Inspection Reports for Bryant Health and Rehabilitation Center
134 S 6TH STREET, GA, 31014
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Deficiencies: 0
May 30, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Bryant Health and Rehabilitation Center following a survey completed on May 30, 2025.
Findings
The report contains initial comments but does not provide specific details of deficiencies or findings within the visible content.
Inspection Report
Re-Inspection
Census: 68
Deficiencies: 0
May 30, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the April 16, 2025 recertification survey.
Findings
All deficiencies cited in the prior recertification survey were found to be corrected during the revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
May 27, 2025
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as of the follow-up survey date.
Inspection Report
Annual Inspection
Census: 66
Deficiencies: 1
Apr 16, 2025
Visit Reason
A State Licensure survey was conducted at Bryant Health and Rehabilitation Center from April 13, 2025, through April 16, 2025, to assess compliance with state health regulations.
Findings
The facility failed to maintain the cleanliness of the kitchen and ice maker, with observations of a black flaky substance near the dishwasher fan and a brown flaky substance inside the ice maker door, potentially placing 66 residents at risk of foodborne illnesses.
Deficiencies (1)
| Description |
|---|
| Failure to maintain cleanliness of the kitchen and ice maker, including a black flaky substance near the dishwasher fan and a brown flaky substance inside the ice maker door. |
Report Facts
Residents receiving oral diet: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Interviewed regarding cleaning procedures and confirmed presence of brown flaky substance on ice maker |
| Administrator | Administrator | Interviewed and confirmed ice maker cleaning frequency and condition |
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 1
Apr 16, 2025
Visit Reason
A standard survey was conducted from April 13 through April 16, 2025, including investigation of four complaint intake numbers. The visit was to assess compliance with Medicare/Medicaid regulations and investigate complaints.
Findings
The facility was found not in substantial compliance with regulations due to failure to maintain cleanliness of the kitchen and ice maker, posing a risk of foodborne illness to residents. Three complaints were unsubstantiated, one was substantiated with no deficiencies cited.
Complaint Details
Four complaint intake numbers were investigated: GA00250509, GA00250894, GA00252772, and GA00254177. Complaints GA00250509, GA00252772, and GA00254177 were unsubstantiated. Complaint GA00250894 was substantiated with no deficiencies cited.
Severity Breakdown
Level F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain cleanliness of the kitchen and ice maker, including a fan blowing black flaky substance toward clean dishes and brown flaky substance inside the ice maker door. | Level F |
Report Facts
Residents receiving oral diet: 66
Complaint intake numbers investigated: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding cleaning procedures and confirmed presence of substances on kitchen equipment | |
| Administrator | Interviewed and confirmed cleaning frequency and condition of ice maker |
Inspection Report
Life Safety
Census: 65
Capacity: 76
Deficiencies: 3
Apr 16, 2025
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 due to deficiencies including corroded sprinkler heads in the kitchen, a yellow-tagged sprinkler system due to corrosion, and exposed electrical wires in the attic. These issues affect one of three smoke compartments and the kitchen area.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Sprinkler heads in the kitchen above the sink wash area were corroded. | SS= D |
| The fire sprinkler system was yellow-tagged due to corroded heads in the kitchen. | SS= D |
| Exposed electrical wires were found in the attic of Hall 300. | SS= D |
Report Facts
Certified beds: 76
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings of corroded sprinkler heads, yellow-tagged sprinkler system, and exposed wires during facility tour |
Inspection Report
Deficiencies: 0
Feb 26, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction for Bryant Health and Rehabilitation Center following a state inspection.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Deficiencies: 0
Feb 26, 2024
Visit Reason
A health revisit survey was conducted to verify correction of previously cited deficiencies from the recertification survey conducted on January 11, 2024.
Findings
All previously cited deficiencies from the January 11, 2024 recertification survey were found to be corrected during this revisit survey.
