Inspection Reports for Haralson Nsg & Rehab Center

A State Licensure survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025, through April 15, 2025, to assess compliance with state health regulations.

The survey revealed deficiencies related to incomplete and/or inaccurate medical record documentation for one of three residents reviewed for pressure ulcers, specifically missing treatment documentation on several dates in June 2024.

A complaint survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025 through April 15, 2025, investigating multiple complaint intake numbers related to facility compliance and resident safety.

The survey found the facility was not in substantial compliance with Medicare/Medicaid regulations, citing deficiencies including unsanitary shower room conditions and a resident burn injury caused by hot liquids served in a faulty wheelchair cupholder. Additionally, documentation deficiencies related to pressure ulcer treatment were identified.

Complaint Intake Numbers GA00247417, GA00247892, GA00252719 were substantiated with cited deficiencies. Complaint Intake Number GA00248657 was unsubstantiated. Harm was identified related to a resident burn on November 12, 2024, caused by hot liquids served in a faulty wheelchair cupholder.

A State Licensure survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025, through April 15, 2025, to assess compliance with state health regulations.

The survey revealed deficiencies related to incomplete and/or inaccurate medical record documentation for one of three residents reviewed for pressure ulcers, specifically missing treatment documentation on several dates in June 2024.

A complaint survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025, through April 15, 2025, investigating multiple complaint intake numbers related to facility compliance and resident safety.

The survey found the facility was not in substantial compliance with Medicare/Medicaid regulations, citing deficiencies including unsanitary shower room conditions and a resident burn injury caused by hot liquids served in a defective cupholder. Additionally, incomplete medical record documentation for pressure ulcer treatment was identified.

Complaint Intake Numbers GA00247417, GA00247892, and GA00252719 were substantiated with cited deficiencies. Complaint Intake Number GA00248657 was unsubstantiated. Harm was identified on November 12, 2024, when Resident 4 was burned by hot liquids served in a defective cupholder.

A State Licensure survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025, through April 15, 2025, to assess compliance with state health regulations.

The survey revealed deficiencies related to incomplete and/or inaccurate medical record documentation for one of three residents reviewed for pressure ulcers, specifically missing treatment documentation on several dates in June 2024.

A complaint survey was conducted at Haralson Nursing & Rehab Center from April 8, 2025, through April 15, 2025, investigating multiple complaint intake numbers related to facility compliance and resident safety.

The survey found the facility was not in substantial compliance with Medicare/Medicaid regulations, citing deficiencies including unsanitary shower room conditions and a resident burn injury caused by hot liquids served in a faulty wheelchair cupholder. Additionally, documentation deficiencies related to pressure ulcer treatment were identified.

Complaint Intake Numbers GA00247417, GA00247892, and GA00252719 were substantiated with cited deficiencies. Complaint Intake Number GA00248657 was unsubstantiated. Harm was identified on November 12, 2024, when Resident 4 was burned by hot liquids served in a faulty wheelchair cupholder.

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

All previously cited survey tags have been corrected as noted by the surveyor.

The document is a Statement of Deficiencies and Plan of Correction for Haralson Nursing & Rehab Center, 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 to verify correction of deficiencies cited during the 5/30/2024 Recertification Survey.

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

A State Licensure survey was conducted from May 28, 2024 through May 30, 2024 to assess compliance with state health regulations at Haralson Nursing and Rehabilitation Center.

The facility was found deficient in nursing staffing adequacy affecting 104 residents and failed to maintain safe water temperatures above 110 degrees Fahrenheit in 27 resident rooms and the shower room on one wing, posing a risk of skin burns. Additionally, the facility failed to change bed linen for one resident.

A standard survey was conducted from 5/28/2024 through 5/30/2024, including investigation of multiple complaint intake numbers. One complaint was substantiated with federal deficiency, while others were unsubstantiated.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including unsafe water temperatures above 110°F affecting 27 resident rooms and a shower room, failure to change bed linens for one resident, failure to administer oxygen therapy as ordered for one resident, and inadequate nursing staff levels.

Complaint Intake Number GA00244500 was substantiated with federal deficiency; other complaint intake numbers investigated were unsubstantiated.

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.

