Inspection Reports for Eagle Health & Rehabilitation

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey date.

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey conducted on June 10, 2025.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a regulatory inspection.

The report contains initial comments but does not provide specific details on deficiencies or findings.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a facility inspection.

The report contains initial comments but does not provide specific details on deficiencies or findings.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not provide specific details on deficiencies or findings.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted on May 10, 2025, to verify correction of deficiencies cited during the April 6, 2025, complaint survey.

All deficiencies cited as a result of the April 6, 2025, complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on April 6, 2025, with all cited deficiencies corrected by the revisit.

A revisit survey was conducted on May 10, 2025, to verify correction of deficiencies cited during the April 6, 2025, complaint survey.

All deficiencies cited as a result of the April 6, 2025, complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on April 6, 2025; all cited deficiencies were corrected.

A revisit survey was conducted to verify correction of deficiencies cited during the April 25, 2025, recertification survey.

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

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey date.

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey date.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not provide detailed findings or deficiencies within the visible content.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation, indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.

The report contains initial comments but does not provide specific details on deficiencies or findings within the visible content.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not provide specific details on deficiencies or findings.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a regulatory inspection.

The report contains initial comments but does not provide specific details of deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the April 6, 2025 complaint survey.

All deficiencies cited as a result of the April 6, 2025 complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on April 6, 2025. All cited deficiencies were corrected.

A revisit survey was conducted on May 10, 2025, to verify correction of deficiencies cited during the April 6, 2025, complaint survey.

All deficiencies cited as a result of the April 6, 2025, complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on April 6, 2025, with all cited deficiencies corrected by the revisit.

A revisit survey was conducted to verify correction of deficiencies cited during the April 25, 2025, 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 correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey date.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not specify any detailed deficiencies or findings.

This document is a Statement of Deficiencies and Plan of Correction for Eagle Health & Rehabilitation following a survey completed on June 10, 2025.

The report contains initial comments but does not provide detailed findings or deficiencies within the visible content.

A revisit survey was conducted to verify correction of deficiencies cited in the April 25, 2025, recertification survey.

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

A revisit survey was conducted to verify correction of deficiencies cited during the April 25, 2025, recertification survey.

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

A revisit survey was conducted to verify correction of deficiencies cited during the April 25, 2025, recertification survey.

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

A revisit survey was conducted to verify correction of deficiencies cited during the April 6, 2025, complaint survey.

All deficiencies cited as a result of the April 6, 2025, complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on April 6, 2025. All cited deficiencies were corrected.

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) 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with fire safety requirements, with deficiencies including non-functioning emergency lights, ceiling penetrations allowing smoke migration, sprinkler heads obstructed by storage, and unsealed fire wall penetrations.

A standard survey was conducted by Ascellon Corporation on behalf of the Georgia Department of Community Health at Eagle Health & Rehabilitation Center from April 22, 2025, through April 25, 2025, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance due to deficiencies including failure to ensure pureed diets met prescribed consistency for residents requiring mechanically altered diets, and failure to provide proper positioning and responsibility for plate guards used as adaptive equipment for a resident.

A State Licensure survey was conducted by Ascellon Corporation on behalf of the Georgia Department of Community Health at Eagle Health & Rehabilitation Center from April 22, 2025, through April 25, 2025, to assess compliance with state health regulations.

The facility failed to ensure that two residents requiring a pureed diet received food prepared with the appropriate consistency. Observations and interviews revealed that the pureed food served was not smooth and contained lumps, stringy meat, and vegetable skins, which did not meet the International Dysphagia Diet Standardization Initiative (IDDSI) Level 4 Pureed diet standards.

A complaint survey was conducted at Eagle Health & Rehabilitation from April 3, 2025 through April 6, 2025, investigating multiple complaint intake numbers related to allegations of sexual abuse and inappropriate sexual behaviors by a resident toward other residents.