Inspection Report
Renewal
Deficiencies: 0
Jan 11, 2024
Visit Reason
The inspection was conducted as a State Licensure survey to determine compliance with the State Long Term Care Requirements.
Findings
No State Health deficiencies were cited during the survey conducted from January 4, 2024, through January 11, 2024.
Inspection Report
Abbreviated Survey
Census: 55
Deficiencies: 1
Jan 11, 2024
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints received by the facility, including GA00235498, GA00236382, GA00236860, GA00239874, and GA00240902.
Findings
The survey found that some complaints were unsubstantiated with no deficiencies, while complaint GA00240902 was substantiated with deficiencies related to failure to timely obtain a urine analysis with Culture and Sensitivity as ordered by the physician for one resident. The delay in obtaining the urine sample contributed to a delayed diagnosis and treatment of a urinary tract infection.
Complaint Details
The survey investigated complaints GA00235498, GA00236382, GA00236860, GA00239874, and GA00240902. Complaints GA00236382 and GA00236860 were unsubstantiated with no deficiencies. Complaints GA00235498 and GA00239874 were substantiated with no deficiencies. Complaint GA00240902 was substantiated with deficiencies.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain a urine analysis with Culture and Sensitivity timely as ordered by the physician for one of ten residents reviewed. | SS= D |
Report Facts
Census: 55
Residents reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Obtained the urine sample on 10/23/2023 after staff had difficulty obtaining it and stated staff should have notified the physician of the difficulty. |
Inspection Report
Deficiencies: 0
Jun 14, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 14, 2023
Visit Reason
A revisit survey was conducted on June 14, 2023, to verify correction of deficiencies cited in the March 26, 2023 Recertification Survey. Additionally, a complaint investigation (Intake Number GA00234447) was conducted in conjunction with this revisit.
Findings
All deficiencies cited in the March 26, 2023 Recertification Survey were found to be corrected. The complaint investigation found Intake Number GA00234447 to be unsubstantiated.
Complaint Details
Complaint Intake Number GA00234447 was investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 14, 2023
Visit Reason
A revisit survey was conducted on June 14, 2023, to verify correction of deficiencies cited in the March 26, 2023 Recertification Survey. Additionally, a complaint investigation (GA00234447) was conducted in conjunction with this revisit survey.
Findings
All deficiencies cited in the March 26, 2023 Recertification Survey were found to be corrected. The complaint investigation was unsubstantiated.
Complaint Details
Complaint Intake Number GA00234447 was investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Census: 61
Deficiencies: 0
Jun 2, 2023
Visit Reason
A Life Safety Code (LSC) Revisit was conducted to verify correction of previously cited LSC deficiencies.
Findings
All previously cited Life Safety Code deficiencies had been corrected at the time of the revisit.
Inspection Report
Life Safety
Census: 59
Capacity: 75
Deficiencies: 8
Mar 28, 2023
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 with life safety requirements, including emergency lighting failure in the medication room, sprinkler system issues such as items supported by sprinkler piping, protective covers on sprinkler heads, storage too close to sprinkler heads, unsealed firewall penetrations, unlabeled electrical panel boxes, improperly installed power strips, and uncovered junction boxes.
Severity Breakdown
SS= D: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Emergency light in the medication room failed to operate when tested. | SS= D |
| Wires and a door were supported by sprinkler piping in two of three smoke compartments. | SS= D |
| Protective cover was installed on sprinkler head in therapy room. | SS= D |
| Storage was too close to sprinkler head in therapy storage closet. | SS= D |
| Firewall penetration in hall 300 was not sealed. | SS= D |
| Panel boxes in halls 100, 200, and 300 were not properly labeled. | SS= D |
| Power strip was improperly installed on the floor in hall 200 office. | SS= D |
| Junction boxes in halls 100 and 300 were missing covers. | SS= D |
Report Facts
Census: 59
Total Capacity: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 2
Mar 26, 2023
Visit Reason
A standard survey was conducted from March 24 through March 26, 2023, including investigation of three complaint intake numbers. Two complaints were substantiated, one with deficiencies and one without, and one complaint was unsubstantiated.