The facility was found not in substantial compliance with life safety requirements, including obstructed means of egress, missing and broken ceiling tiles compromising fire sprinkler activation, undated fire alarm system batteries, and an open electrical panel posing shock hazards. These deficiencies affected one of three smoke compartments.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint numbers GA00240998, GA00241068, GA00241735, GA00242054, and GA00242980.

Complaint numbers GA00241735, GA00242054, and GA00242980 were unsubstantiated. Complaint numbers GA00240998 and GA00241068 were substantiated but with no deficiencies found.

The survey investigated five complaint numbers. Three complaints were unsubstantiated, and two were substantiated with no deficiencies.

An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00237570 and #GA00237183.

The complaints #GA00237183 and #GA00237570 were substantiated with no federal citations.

Complaints #GA00237183 and #GA00237570 were substantiated with no federal citations.

An Abbreviated Survey was conducted to investigate multiple complaints (#GA00230874, #GA00231598, #GA00234596, #GA00229295, and #GA00234837) from May 02, 2023 to May 03, 2023.

Complaint #GA00230874 was substantiated, while complaints #GA00231598, #GA00234596, #GA00229295, and #GA00234837 were unsubstantiated. No regulatory violations were cited during the survey.

Complaint #GA00230874 was substantiated; other complaints investigated were unsubstantiated.

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

The survey noted that all previously cited deficiencies had been corrected.

A revisit survey was conducted from 09/27/2022 through 09/29/2022 to investigate Complaint Intake Numbers GA00226204 and GA00228217 and to verify correction of deficiencies cited in the 07/21/2022 Recertification Survey.

All deficiencies cited in the 07/21/2022 Recertification Survey were found to be corrected. The complaint investigations for GA00226204 and GA00228217 were found to be unsubstantiated.

Complaint Intake Numbers GA00226204 and GA00228217 were investigated and found to be unsubstantiated.

The document is a statement of deficiencies and plan of correction for Haralson Nursing & Rehab Center, indicating a regulatory inspection was conducted.

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

The visit was conducted to investigate complaints GA00228217 and GA00226204 in conjunction with a revisit survey following the 7/22/22 Recertification Survey.

All deficiencies cited in the 7/22/22 Recertification Survey were found to be corrected. The complaint investigation found both complaints unsubstantiated and no regulatory violations were cited.

Complaint Intake Numbers GA00228217 and GA00226204 were investigated and found unsubstantiated with no regulatory violations cited.

A Follow-Up Survey was conducted to verify correction of previously cited survey tags at the facility.

The facility failed to properly maintain construction of smoke walls to resist the transfer of smoke, affecting 3 of 3 smoke compartments due to unsealed penetrations in smoke partitions.

A Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.

The facility was found not in substantial compliance due to failure to properly maintain construction of smoke walls to resist the transfer of smoke. Penetrations were observed in smoke partitions in all 3 smoke compartments and were not properly sealed, as confirmed by staff.

The inspection was a Licensure Survey conducted from July 18, 2022 through July 21, 2022 to assess compliance with state regulations for licensure renewal.

The facility was found deficient in multiple areas including failure to ensure safe discharge procedures, improper use of personal protective equipment (PPE) in the COVID-19 Isolation Unit, inadequate housekeeping and infection control practices, lack of certification and training for the Dietary Manager, failure to provide adequate activities of daily living (ADL) care such as nail care, environmental sanitation issues including broken tiles and rust in shower rooms, and multiple deficiencies in food safety and kitchen operations including improper food labeling, expired food storage, lack of hair nets, malfunctioning equipment, and grease trap issues.

A standard survey was conducted from July 18, 2022 through July 21, 2022, including complaint investigations, to assess compliance with Medicare/Medicaid regulations.

The facility was found not in substantial compliance with multiple regulatory requirements including safe environment, freedom from abuse, PASARR screening, care planning, discharge planning, ADL care, accident prevention, respiratory care, dialysis communication, dietary staffing and menu compliance, food safety, garbage disposal, hospice care coordination, bedrail use, medication administration, and infection control.

An abbreviated/partial extended survey was conducted to investigate complaints #GA00204685 and #GA00207969.

Complaint #GA00204685 was unsubstantiated with no deficiencies found. Complaint #GA00207969 was substantiated, but no deficiencies were identified.