The facility failed to protect residents from sexual abuse by another resident and failed to report allegations of sexual abuse to the state survey agency within the required two-hour timeframe. Deficiencies included failure to develop or implement interventions to protect residents, failure to administer prescribed medication consistently, and failure to timely report abuse allegations.

The complaint investigation involved three complaint intake numbers (GA000246359, GA000253512, GA000253880). Two were substantiated with deficiencies related to sexual abuse and failure to report. The investigation included multiple resident interviews, staff interviews, and review of facility policies and records. The facility was found noncompliant with 42 CFR Part 483, Subpart B.

A State Licensure survey was conducted at Eagle Health & Rehabilitation from April 3, 2025, through April 6, 2025, to assess compliance with state health regulations.

The survey revealed no State Health deficiencies were cited during the inspection period.

An abbreviated survey was conducted to investigate complaints #GA00234954 and #GA00235069.

The complaints were found to be unsubstantiated and no deficiencies were cited during the survey.

The survey was complaint-related, investigating two complaints which were unsubstantiated with no deficiencies cited.

A Follow-Up Survey was conducted to verify correction of previously cited survey deficiencies.

All previously cited survey tags have been corrected as noted during the follow-up survey.

The document is a statement of deficiencies and plan of correction for Eagle Health & Rehabilitation, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted on April 25-26, 2023 to verify correction of deficiencies cited during the March 1, 2023 Recertification survey conducted in conjunction with a Complaint Survey.

All deficiencies cited in the March 1, 2023 Recertification and Complaint Survey were found to be corrected during this revisit survey.

The revisit survey was conducted following a Complaint Survey; deficiencies from that survey were corrected.

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 due to failure to properly maintain the sprinkler system, including sprinkler pipes supporting items in the attic and sprinkler heads being corroded or painted, affecting one smoke compartment.

A State Licensure survey was conducted at Eagle Health and Rehabilitation from February 27, 2023 through March 1, 2023 to assess compliance with state health regulations.

The facility was found deficient in providing adequate nursing care related to activities of daily living, specifically failure to maintain grooming for one resident and failure to apply barrier cream after incontinence episodes for two residents. Additionally, the facility failed to document meal temperatures consistently and failed to remove dented cans from dry storage, posing potential food safety risks.

A standard survey was conducted from February 27, 2023 through March 1, 2023, including investigation of Complaint Intake Number GA000227390, which was found unsubstantiated.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including inaccurate PASARR screenings, failure to follow individualized care plans for skin care, inadequate grooming care, improper incontinent care, failure to discontinue unnecessary medications, untimely laboratory testing, and food safety violations related to meal temperature documentation and storage of dented cans.

Complaint Intake Number GA000227390 was investigated in conjunction with the standard survey and was found to be unsubstantiated.

The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection conducted by the State of Georgia Healthcare Facility Regulation Division.

The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during the 8/18/2021 Recertification Survey.

All deficiencies cited as a result of the 8/18/2021 Recertification Survey were found to be corrected.

A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey investigating complaint #GA00217459 was conducted from September 15 to September 17, 2021.

The complaint was unsubstantiated and no regulatory violations were cited. The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparedness.

Complaint #GA00217459 was investigated and found to be unsubstantiated with no regulatory violations cited.

A Licensure Survey was conducted from 8/15/21 through 8/18/21 to assess compliance with licensure requirements for Eagle Health & Rehabilitation.

The facility failed to maintain a clean environment in six shared resident bathrooms with dirt and grime buildup, and failed to ensure hot water temperatures did not exceed 110 degrees Fahrenheit in 16 residents' bathrooms and one shower room sink.

A standard survey was conducted from 8/15/21 through 8/18/21, including investigation of Complaint Intake Number GA00215879, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with regulations, with deficiencies including failure to ensure a resident's right to maintain personal property during a move, failure to maintain a clean environment in shared bathrooms, and failure to develop a care plan addressing behavioral needs of a resident who removes clothing.