Findings
The facility failed to maintain a safe, clean, and homelike environment by not maintaining clean furniture for Resident #39 and linen for Resident #17. Resident #39's couch had a persistent brown stain related to a wound, and Resident #17 had blood-stained linens due to self-inflicted skin lesions and refusal of care.
Complaint Details
Complaint Intake Numbers GA00221855 was unsubstantiated; GA00228443 was substantiated with no deficiencies; GA00225606 was substantiated with deficiencies related to infection control and resident care.
Severity Breakdown
Level D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to maintain clean furniture for Resident #39, including a stained couch pillow cushion. | Level D |
| Failure to maintain clean linen for Resident #17, who had blood-stained sheets due to open skin lesions and refusal to allow linen changes. | Level D |
Report Facts
Resident census: 60
Resident rooms affected: 2
Resident rooms total: 36
MDS BIMS score: 14
Medication dosage: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN BB | Registered Nurse | Provided information about Resident #17's noncompliance with care and refusal to allow linen changes |
| CNA DD | Certified Nursing Assistant | Reported Resident #17 ambulates independently and picks at his skin daily |
| Housekeeper AA | Housekeeper | Confirmed awareness of the brown stain on Resident #39's couch and inability to clean it due to cushion cover constraints |
| Housekeeping Account Manager | Reported housekeeping responsibilities and communication with Regional Manager about upholstery cleaning | |
| Director of Nursing | Director of Nursing | Discussed staff awareness of Resident #17's self-inflicted skin lesions and expectations for documenting refusal of care |
| Administrator | Administrator | Confirmed ownership of the chair for Resident #39 and discussed housekeeping responsibilities and linen changes for Resident #17 |
Inspection Report
Annual Inspection
Deficiencies: 2
Mar 26, 2023
Visit Reason
A State Licensure survey was conducted at Bryant Health and Rehabilitation from March 24, 2023 through March 26, 2023 to assess compliance with state health regulations.
Findings
The facility failed to maintain a safe, clean, and homelike environment, specifically failing to maintain clean furniture for Resident #39 and clean linen for Resident #17. These deficiencies posed a risk of unsanitary conditions and diminished quality of life for residents.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to maintain clean furniture for Resident #39, including a couch with a visible brown stain on the pillow cushion. | SS= D |
| Failure to maintain clean linen for Resident #17, with blood-stained sheets and paper towels observed on the bed. | SS= D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN BB | Registered Nurse | Interviewed regarding Resident #17's refusal of care and skin condition. |
| CNA DD | Certified Nursing Assistant | Interviewed regarding Resident #17's care and linen changes. |
| Housekeeper AA | Interviewed about cleaning responsibilities and stain on Resident #39's couch. | |
| Director of Nursing | Director of Nursing | Interviewed about care expectations and treatment of Resident #17's skin condition. |
| Administrator | Administrator | Interviewed about cleaning responsibilities and expectations for Resident #39's furniture and Resident #17's linens. |
| Housekeeping Account Manager | Interviewed about housekeeping responsibilities and cleaning schedules. |
Inspection Report
Deficiencies: 0
Jan 21, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Bryant Health and Rehabilitation Center following a state inspection.
Findings
The report contains initial comments and a summary statement of deficiencies identified during the inspection; however, no specific deficiencies or findings are detailed in the provided page.
Inspection Report
Re-Inspection
Census: 56
Deficiencies: 0
Jan 21, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 11/18/21 Recertification Survey.
Findings
All deficiencies cited in the previous recertification survey were found to be corrected during this revisit survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jan 4, 2022
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00220097.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00220097 was investigated and found to be unsubstantiated with no deficiencies cited.