Complaint #GA00204685 was unsubstantiated with no deficiencies. Complaint #GA00207969 was substantiated with no deficiencies.

A COVID-19 Focused Infection Control Survey was conducted to determine whether the facility is implementing proper infection prevention and control practices to prevent the development and transmission of COVID-19 and other communicable diseases and infections.

The facility was found to be in compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B, and has implemented CMS and CDC recommended practices to prepare for COVID-19.

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.

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

A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to assess compliance with relevant federal regulations and recommended practices for COVID-19 preparedness and infection control.

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 CMS and CDC recommended practices for COVID-19.

An Abbreviated/Partial Extended Survey investigation was conducted in response to complaint number GA00201105 on August 19, 2020.

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

Complaint number GA00201105 was investigated and found to be unsubstantiated with no deficiencies cited.

A COVID-19 Focused Infection Control Survey was conducted on June 23-24, 2020 by Ascellon on behalf of the Georgia Department of Community Health to assess compliance with infection control regulations and preparedness for COVID-19.

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

A revisit survey was conducted from 8/20/19 to 8/22/19 for the Recertification Survey originally conducted from 6/17/19 to 6/20/19. Additionally, Complaint Intake Number GA00197980 was investigated in conjunction with this revisit survey.

The revisit survey revealed that all previously cited deficiencies were found to be corrected. Complaint Investigation GA00197706 was unsubstantiated.

Complaint Intake Number GA00197980 was investigated and Complaint Investigation GA00197706 was unsubstantiated.

A revisit survey was conducted from 8/20/19 to 8/22/19 for the Recertification Survey originally conducted from 6/17/19 to 6/20/19. Additionally, Complaint Intake Number GA00197980 was investigated in conjunction with this revisit survey.

The revisit survey revealed that all previously cited deficiencies were found to be corrected. Complaint Investigation GA00197706 was unsubstantiated.

Complaint Intake Number GA00197980 was investigated and Complaint Investigation GA00197706 was 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 during this Follow-Up Survey.

A standard survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations related to long term care facilities.

The survey revealed multiple deficiencies including failure to maintain resident dignity, failure to update advance directives and care plans timely, medication administration errors, improper catheter management, expired medications on medication carts, and lack of qualified dietary staff.

The inspection was conducted to assess compliance with medical, dental, and nursing care regulations, specifically focusing on care plan implementation, medication administration, and catheter use for residents.

The facility failed to follow or implement care plans for multiple residents, including failure to provide therapy referrals after falls, incorrect insulin administration, and lack of physician orders for catheter use. Additionally, catheter care was deficient due to the absence of catheter straps for a resident.

The survey was conducted to assess compliance with emergency preparedness and life safety code requirements, including review of the Emergency Preparedness Plan and a Life Safety Code Survey.

The facility's Emergency Preparedness Plan was found not in substantial compliance with Appendix Z requirements, including reliance on a portable generator with extension cords. Life Safety Code deficiencies included exit doors that were sticking and hard to open, and cross corridor smoke compartment doors that would not close properly, placing residents at risk during emergencies.

A complaint survey was conducted to investigate complaints GA00193928 and GA00194454 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

The survey was conducted in response to complaints GA00193928 and GA00194454; no deficiencies were found.

A re-visit survey was conducted at Haralson Nursing and Rehabilitation Center to verify correction of deficiencies found in the Abbreviated/Partial Extended Surveys conducted from August 20, 2018 through October 5, 2018.

All deficiencies resulting from the prior Abbreviated/Partial Extended Surveys were found to be corrected during this re-visit survey.

An abbreviated/partial extended survey was conducted to investigate multiple complaints alleging improper resident transfers, failure to report injuries, and unsafe environment conditions.

The facility was found not in compliance with Federal and State Long Term Care Requirements. Actual harm was identified when Resident #33 was improperly transferred without a mechanical lift, resulting in bilateral femur fractures. The facility also failed to report an injury of unknown origin timely for Resident #18 and failed to follow physician orders for wound care for Resident #1. Environmental deficiencies included dirty air conditioning coils and damaged drywall in resident rooms.

The investigation was initiated due to complaints alleging improper resident transfers, failure to report injuries timely, and unsafe environment conditions. The complaint was substantiated with findings of actual harm to Resident #33 due to improper transfer and failure to report injury for Resident #18.

