Inspection Reports for Cumming Health and Rehab

A Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00253259 and GA00254266.

The complaints were unsubstantiated and no regulatory violations were cited. The facility was found to be in compliance with infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

Complaints GA00253259 and GA00254266 were investigated and found to be unsubstantiated.

An abbreviated/partial extended survey was conducted to investigate complaint GA00252490.

The complaint was unsubstantiated and no regulatory violations were cited during the survey.

Complaint GA00252490 was investigated and found to be unsubstantiated.

The document is a Statement of Deficiencies and Plan of Correction for Cumming Health & Rehab, indicating a regulatory inspection was conducted.

The report contains only initial comments without detailed findings or deficiencies listed.

A health revisit survey was conducted to verify correction of deficiencies cited during the Recertification and Complaint Investigation Survey on August 15, 2024.

All deficiencies cited in the prior Recertification and Complaint Investigation Survey were found to be corrected during this revisit survey.

The revisit survey was conducted following a Complaint Investigation Survey on August 15, 2024.

A Life Safety Code Revisit was conducted as a Desk Review to verify correction of previously cited Life Safety Code deficiencies.

The revisit found that all previously cited Life Safety Code deficiencies had been corrected.

The inspection was a State Licensure survey conducted from August 13, 2024 through August 15, 2024, to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including failure to maintain resident dignity and privacy during care, improper medication storage security, incomplete care plans for residents with PICC lines, unsanitary environmental conditions such as dusty HVAC filters, and improper food labeling and expired food items in storage.

A standard survey was conducted from August 13 through August 15, 2024, including investigation of four complaint intake numbers, two of which were substantiated.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain resident dignity and privacy, unclean HVAC filters, incomplete care plans for residents with PICC lines, unsecured Schedule IV medications, and unsanitary food storage and expired food and water supplies.

Complaint Intake Numbers GA00246173 and GA00246882 were substantiated with deficiencies cited; GA00248720 and GA00246538 were unsubstantiated.

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.

The facility was found not in substantial compliance with life safety requirements, including issues with the kitchen hood system being out of service, sprinkler system maintenance deficiencies, a resident room door that would not close and latch, and improper use of power strips and multi-plugs in several areas.

This document is a Statement of Deficiencies and Plan of Correction for Cumming Health & Rehab following a survey completed on 12/20/2022.

The report contains initial comments and a summary statement of deficiencies identified during the survey. Specific deficiencies and severity levels are not detailed in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during the 10/27/22 Recertification Survey.

All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up survey.

The inspection was conducted as a Licensure Survey from 10/25/2022 through 10/27/2022 to assess compliance for facility licensure renewal.

No deficiencies were identified during the licensure survey conducted from 10/25/2022 through 10/27/2022.

Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.

The facility was found not in substantial compliance with fire safety requirements including missing fire alarm sensitivity test documents, improper smoke detector placement, fire sprinkler heads obstructed by debris, corridor door issues, presence of louvers/grills in corridor doors, unsafe staff smoking area, and lack of proper signage for oxygen tank storage.

A standard survey was conducted at Cumming Health And Rehab from October 25, 2022, through October 27, 2022, to assess compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities.

The facility was found not in substantial compliance due to failure to ensure medication carts were locked when unattended and failure to maintain sanitary conditions of the kitchen ice machine, including buildup of black substance and inadequate cleaning logs.

A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to assess compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 and in substantial compliance with 42 CFR §483.80 infection control regulations, implementing recommended practices to prepare for COVID-19.