Complaint Intake Number GA00215879 was investigated in conjunction with the standard survey.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found to be in compliance with the Emergency Preparedness Program requirements and Life Safety Code standards during the survey.

The document is a statement of deficiencies and plan of correction for Eagle Health & Rehabilitation, indicating a regulatory inspection was conducted.

The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during an abbreviated/partial extended survey on May 4, 2021.

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

A Licensure Survey was conducted to assess compliance with physical plant standards and food safety regulations as part of the facility's licensure renewal process.

The facility failed to maintain a clean and sanitary kitchen environment, with issues including improper food storage, expired food items, dirty refrigerator vents, pest infestation (roach presence), and unclean kitchen floors and equipment. These conditions had the potential to affect 34 of 41 residents receiving an oral diet.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00213846, which was substantiated with deficiencies.

The facility failed to ensure food was prepared, stored, and served in a sanitary environment, with issues including unsealed food items, dirty refrigerator vents, expired food not discarded, and pest infestation evidenced by roaches and debris in the kitchen area.

Complaint #GA00213846 was substantiated with deficiencies related to food safety and sanitation in the kitchen.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00213176.

The complaint #GA00213176 was substantiated with no deficiencies cited.

Complaint #GA00213176 was substantiated with no deficiencies cited.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00209349.

The complaint was unsubstantiated and no deficiencies were identified during the investigation.

Complaint #GA00209349 was investigated and found to be unsubstantiated with no deficiencies.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00208833.

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

Complaint #GA00208833 was investigated and found to be unsubstantiated.

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.

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

The visit was conducted as an abbreviated/partial extended survey investigating multiple complaints (GA00204429, GA00204819, GA00204769, and GA00206253) at Eagle Health and Rehabilitation.

The complaints investigated during the abbreviated survey were unsubstantiated, and no deficiencies were found. No abuse, neglect, or immediate jeopardy concerns were noted.

The investigation was initiated by desk review of complaints GA00204429, GA00204819, and GA00204769 conducted from 5/11/2020 through 5/14/2020. The on-site abbreviated survey conducted on 7/1/2020 to 7/2/2020 found the complaints unsubstantiated with no deficiencies.

An abbreviated/partial extended survey was conducted to investigate complaint GA00201665 from February 12 to February 13, 2020.

The complaint was unsubstantiated and no deficiencies were identified during the survey.

Complaint GA00201665 was investigated and found to be unsubstantiated with no deficiencies.

A revisit survey was conducted to verify correction of deficiencies cited during the 8/19/19 complaint survey.

All deficiencies cited as a result of the 8/19/19 complaint survey were found to be corrected.

A complaint investigation was conducted from August 5, 2019 through August 19, 2019 at Eagle Health and Rehabilitation to investigate allegations of psychological abuse by a Respiratory Therapist (RT) Manager towards a resident.

The investigation found the facility failed to report an allegation of psychological abuse within two hours and did not thoroughly investigate the allegation, including failure to obtain written statements from involved staff and residents. Additionally, the facility failed to ensure adequate disposable suction catheters were available for seven tracheostomy and ventilator-dependent residents, resulting in reuse of disposable catheters.

The complaint investigation was substantiated for deficiencies related to psychological abuse allegations by resident #1 against RT Manager AA. The facility did not report the allegation to the State Survey Agency within two hours as required and did not suspend the employee or conduct a thorough investigation including interviews and written statements from involved parties.

A revisit survey was conducted to verify correction of deficiencies found during the abbreviated/partial survey conducted July 12 through July 18, 2019.

All deficiencies resulting from the previous abbreviated/partial survey were found to be corrected.

An Abbreviated/Partial Extended Survey was conducted from June 12, 2019 to June 18, 2019 to investigate complaints GA00195760, GA00197165, and GA00197457.

The facility was found not to be in compliance with Federal and State Long Term Care regulations. Deficiencies included failure to timely reorder PRN pain medication for one resident and failure to provide pressure sore treatments as ordered for three residents with existing pressure sores.