Inspection Report
Renewal
Deficiencies: 0
Nov 18, 2021
Visit Reason
The inspection was conducted as a Licensure Survey from November 16, 2021 through November 18, 2021 to assess compliance for facility licensure renewal.
Findings
No deficiencies were identified during the Licensure Survey conducted from November 16, 2021 through November 18, 2021.
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 2
Nov 18, 2021
Visit Reason
A standard survey was conducted from November 16 through November 18, 2021, including investigation of complaint intake numbers GA00214087 and GA00216610.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including a medication error rate of 8.82% exceeding the 5% threshold, failure to perform hand hygiene during medication administration, and failure to follow medication replacement protocols.
Complaint Details
Complaint intake numbers GA00214087 and GA00216610 were investigated in conjunction with the standard survey.
Severity Breakdown
E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication error rate was 8.82% due to errors in crushing medications as ordered, omission of medications, and failure to administer ordered medications. | E |
| Failure to perform hand hygiene by nursing staff during medication administration to three residents observed. | E |
Report Facts
Medication administration opportunities observed: 34
Medication errors observed: 3
Medication error rate: 8.82
Resident census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN BB | Licensed Practical Nurse | Named in medication administration errors and failure to perform hand hygiene. |
| LPN CC | Unit Manager | Interviewed regarding medication replacement process. |
| Director of Nursing | DON | Interviewed regarding infection control policies and medication administration procedures. |
Inspection Report
Life Safety
Census: 58
Capacity: 76
Deficiencies: 0
Nov 16, 2021
Visit Reason
The visit was conducted as a Life Safety Code Survey 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 compliance with the Emergency Preparedness Program requirements and Life Safety Code standards during the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 11, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00212581.
Findings
The complaint GA00212581 was unsubstantiated and no deficiencies were found during the survey.
Complaint Details
Complaint GA00212581 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 12, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00207302.
Findings
The complaint #GA00207302 was substantiated but no regulatory violations were found during the survey.
Complaint Details
Complaint #GA00207302 was substantiated with no regulatory violations.
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 8, 2020
Visit Reason
A desk review of evidence of following the approved plan of correction (POC) was conducted on 9/8/2020 to verify that all previous citations have been corrected.
Findings
The plan of correction has been followed and all previous citations have been corrected as of the date of the review.
Inspection Report
Routine
Census: 57
Deficiencies: 0
Aug 17, 2020
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 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 23, 2020
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Bryant Health and Rehabilitation Center following a regulatory inspection.
Findings
The report contains initial comments and a summary statement of deficiencies identified during the inspection. Specific deficiencies and severity levels are not detailed in the provided page.
Inspection Report
Re-Inspection
Census: 68
Deficiencies: 0
Jul 23, 2020
Visit Reason
A revisit survey was conducted on 7/23/2020 to verify correction of deficiencies cited during the 2/12/2020 Recertification and Complaint Survey.
Findings
All deficiencies cited as a result of the 2/12/2020 Recertification and Complaint Survey were found to be corrected.
Inspection Report
Routine
Census: 68
Deficiencies: 0
Jul 16, 2020
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 related to infection control regulations, implementing recommended practices for COVID-19.
Inspection Report
Renewal
Deficiencies: 4
Feb 12, 2020
Visit Reason
A Licensure Survey was conducted from February 9, 2020 through February 12, 2020 to assess compliance with licensure requirements for Bryant Health and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including failure to maintain resident hygiene (specifically hair cleanliness for two residents), potential cross contamination risks in laundry handling, unclean and unsafe environmental conditions in resident rooms, and inadequate privacy curtains in multi-bed rooms.
