Inspection Reports for Buckhead Center for Nursing and Healing
54 Peachtree Park Dr NE, Atlanta, GA 30309, GA, 30309
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 22, 2025, found no deficiencies after a revisit confirmed correction of prior issues related to cold food temperatures. Earlier inspections showed a pattern of deficiencies primarily involving food safety, nursing care and documentation, medication management, and infection control. Complaint investigations included some substantiated cases, such as improper staff providing care without certification and failure to maintain medication labeling, while most complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent revisits confirming correction of previously cited deficiencies.
Deficiencies (last 4 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a April 2025 inspection.
Census over time
Inspection Report
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Re-InspectionInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Dietary Manager | Observed and instructed removal of improperly held coleslaw; provided temperature checks and interview statements | |
| Dietary Aide | Prepared coleslaw bowls not held on ice and served at unsafe temperature |
Inspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Dietary Manager | Conducted temperature observations and interviews regarding food temperature deficiencies | |
| Dietary Aide | Prepared coleslaw bowls not held on ice as required |
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Plan of CorrectionInspection Report
RenewalInspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Business Office Manager | Business Office Manager | Observed providing ADL care (shaving resident R7) without current CNA certification and without family permission |
| Administrator | Administrator | Interviewed and stated BOM should not have been shaving resident R7 and should have delegated to Unit Manager or CNA |
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Follow-UpInspection Report
Life Safety| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple findings during facility tour and observations |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Interviewed regarding resident R56's care and knee splint application |
| CNA1 | Certified Nursing Assistant | Interviewed about turning and repositioning practices for residents R56 and R63 |
| CNA3 | Certified Nursing Assistant | Interviewed about repositioning and knee splint application for resident R56 |
| Director of Nursing | Director of Nursing | Verified care plan deficiencies and turning/repositioning practices |
| Rehab Director | Rehabilitation Director | Confirmed therapy discharge and knee splint instructions for resident R56 |
| MDS Coordinator | MDS Coordinator | Discussed care plan initiation and documentation processes |
| MDS Nurse | MDS Nurse | Discussed standard of practice for turning and repositioning residents |
Inspection Report
Routine| Name | Title | Context |
|---|---|---|
| LPN5 | Licensed Practical Nurse | Named in medication misappropriation investigation; admitted to lying about missing medications. |
| LPN4 | Unit Manager | Reported missing narcotics and initiated investigation. |
| Director of Nursing | Director of Nursing | Confirmed investigation of medication misappropriation and discussed care plan deficiencies. |
| CNA1 | Certified Nursing Assistant | Provided information on repositioning expectations and communication binder. |
| LPN1 | Licensed Practical Nurse | Discussed repositioning standards and knee splint application knowledge. |
| Rehabilitation Director | Rehabilitation Director | Confirmed discharge from therapy and need for nursing to continue splinting; provided education details. |
| LPN3 | Licensed Practical Nurse | Verified improper storage of nebulizer mask. |
| LPN9 | Licensed Practical Nurse | Described responsibilities for nebulizer mask and tubing changes and acknowledged failures. |
| Director of Respiratory Services | Director of Respiratory Services | Described training and responsibilities related to nebulizer equipment maintenance. |
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Plan of CorrectionInspection Report
Re-InspectionInspection Report
Re-Inspection| Name | Title | Context |
|---|---|---|
| LPN Unit Manager AA | Licensed Practical Nurse Unit Manager | Verified and confirmed medication labeling deficiencies and audit schedule |
| LPN BB | Licensed Practical Nurse | Verified and confirmed opened insulin pens not labeled with opened dates |
| LPN CC | Licensed Practical Nurse | Verified and confirmed opened medications not labeled with opened dates |
| LPN HH | Licensed Practical Nurse | Verified and confirmed opened Basaglar insulin pen not labeled with opened date |
| LPN Unit Manager DD | Licensed Practical Nurse Unit Manager | Completed audits and re-educated agency nurses on medication labeling |
| LPN Unit Manager FF | Licensed Practical Nurse Unit Manager | Identified and corrected medication labeling problems during audits |
| Staffing Development Coordinator | Staffing Development Coordinator | Provided in-services and education on medication labeling to staff and agency nurses |
| Director of Nursing | Director of Nursing | Oversaw education, audits, and corrective actions related to medication storage and labeling |
| Administrator | Administrator | Reported on re-education efforts and called Ad Hoc meeting regarding medication storage audits |
| Vice President of Clinical Operations | Vice President of Clinical Operations | Reported ongoing oversight and monitoring of nursing staff compliance |
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Abbreviated SurveyInspection Report
Re-InspectionInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Dr. ZZZ | Physician | Involved in resident R#20's AMA discharge and interview regarding discharge incident |
| LPN CCC | Licensed Practical Nurse | Agency nurse present during resident R#20's AMA discharge |
| LPN NNN | Licensed Practical Nurse | Agency nurse present during resident R#20's AMA discharge |
| LPN JJJ | Licensed Practical Nurse | Interviewed about notification of change policy |
| OT NNN | Occupational Therapist | Provided information about facility floors and elevator security related to resident R#20 |
| Regional Vice President of Operations | Vice President | Interviewed about facility policies and resident discharge |
| Director of Nursing | Director of Nursing | Interviewed about nursing care, medication administration, and discharge procedures |
| Respiratory Therapist JJ | Respiratory Therapist | Observed performing improper tracheostomy care for resident R#17 |
| Social Services Director TTT | Social Services Director | Interviewed about podiatry services and resident R#18 medication concerns |
| Wound Nurse | Wound Nurse | Interviewed about wound care for resident R#6 |
| LPN EEE | Licensed Practical Nurse | Interviewed about medication administration and wound care |
| LPN PP | Licensed Practical Nurse | Interviewed about medication cart and insulin management |
| LPN QQ | Licensed Practical Nurse | Interviewed about medication cart and insulin management |
| LPN OOO | Licensed Practical Nurse | Interviewed about podiatry care and toenail trimming responsibilities |
| LPN RR | Licensed Practical Nurse | Interviewed about podiatry services and resident toenail care |
Inspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Dr. ZZZ | Physician | Involved in AMA discharge of resident R#20 |
| LPN CCC | Licensed Practical Nurse | Involved in AMA discharge of resident R#20 |
| LPN NNN | Licensed Practical Nurse | Involved in AMA discharge of resident R#20 |
| CNA LLL | Certified Nursing Assistant | Provided catheter care for resident R#29 |
| LPN EEE | Licensed Practical Nurse | Involved in medication administration and cart audits |
| RT JJ | Respiratory Therapist | Performed trach care for resident R#17 |
| LPN PP | Licensed Practical Nurse | Involved in medication administration and cart audits |
| LPN QQ | Licensed Practical Nurse | Involved in medication administration and cart audits |
| CNA YY | Certified Nursing Assistant | Provided care for resident R#21 |
| LPN AAA | Licensed Practical Nurse | Conducted AMA discharge audit |
| Regional Director of Clinical Services | Provided education and oversight | |
| Director of Nursing | Provided education and oversight | |
| Dietary Manager | Received education on safe discharge | |
| Maintenance Director | Received education on safe discharge | |
| Admissions Concierge | Received education on safe discharge | |
| Director of Social Services | Received education on safe discharge |
Inspection Report
Abbreviated SurveyInspection Report
Plan of CorrectionInspection Report
Re-InspectionLoading inspection reports...