The inspection was conducted following a complaint investigation regarding improper transfer of a resident (R#33) resulting in bilateral femur fractures and failure to follow nursing procedures and care plans.

The facility failed to ensure licensed nurses followed proper procedures for assessing a resident after a fall and accurately reporting X-ray findings to the physician, resulting in actual harm due to bilateral femur fractures. Additionally, the facility failed to follow the care plan requiring mechanical lift transfers for the resident. Environmental sanitation deficiencies were also noted, including dirty air-conditioning coils and damaged drywall and baseboards in multiple rooms.

The investigation was triggered by allegations of abuse and neglect related to the improper transfer of resident #33 by CNAs and failure of licensed nurses to properly assess and report injuries. The local police arrested LPN JJJ for neglect. The investigation confirmed the resident sustained bilateral femur fractures likely caused by improper transfers.

An abbreviated/partial extended survey was conducted to investigate complaint GA00191132.

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

Complaint GA00191132 was investigated and found to be unsubstantiated.

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

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

A revisit survey was conducted to verify correction of deficiencies cited in the April 27, 2018 Standard Survey.

All deficiencies cited during the April 27, 2018 Standard Survey were found to be corrected during the revisit survey.

A Follow-Up Survey was conducted to verify correction of previously cited survey tags at Haralson Nursing & Rehab Center.

The facility had corrected all previously cited deficiencies except for an issue with the automatic sprinkler system. The freezer/cooler unit attached to the building was not protected by the sprinkler system, posing a fire risk to kitchen staff and residents in the dining room.

A standard survey was conducted from 4/24/18 through 4/27/18, including investigation of Complaint Intake Number GA00186928, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility failed to ensure that one resident (R#17) with a physical restraint was provided the least restrictive restraint for the least amount of time and was not adequately supervised or monitored. The care plan lacked specific and effective interventions to ensure adequate supervision and monitoring of the resident with a history of multiple falls and cognitive impairment.

Complaint Intake Number GA00186928 was investigated in conjunction with the standard survey.

The inspection was conducted due to concerns about the facility's failure to provide adequate supervision and monitoring for a resident (R#17) with a physical restraint and a history of falls.

The facility failed to include specific and effective interventions in the care plan to ensure adequate supervision and monitoring of resident R#17, who had a history of multiple falls and was physically restrained with a T-cushion. Observations showed the resident was often unsupervised while restrained and walking unsteadily, and documentation lacked evidence of proper monitoring or restraint-free times.

The visit was complaint-related focusing on the supervision and monitoring of resident R#17 who had multiple falls and was physically restrained. The complaint was substantiated by observations and record reviews showing inadequate supervision and care planning.

The inspection was conducted to review the facility's Emergency Preparedness Plan and to perform a Life Safety Code Survey to assess compliance with federal and NFPA fire safety standards.

The facility's Emergency Preparedness Plan was found not in substantial compliance with Appendix Z requirements, potentially placing residents at risk during emergencies. Additionally, the facility failed to fully protect the building with an automatic sprinkler system, specifically the freezer/cooler unit area outside the kitchen was not covered, posing fire risk to kitchen staff and residents.

An Abbreviated Survey was conducted on 9/9/17 at Haralson Nursing and Rehab to investigate complaints # GA00179132.

The facility was found to be in compliance with Federal and State Long Term Care Requirements 42 CFR, Part 483, Subpart B, Requirements for Long Term Care Facilities.

Complaint investigation # GA00179132 was conducted and the facility was found to be in compliance.

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

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

A standard survey was conducted from 4/11/17 through 4/14/17, with a re-entrance on 5/10/17 for further investigation. Complaint intake numbers GA00172087 and GA00171510 were also investigated in conjunction with this standard survey.

The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.

Complaint intake Numbers GA00172087 and GA00171510 were investigated in conjunction with this standard survey.

The visit was a Life Safety Code Survey to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.

The facility was found not in substantial compliance with life safety requirements, including failure to provide emergency lighting of at least 1.5 hours duration, improperly installed fire alarm system components, penetrations in smoke barriers, electrical system issues at HVAC units, and lack of proper smoking area safety equipment.