Deficiencies (4)
| Description |
|---|
| Failure to ensure the hair of two dependent residents was kept clean as per care plans and facility policy. |
| Failure to prevent possible cross contamination to clean laundry due to personal items placed near clean clothing protectors. |
| Failure to maintain a clean, comfortable, and homelike environment in five resident rooms with dust buildup, stained privacy curtains, rusty medical furniture, and missing paint. |
| Failure to ensure privacy curtains provided total visual privacy in three multi-bed rooms due to short or missing curtains. |
Report Facts
Residents affected: 2
Residents potentially affected: 53
Total residents served by laundry: 67
Resident rooms with environmental deficiencies: 5
Rooms with privacy curtain deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| GG | Certified Nursing Assistant (CNA) | Interviewed regarding resident care and hygiene deficiencies |
| FF | Project Manager / Interim Head of Maintenance | Participated in environmental observations and confirmed deficiencies |
| EE | Interim Head of Housekeeping / Account Manager | Participated in environmental observations and laundry contamination interview |
| DD | Laundry Staff | Interviewed regarding laundry contamination and handling |
Inspection Report
Annual Inspection
Census: 67
Deficiencies: 6
Feb 12, 2020
Visit Reason
A standard annual survey was conducted from February 9, 2020 through February 12, 2020, including investigation of two complaint intake numbers GA00199266 and GA00199209.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to ensure proper physician signatures on POLST forms, inadequate environmental cleanliness and comfort, failure to maintain resident hygiene, improper respiratory care, infection control issues, and lack of full visual privacy in some resident rooms.
Complaint Details
Complaint Intake Numbers GA00199266 and GA00199209 were investigated in conjunction with the standard survey.
Severity Breakdown
SS= D: 5
SS= E: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to ensure two physicians signed a Physician Order for Life Sustaining Treatment (POLST) for a cognitively impaired resident. | SS= D |
| Failure to maintain a safe, clean, comfortable, and homelike environment in five resident rooms, including dust buildup, stained curtains, rust, and uncomfortably cool temperatures. | SS= D |
| Failure to ensure hair cleanliness for two dependent residents. | SS= D |
| Failure to follow physician's orders for oxygen administration for two residents, administering oxygen below ordered flow rates. | SS= D |
| Failure to maintain infection prevention and control, including unsanitized ice/water machine and potential cross contamination in laundry area. | SS= E |
| Failure to ensure full visual privacy in three resident rooms due to short or missing privacy curtains. | SS= D |
Report Facts
Resident census: 67
Number of sampled residents: 33
Number of resident rooms observed with environmental issues: 5
Number of residents with oxygen orders reviewed: 7
Number of residents affected by infection control issues: 45
Number of residents affected by laundry cross contamination risk: 53
Number of rooms with privacy curtain issues: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Confirmed resident cognitive status and POLST signature requirements | |
| Director of Nursing | Confirmed expectations for POLST signatures and hair hygiene | |
| Licensed Practical Nurse/Unit Manager CC | Licensed Practical Nurse | Provided information on resuscitation practices |
| Certified Nursing Assistant GG | CNA | Provided information on resident bathing and hygiene |
| Project Manager/Interim Head of Maintenance FF | Confirmed environmental and temperature issues | |
| Interim Head of Housekeeping EE | Confirmed environmental cleanliness issues and privacy curtain status | |
| Licensed Practical Nurse AA | LPN | Confirmed oxygen administration discrepancies |
| Account Manager EE | Provided information on ice/water machine cleaning and laundry practices | |
| Laundry Staff DD | Observed laundry room practices | |
| Ice Machine Technician BB | Provided information on ice machine cleaning frequency | |
| Housekeeping Supervisor | Confirmed privacy curtain issues and housekeeping practices | |
| Administrator | Acknowledged infection control issues and corrective instructions |
Inspection Report
Life Safety
Census: 67
Capacity: 76
Deficiencies: 7
Feb 12, 2020
Visit Reason
Life Safety Code Survey 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 with fire safety requirements, including deficiencies in fire alarm system maintenance, sprinkler system installation and maintenance, door maintenance, fire wall integrity, electrical system maintenance, and smoking policy enforcement, placing 67 residents and staff at risk in the event of fire.
