Deficiencies per Year
12
9
6
3
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 7, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00213260.
Findings
The complaint was substantiated but no deficiencies were cited during the investigation.
Complaint Details
Complaint #GA00213260 was substantiated with no deficiencies cited.
Inspection Report
Deficiencies: 0
Apr 5, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for Canton Nursing Center following a survey completed on April 5, 2021.
Findings
The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.
Inspection Report
Re-Inspection
Census: 75
Deficiencies: 0
Apr 5, 2021
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the prior survey dated 2021-02-03.
Findings
All deficiencies cited as a result of the 2/3/2021 survey were found to be corrected as of 3/20/2021.
Inspection Report
Abbreviated Survey
Census: 72
Deficiencies: 0
Feb 3, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with an Abbreviated/Partial Extended Survey investigating complaint number GA00210577.
Findings
The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint was substantiated; however, no State Licensure deficiencies were cited.
Complaint Details
Complaint number GA00210577 was substantiated, but no State Licensure deficiencies were cited.
Inspection Report
Complaint Investigation
Census: 72
Deficiencies: 1
Feb 3, 2021
Visit Reason
The visit was conducted as an Abbreviated/Partial Extended Survey investigating complaint number GA00210577, initiated on February 2, 2021 and concluded on February 3, 2021.
Findings
The facility was found to be in compliance with emergency preparedness and infection control regulations related to COVID-19. However, the complaint of physical abuse against one resident was substantiated, with findings that the facility failed to protect the resident from physical abuse by a staff member.
Complaint Details
The complaint was substantiated. Resident #1 alleged that a CNA yanked the call button from her hand causing injury to her right pinky finger, which was swollen and bruised. The CNA was suspended and later terminated. Interviews with staff and family supported the allegation.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to protect one resident from physical abuse by a staff member, resulting in injury to the resident's right pinky finger. | SS= D |
Report Facts
Resident census: 72
BIMS score: 3
Incident date: Dec 15, 2020
Employee suspension date: Dec 13, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA AA | Certified Nursing Assistant | Named as the alleged abuser who yanked the call light from the resident's hand |
| LPN FF | Licensed Practical Nurse | Completed the incident report for the resident's allegation of abuse |
| Administrator | Facility Administrator | Interviewed regarding the abuse allegation and facility response |
| Director of Nursing | Director of Nursing | Signed the resident interview note and involved in investigation |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 17, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints against the facility.
Findings
Complaints #GA00206034 and #GA00205997 were substantiated with no regulatory violations, while complaints #GA00205424, #GA00205227, #GA00204962, and #GA00202772 were unsubstantiated with no regulatory violations.
Complaint Details
Complaints #GA00206034 and #GA00205997 were substantiated with no regulatory violations. Complaints #GA00205424, #GA00205227, #GA00204962, and #GA00202772 were unsubstantiated with no regulatory violations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 21, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted in conjunction with an Infection Control Survey to investigate GA00208717.
Findings
The investigation substantiated GA00208717 with no deficiencies cited.
Inspection Report
Routine
Census: 66
Deficiencies: 0
Jul 7, 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.
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 recommended practices to prepare for COVID-19.
Inspection Report
Re-Inspection
Census: 86
Deficiencies: 0
Feb 11, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the December 20, 2018 recertification survey.
Findings
All deficiencies cited during the December 20, 2018 recertification survey were found to be corrected as of February 3, 2019.
Inspection Report
Follow-Up
Deficiencies: 0
Feb 4, 2019
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: 85
Deficiencies: 4
Dec 20, 2018
Visit Reason
A standard survey was conducted at Canton Nursing Center from December 17 through December 20, 2018 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 in nutrition/hydration maintenance, therapeutic diet adherence, food safety and sanitation, and medical record completeness. Specific issues included significant weight loss in a resident without proper nutritional assessment or intervention, failure to serve therapeutic diets as prescribed, unsanitary kitchen conditions, and missing audiology consults in a resident's medical record.
