellon on behalf of the Georgia Department of Community Health (DCH) at Baptist Village from September 21, 2021 through September 24, 2021.
Findings
As a result of the Licensure Survey the facility was in substantial compliance.
Inspection Report
Routine
Census: 177
Deficiencies: 0
Sep 24, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted from September 21, 2021 through September 24, 2021 to assess the facility's compliance with infection control regulations related to COVID-19 preparedness.
Findings
The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Life Safety
Census: 170
Capacity: 254
Deficiencies: 0
Sep 22, 2021
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to life safety from fire and adherence to NFPA 101 Life Safety Code 2012 edition.
Findings
Baptist Village, Inc. was found in substantial compliance with the requirements for participation in Medicare/Medicaid at 42 CFR Subpart 483.90(a), Life Safety from Fire, and the related NFPA 101 Life Safety Code 2012 edition.
Report Facts
Census: 170
Certified beds: 254
Inspection Report
Routine
Census: 151
Deficiencies: 0
Feb 9, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 infection control regulations, implementing CMS and CDC recommended practices for COVID-19.
Report Facts
Total census: 151
Inspection Report
Routine
Census: 178
Deficiencies: 0
Jan 12, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted to assess compliance with federal regulations related to emergency preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, including implementation of CMS and CDC recommended practices for COVID-19.
Inspection Report
Routine
Census: 176
Deficiencies: 0
Dec 9, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with federal regulations related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and §483.80 related to emergency preparedness and infection control regulations, implementing CMS and CDC recommended practices for COVID-19.
Report Facts
Total census: 176
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 29, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00202699 and #GA00208510.
Findings
The complaints #GA00208510 and #GA00202699 were unsubstantiated and no regulatory violations were cited.
Complaint Details
Complaints #GA00208510 and #GA00202699 were investigated and found to be unsubstantiated.
Inspection Report
Routine
Census: 182
Deficiencies: 0
Aug 4, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 190
Deficiencies: 0
Jul 17, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to assess the facility's compliance with relevant CMS and CDC regulations and recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total census: 190
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 3, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00199731 and GA00198807.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaints were substantiated but no deficiencies were cited.
Complaint Details
The complaints investigated were substantiated.
Inspection Report
Re-Inspection
Census: 222
Deficiencies: 0
Jul 26, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the standard survey of June 6, 2019.
Findings
All deficiencies cited in the previous standard survey were found to be corrected during this revisit survey.
Inspection Report
Life Safety
Census: 231
Capacity: 254
Deficiencies: 0
Jun 4, 2019
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in substantial compliance with the Emergency Preparedness plan requirements and Life Safety Code standards.
Report Facts
Census: 231
Certified beds: 254
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 15, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00191883.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint GA00191883 was investigated and found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Jun 5, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
Inspection Report
Annual Inspection
Census: 204
Deficiencies: 0
Apr 19, 2018
Visit Reason
A standard survey was conducted at Baptist Village, Inc. from April 16, 2018 through April 19, 2018 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 Code of Federal Regulations Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 204
Capacity: 254
Deficiencies: 4
Apr 17, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance due to deficiencies in the fire alarm system installation, sprinkler system maintenance, smoke barrier construction, and smoke barrier door self-closing functionality, which could place all 204 residents at risk in the event of a fire.
Severity Breakdown
F: 2
D: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Fire alarm system breaker switch not identified and not provided with a red breaker lock; electrical panel not identified. | F |
| Automatic sprinkler system was obstructed by a cardboard box in the freezer and was not properly inspected, tested, and maintained. | D |
| Smoke barriers were improperly sealed or left unsealed above ceiling at fire separation walls, failing to provide a 1/2 hour fire resistance rating. | F |
| Smoke barrier doors in the Men's Memory Care Unit did not completely self-close. | D |
Report Facts
Census: 204
Total Capacity: 254
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and staff interviews |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 5, 2017
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00178928 from 9/1/17 to 9/5/17.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was not substantiated and no deficiencies were cited.
Complaint Details
Complaint GA00178928 was investigated and found to be not substantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 16, 2017
Visit Reason
An abbreviated survey was conducted to investigate complaint GA 00178099 at Baptist Village.
Findings
The facility was found to be in compliance with Federal and State Long Term Care Regulations with no deficiencies cited.
Complaint Details
Investigation of complaint GA 00178099 determined the complaint was unsubstantiated as no deficiencies were cited.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 6, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00176624.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint was unsubstantiated.
Inspection Report
Routine
Census: 212
Deficiencies: 0
Apr 21, 2017
Visit Reason
A standard survey was conducted at Baptist Village from April 18, 2017 through April 21, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 212
Capacity: 254
Deficiencies: 0
Apr 19, 2017
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found to be in substantial compliance with the Life Safety Code requirements at 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 edition.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 18, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00173809.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was substantiated but no deficiencies were cited.
Complaint Details
The complaint was substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 16, 2017
Visit Reason
A complaint survey was conducted from 2017-03-15 to 2017-03-16 at Baptist Village by a Registered Nurse to investigate complaint #GA00163517 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00163517 was investigated and found to have no deficiencies.
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