Severity Breakdown
SS=F: 2
SS=E: 3
SS=D: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Fire alarm breaker does not have lock-out device installed on breaker. | SS=F |
| Combustible storage building attached to back of building has no sprinkler system installed inside; no sprinkler wrench in box that fits the heads; no listing in box of types and amounts of heads in use in building. | SS=F |
| Sprinkler system maintenance and testing deficiencies including sprinkler head in need of adjustment, loaded heads in rooms 305 and 112, missing signage on PIV and FDC, bushes blocking FDC connections, and sprinkler heads in conference room spaced closer than 6 feet. | SS=E |
| Soiled linen room door does not close and latch secure. | SS=D |
| Open penetration in fire wall above fire doors at room 300. | SS=E |
| Storage room on back of building has open exposed wiring from ceiling; open void in electrical panel in mechanical room; electrical panels not labeled completely as to what breakers serve. | SS=D |
| Facility failed to maintain smoking policy; employee could not tell where to find facility smoking policy; improper can at front entry for discarding smoking materials, lacking required red fire safety can. | SS=E |
Report Facts
Census: 67
Total Capacity: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member who confirmed findings during facility tour |
Inspection Report
Re-Inspection
Census: 66
Deficiencies: 0
Jun 18, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 5/8/19 Complaint Survey.
Findings
All deficiencies cited as a result of the 5/8/19 Complaint Survey were found to be corrected.
Complaint Details
The revisit survey was conducted following a complaint survey on 5/8/19; all deficiencies from that complaint survey were corrected.
Report Facts
Census: 66
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 18, 2019
Visit Reason
A revisit survey was conducted on 6/18/19 to investigate Complaint Intake Number GA#00197352 in conjunction with this revisit survey.
Findings
All deficiencies cited as a result of the 5/8/19 Complaint Survey were found to be corrected. The complaint investigation was unsubstantiated with no deficiencies.
Complaint Details
Complaint Intake Number GA#00197352 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jun 5, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00196652.
Findings
The complaint was unsubstantiated and no deficiencies were found during the survey.
Complaint Details
Complaint GA00196652 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 2
May 8, 2019
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00196342 regarding medication administration and care plan compliance.
Findings
The facility failed to ensure licensed/registered nursing staff administered medications as ordered by physicians for multiple residents, with documented missed doses and inadequate follow-up on medication shortages. The facility also failed to develop and implement comprehensive care plans consistent with residents' needs and rights.
Complaint Details
The investigation was initiated based on complaint GA00196342 concerning medication administration errors and care plan deficiencies.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop and implement a comprehensive person-centered care plan for residents. | SS= D |
| Failure to ensure licensed and registered nursing staff administered medications as ordered by the physician for multiple residents, resulting in missed doses and lack of proper follow-up on medication availability. | SS= D |
Report Facts
Resident census: 62
Missed medication doses: 3
Missed medication doses: 3
Missed medication doses: 1
Missed medication doses: 2
Missed medication doses: 3
Missed medication doses: 3
Missed medication doses: 10
Missed medication doses: 3
Missed medication doses: 1
Missed medication doses: 5
Missed medication doses: 5
Inspection Report
Routine
Census: 62
Deficiencies: 2
May 8, 2019
Visit Reason
The inspection was conducted to assess compliance with nursing care requirements, specifically medication administration according to physician orders and patient care plans.
Findings
The facility failed to ensure licensed/registered nursing staff administered medications as ordered for two residents out of three reviewed, with multiple instances of missed medication doses documented in the Medication Administration Records.