The survey was conducted to investigate complaints GA00195760, GA00197165, and GA00197457.

The inspection was conducted to assess compliance with medical, dental, and nursing care regulations, specifically focusing on the provision of pressure sore treatments as ordered by physicians for residents.

The facility failed to ensure that pressure sore treatments were consistently provided as ordered by the physician for three residents with existing pressure sores. Multiple instances of missed or undocumented treatments were identified, and staffing shortages contributed to inconsistent care delivery.

An unannounced complaint was investigated by State Surveyors for complaint GA00193073. The Ombudsman and complainant were contacted, and sample residents were included in the investigation.

The investigation included observations, staff interviews, and record review. The complaint was substantiated but no deficient practice was cited.

Complaint GA00193073 was substantiated but no deficient practice was cited.

A standard survey was conducted at Eagle Health and Rehabilitation from September 24, 2018 through September 27, 2018. In addition, Complaint GA00191537 and GA00190282 were investigated in conjunction with this standard survey.

The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 Code of Federal Regulations (C.F.R.) Part 43, Subpart B-Requirements for Long Term Care Facilities.

Complaints GA00191537 and GA00190282 were investigated in conjunction with the standard survey.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found in substantial compliance with the Emergency Preparedness plan requirements and Life Safety Code standards.

An abbreviated survey was conducted to investigate complaint #GA00189009 at Eagle Health and Rehabilitation.

No deficiencies were cited during the abbreviated survey.

Investigation of complaint #GA00189009; no deficiencies were found.

An abbreviated survey was conducted to investigate complaints GA00188377 and GA0018383 at Eagle Health and Rehabilitation.

The facility was found to be in compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities. No health deficiencies were cited.

The survey was complaint-related, investigating complaints GA00188377 and GA0018383. No deficiencies were found, indicating compliance.

An abbreviated/partial extended survey was conducted to investigate complaint GA00186263.

The complaint was found to be unsubstantiated, and no deficiencies were identified during the survey.

Complaint GA00186263 was investigated and found to be unsubstantiated.

A follow-up to the complaint survey conducted on December 18, 2017, to verify correction of previously identified deficiencies.

The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of January 31, 2018.

The visit was a follow-up to a complaint survey; all deficiencies identified in the complaint survey were corrected.

A revisit survey was conducted on 12/8/17 for the Recertification survey of 10/5/17.

The revisit survey revealed that all previously cited deficiencies had been corrected. The facility was in substantial compliance as of 11/17/17.

An abbreviated survey was conducted to investigate complaint number GA00182678 at Eagle Health and Rehabilitation.

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

Complaint number GA00182678 was investigated and found to be unsubstantiated.

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

The surveyor noted that all previously cited survey tags have been corrected.

The inspection was conducted as a Standard QIS Survey from October 2 through October 5, 2017, in conjunction with an abbreviated complaint survey to investigate complaint GA00180515.

The facility was found deficient in food safety practices including improper cleaning and sanitizing of the deli-food slicer and failure to enforce facial hair restraints for dietary staff. Additionally, the facility failed to maintain an effective pest control program, with observations of roaches in the kitchen and resident areas, and non-compliance with pest control recommendations.

The visit included an abbreviated complaint survey to investigate complaint GA00180515.

A Life Safety Code Survey was 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 Life Safety Code requirements, including issues with exit discharge ramp deterioration, fire alarm system installation and labeling, smoke barrier penetrations, smoke barrier door closing, electrical safety violations, and smoking area safety. These deficiencies could place residents at risk in the event of fire.

An abbreviated/partial extended survey was conducted to investigate complaint GA00177942.

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 GA00177942 was investigated and found not substantiated.

A Revisit Survey was conducted on December 12, 2016 to determine if deficiencies cited during the Standard Survey conducted October 20, 2016 were corrected.

The facility was found to be in substantial compliance as of December 4, 2016.