Severity Breakdown
Level D: 3
Level F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Resident #82 experienced significant weight loss and inadequate nutritional assessment and intervention. | Level D |
| Residents #82 and #83 were not served therapeutic diets as prescribed, including improper food textures and portions. | Level D |
| The kitchen was not maintained in a sanitary manner, including lack of hot water at handwashing sink, improper food storage, unlabeled food items, and missing temperature monitoring. | Level F |
| Resident #2's audiology consults from May, June, and July 2018 were not on file and the facility was unable to obtain them prior to survey exit. | Level D |
Report Facts
Resident census: 85
Weight loss percentage: 5
Temperature: 10
Temperature: 42
Temperature: 79.5
Number of dietary staff hired recently: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN CC | Licensed Practical Nurse | Named in relation to feeding resident #83 and diet order adherence |
| CNA DD | Certified Nurse Assistant | Named in relation to feeding resident #82 and observations of intake |
| FSM | Food Service Manager | Named in relation to nutrition assessments and kitchen sanitation |
| RD | Registered Dietitian | Named in relation to nutrition assessments and diet order compliance |
| DON | Director of Nursing | Named in relation to oversight of nutrition and kitchen issues |
| ADON | Assistant Director of Nursing | Named in relation to audiology consults and resident care |
| Plant Manager | Facility Plant Manager | Named in relation to kitchen hot water repair |
Inspection Report
Routine
Deficiencies: 6
Dec 20, 2018
Visit Reason
The inspection was conducted as a routine survey of Canton Nursing Center to assess compliance with dietary service regulations, nutritional adequacy, medical record maintenance, and physical plant standards including kitchen sanitation and food service.
Findings
The facility was found deficient in multiple areas including failure to serve pureed diets as prescribed, significant unaddressed weight loss in a resident, incomplete nutritional assessments, missing audiology consults in medical records, and kitchen sanitation issues such as lack of hot water at handwashing sink, unlabeled food containers, improper storage, and broken/missing thermometers.
Deficiencies (6)
| Description |
|---|
| Resident #83 was served pureed foods that were too thin and runny, and was served regular diet items and straws contrary to physician's orders. |
| Resident #82 experienced significant weight loss with no documented nutritional assessment or interventions, and was served improperly prepared pureed foods. |
| Resident #2's audiology consults were not maintained in the medical record and follow-up was not documented. |
| Kitchen handwashing sink lacked hot water intermittently and paper towel dispenser was initially empty; garbage can lid was difficult to operate. |
| Bulk food bins were unlabeled or had scoops stored improperly; bananas stored on floor; unlabeled nutritional supplement cartons; broken or missing thermometers in refrigerators. |
| Frozen chicken thawed in water at 79.5°F, exceeding recommended temperature. |
Report Facts
Weight loss percentage: 5
Temperature: 79.5
Temperature: 10
Temperature: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CC | Licensed Practical Nurse (LPN) | Notified about resident #83 being served wrong diet consistency. |
| DD | Certified Nurse Assistant (CNA) | Interviewed regarding resident #83 and #82 feeding and eating assistance. |
| EE | Licensed Practical Nurse (LPN) | Interviewed regarding resident #83 choking or coughing incidents. |
| BB | Cook | Observed preparing pureed foods in kitchen. |
| FSM | Food Service Manager | Provided information on dietary services, kitchen sanitation, and nutritional assessments. |
| ADON | Assistant Director of Nursing | Interviewed about dietary orders, audiology consults, and nursing follow-up. |
| DON | Director of Nursing | Verified resident diet orders and discussed weight monitoring. |
| SSD | Social Services Director | Responsible for setting up audiology appointments for resident #2. |
| AA | Dietary Aide | Observed washing hands in kitchen. |
| Plant Manager | Repaired kitchen handwashing sink faucet to restore hot water. |
Inspection Report
Life Safety
Census: 85
Capacity: 100
Deficiencies: 10
Dec 17, 2018
Visit Reason
A Life Safety Code Survey was 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 life safety requirements, including missing fire alarm strobes in public restrooms, improper fire sprinkler coverage, missing electronic tamper devices on back-flow preventer, missing fire sprinkler trim rings, non-smoke tight and non-latching doors, unsealed penetrations in fire-rated walls, improper smoking area containers, combustible decorations, and lack of annual fire door inspection records.