Deficiencies (2)
| Description |
|---|
| Licensed/registered nursing staff failed to administer Januvia for one day and Toprol XL for two days in February 2019; failed to administer Tegretol three times in March 2019; and failed to administer Celexa three days in April 2019 for resident R "A". |
| Licensed/registered nursing staff failed to administer Synthroid 88 mcgs one day; failed to administer Depakene three times in one day; and failed to administer Trileptal twice a day three times in February 2019 for resident R#2. |
Report Facts
Census: 62
Missed medication doses: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication administration practices and availability |
Inspection Report
Routine
Census: 68
Deficiencies: 0
Aug 16, 2018
Visit Reason
A standard survey was conducted at Bryant Health and Rehabilitation from August 13, 2018 through August 16, 2018 to assess compliance with Medicaid/Medicare regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicaid/Medicare regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 67
Capacity: 75
Deficiencies: 0
Aug 13, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the National Fire Protection Association (NFPA 101 Life Safety Code 2012 edition).
Findings
The facility was found to be in substantial compliance with the Life Safety Code requirements and the Emergency Preparedness Plan was also in substantial compliance with Appendix Z requirements.
Report Facts
Certified Beds: 75
Census: 67
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 25, 2017
Visit Reason
The inspection was conducted as a complaint survey from December 1, 2017 through November 17, 2017 to determine compliance with Federal and State Long Term Care Requirements under 42 CFR Part 483, Subpart B.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint survey conducted; no deficiencies were found, indicating no substantiated issues.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 7, 2017
Visit Reason
The inspection was conducted to investigate complaint #GA00181681 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00181681 was investigated and found to have no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 26, 2017
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags have been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 26, 2017
Visit Reason
A follow-up to the Recertification survey of September 7, 2017 was conducted to verify correction of previously identified deficiencies.
Findings
The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of October 22, 2017.
Inspection Report
Routine
Census: 67
Deficiencies: 3
Sep 7, 2017
Visit Reason
A standard survey was conducted at Bryant Health and Rehabilitation Center from 9/5/17 through 9/7/17 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies in food storage and labeling, sanitation of food processing equipment, and infection control practices including failure of nursing staff to properly wash or sanitize hands during meal services.
Severity Breakdown
E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Food items were not properly labeled with open or expiration dates and food processing equipment was not maintained in a clean sanitary manner. | E |
| Ceiling vent fan and vent in kitchen covered with thick dark greyish dust blowing towards clean dishes. | E |
| Nursing staff failed to wash or sanitize hands before and after resident contact and meal tray setup, risking infection spread. | E |
Report Facts
Resident census: 67
Deficiencies cited: 3
Inspection Report
Life Safety
Census: 67
Capacity: 75
Deficiencies: 3
Sep 6, 2017
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with fire safety and related NFPA standards at Bryant Health and Rehabilitation Center.
Findings
The facility was found not in substantial compliance with NFPA 101 Life Safety Code 2012 edition, including deficiencies in sprinkler system installation, smoke barrier construction, and electrical equipment safety, which could place residents at risk in the event of a fire or electrical hazard.
Severity Breakdown
E: 2
D: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to install the fire sprinkler system in accordance with NFPA 13, including two closets in the food service director's office not sprinkled and lack of an electronically supervised outside water control valve. | E |
| Failure to provide fire and smoke barriers with at least a one half hour fire resistance rating, evidenced by an improperly constructed patch over an access panel in the 300 hall smoke barrier wall. | D |
| Failure to provide electrical equipment in accordance with NFPA 99 and NFPA 70, including use of 6 prong multi plug adapters in multiple resident rooms and the social services office. | E |
Report Facts
Residents at risk: 67
Residents at risk: 18
Certified Beds: 75
Census: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member interviewed and confirmed findings during the facility tour |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 7, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00177967.
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 GA00177967 was investigated and found not substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 22, 2017
Visit Reason
The inspection was conducted as a complaint survey to investigate Complaint #GA00176216.
Findings
No health care deficiencies were cited during the complaint survey conducted from 6/21/2017 through 6/22/2017.
Complaint Details
Complaint #GA00176216 was investigated and found to have no health care deficiencies.
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