Severity Breakdown
D: 4
E: 6
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to have fire alarm strobes in public men and women's restrooms; fire alarm pull stations were installed too high (54 in. instead of 42-48 in.). | D |
| Failed to have a copy of sensitivity test/inspection for smoke devices. | E |
| Failed to have proper fire sprinkler coverage in basement stair well exit area and elevator equipment room. | D |
| Failed to have electronic tamper devices on the back-flow preventer. | D |
| Missing fire sprinkler trim rings in various areas throughout the facility. | E |
| Doors in patient rooms 306 and 206 were not smoke tight and/or did not latch; entry door to basement stair well was not latching and lacked smoke resistant seal. | E |
| Penetrations in basement stair well area and attic fire rated walls were not sealed properly; flammable spray foam used to seal penetration in washer room ceiling. | E |
| Plastic cigarette containers used at front entrance and designated smoking areas instead of required metal containers; no fire extinguishers present in smoking areas. | E |
| Activity room decorated with flammable crepe paper. | D |
| Failed to have a copy of the annual rated fire door inspection conducted by a competent/designated individual. | E |
Report Facts
Residents at risk due to missing fire alarm strobes and improper pull station height: 8
Residents at risk due to missing sensitivity test for smoke devices: 10
Staff at risk due to lack of sprinkler coverage in basement stair well and elevator equipment room: 8
Residents at risk due to missing electronic tamper devices on back-flow preventer: 10
Residents at risk due to missing fire sprinkler trim rings: 10
Residents at risk due to non-smoke tight and non-latching doors: 15
Residents at risk due to unsealed penetrations in fire rated walls and use of flammable spray foam: 20
Residents/staff at risk due to improper smoking area containers and lack of fire extinguishers: 10
Residents at risk due to combustible decorations: 11
Residents at risk due to lack of annual fire door inspection records: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple findings during facility tour and inspection on 12/17/2018 |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 24, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00190500.
Findings
The complaint was investigated and found to be unsubstantiated.
Complaint Details
Complaint number GA00190500 was investigated and determined to be unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2018
Visit Reason
A complaint survey was conducted on 7/9/2018 - 7/10/2018 to investigate complaints #GA00189658, GA00189813, GA00189190 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
The survey was conducted in response to complaints #GA00189658, GA00189813, GA00189190 and found no deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 31, 2018
Visit Reason
A complaint survey was conducted on 5/31/18 to investigate complaint #GA00188537 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint investigation survey.
Complaint Details
Complaint #GA00188537 was investigated and found to have no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Jan 4, 2018
Visit Reason
A follow-up to the Recertification survey of November 9, 2017 was conducted to verify correction of previous deficiencies.
Findings
The follow-up survey revealed that all deficiencies identified in the prior survey had been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Jan 2, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected during the follow-up visit.
Inspection Report
Life Safety
Census: 77
Capacity: 100
Deficiencies: 4
Nov 7, 2017
Visit Reason
Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and related NFPA standards.
Findings
The facility was found not in substantial compliance with fire safety requirements, including improper installation of the fire alarm system, unapproved gas line installation, lack of emergency lighting in medication prep rooms, and use of unapproved electrical equipment such as multi-tab plugs in resident areas.
Severity Breakdown
E: 1
D: 2
F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Fire alarm pull station locations exceed maximum distance; no pull stations on 200 or 300 halls. | E |
| Unapproved gas line connecting cooking equipment to structure gas lines; yellow corrugated non-protected gas line and coupling used. | D |
| Medication prep rooms lack emergency lighting. | F |
| Unapproved multi-tab plugs used in resident treatment and non-treatment areas with medical equipment plugged in. | D |
Report Facts
Census: 77
Total licensed beds: 100
Maximum distance between fire alarm pull stations: 200
Observed distance between fire alarm pull stations: Exceeds 200 feet on 200 and 300 halls; exact distance not specified
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and staff interview |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 2, 2017
Visit Reason
The inspection was conducted as a complaint survey to investigate complaint #GA00174410 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00174410 was investigated and found to have no deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 17, 2017
Visit Reason
The inspection was conducted to investigate complaint #GA00172162 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey conducted at Canton Nursing Center.
Complaint Details
Complaint #GA00172162 was investigated and found to have no deficiencies cited.
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 7, 2017
Visit Reason
A revisit was conducted on 3/6/17 to the standard survey conducted on 1/19/17 to verify compliance with Federal and State Long Term Care Requirements.
Findings
The facility was found in compliance with Federal and State Long Term Care Requirements, 42 CFR, Part 483, Subpart B, as alleged in their Plan of Correction on 3/5/17.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 6, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected during this follow-up visit.
Inspection Report
Life Safety
Census: 83
Capacity: 100
Deficiencies: 2
Jan 17, 2017
Visit Reason
The 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 not in substantial compliance with fire safety requirements, including improper installation of fire alarm activation devices and failure to follow smoking regulations, which could place residents at risk in the event of a fire.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure that all fire alarm activation devices are installed properly, including two smoke detectors installed in the direct airstream of HVAC supply registers. | SS= D |
| Failure to ensure that the smoking policy is followed, with smoking debris observed in combustible trash receptacles and combustible debris in ashtray containers in designated smoking areas. | SS= D |
Report Facts
Census: 83
Total Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings related to fire alarm devices and smoking policy violations during facility tour |
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