Inspection Reports for Heart of Georgia Nursing Home
815 LEGION DRIVE, GA, 31023
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 4, 2024
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Heart of Georgia Nursing Home following a survey completed on 11/04/2024.
Findings
The document contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Plan of Correction
Census: 93
Deficiencies: 0
Nov 4, 2024
Visit Reason
A Desk Review survey was conducted to verify correction of deficiencies cited in the September 13, 2024 Recertification Survey.
Findings
All deficiencies cited in the prior Recertification Survey were found to be corrected upon review.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 29, 2024
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
Annual Inspection
Deficiencies: 1
Sep 13, 2024
Visit Reason
A State Licensure survey was conducted at Heart of Georgia Nursing Home from September 10 through September 13, 2024, to assess compliance with state health regulations.
Findings
The facility failed to ensure one of 31 sampled residents (R66) received annual oral screenings and timely dental care to treat tooth pain, resulting in untreated oral pain. Interviews and record reviews revealed delays in dental care and lack of a formal system to ensure annual oral screenings for Medicaid residents.
Deficiencies (1)
| Description |
|---|
| Failure to ensure one of 31 sampled residents received annual oral screenings and timely dental care to treat tooth pain, causing untreated oral pain. |
Report Facts
Sampled residents: 31
Residents receiving Medicaid without annual oral screening: 70
Antibiotic dosage: 500
Antibiotic frequency: 3
Antibiotic treatment duration: 7
Pain rating: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Social Services Director | Interviewed regarding dental appointment scheduling and Medicaid resident screenings |
| Business Office Manager | Business Office Manager | Interviewed regarding dental appointment scheduling and Medicaid resident screenings |
| Administrator | Administrator | Interviewed about expectations for dental care for residents expressing tooth pain |
| Director of Nursing | Director of Nursing | Interviewed about treatment of residents with oral pain and antibiotic administration |
Inspection Report
Routine
Census: 97
Deficiencies: 1
Sep 13, 2024
Visit Reason
A standard survey was conducted from September 10, 2024, through September 13, 2024, to assess compliance with Medicare/Medicaid regulations for Heart of Georgia Nursing Home.
Findings
The facility was found not in substantial compliance due to failure to ensure one resident received annual oral screenings and timely dental care for tooth pain, resulting in untreated oral pain.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure one of 31 sampled residents received annual oral screenings and timely dental care to treat tooth pain, causing untreated oral pain. | SS= D |
Report Facts
Resident census: 97
Sampled residents: 31
Residents receiving Medicaid without annual oral screening: 70
Antibiotic dosage: 500
Antibiotic duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Interviewed regarding dental appointment scheduling and Medicaid dental care issues | |
| Business Office Manager | Interviewed regarding dental appointment scheduling and Medicaid dental care issues | |
| Administrator | Interviewed about expectations for dental care for residents | |
| Director of Nursing | Interviewed about dental care and resident pain management |
Inspection Report
Life Safety
Census: 99
Capacity: 100
Deficiencies: 8
Sep 13, 2024
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with fire safety and emergency preparedness requirements under 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety requirements, including blocked exit doors, unmarked fire alarm batteries, corroded sprinkler heads, sprinkler system supporting wires, missing cover plates, power strips on the floor, missing light fixture globes, and lack of thermostatic documentation for a space heater.
Severity Breakdown
E: 7
D: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Exit door (200 Hall) was blocked by chairs, obstructing means of egress. | E |
| Fire alarm batteries were not marked with manufactured month and date. | E |
| Sprinkler heads in the kitchen were corroded. | E |
| Sprinkler system was supporting wires, which is not compliant. | E |
| Missing cover plate on a switch in the Water Heater Room. | E |
| Power strips were found on the floor in Social Services and Therapy Nursing Offices. | E |
| Light fixture globes were missing in the Restorative Therapy Office. | E |
| Space heater in Dietary Manager's office lacked thermostatic documentation. | D |
Report Facts
Census: 99
Total Capacity: 100
Smoke Compartments affected: 1
Smoke Compartments affected: 2
Residents potentially affected: 45
Residents potentially affected: 99
Residents potentially affected: 50
Staff members potentially affected: 2
Staff members potentially affected: 10
Residents potentially affected: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple findings during facility tour on 9/13/2024 |
Inspection Report
Abbreviated Survey
Census: 94
Deficiencies: 0
Apr 24, 2024
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00242410.
Findings
No deficiencies were cited related to complaint GA00242410 during the survey.
Complaint Details
Complaint GA00242410 was investigated and found to have no deficiencies.
Inspection Report
Deficiencies: 1
Feb 12, 2024
Visit Reason
The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.
Findings
The facility did not report complete COVID-19 data to the NHSN between 02/05/2024 and 02/11/2024 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to all residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day required reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Follow-Up
Deficiencies: 0
Jan 22, 2024
Visit Reason
A health revisit survey was conducted to verify correction of previously cited deficiencies from a complaint survey conducted on December 4, 2023.
Findings
All previously cited deficiencies from the complaint survey were found to be corrected during this revisit survey.
Complaint Details
The revisit survey followed a complaint survey conducted on December 4, 2023, and confirmed correction of all deficiencies.
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 1
Dec 4, 2023
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00241480.
Findings
The complaint was substantiated with deficiencies. The facility failed to protect one resident from physical abuse by a staff member, resulting in injury and law enforcement involvement.
Complaint Details
Complaint GA00241480 was substantiated with deficiencies related to physical abuse of a resident by a housekeeper. The incident involved the housekeeper punching the resident, causing injury and requiring law enforcement notification.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to protect one resident from physical abuse by a staff member, resulting in the resident being punched in the left eye, falling, and hitting his head. | Level D |
Report Facts
Facility census: 68
Brief Interview for Mental Status score: 99
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper AA | Housekeeper | Named as the staff member who physically abused the resident |
| RN BB | Registered Nurse | Witnessed resident on floor and called 911 |
| LPN CC | Licensed Practical Nurse | Observed incident and instructed housekeeper to leave |
| Director of Nursing | Director of Nursing | Provided interview about the incident and facility response |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 19, 2023
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00236225.
Findings
The survey was completed with no deficiencies cited.
Complaint Details
Complaint number GA00236225 was investigated during the survey.
Inspection Report
Deficiencies: 1
Sep 18, 2023
Visit Reason
The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.
Findings
The facility did not report complete COVID-19 data to the NHSN between 09/11/2023 and 09/17/2023 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day required reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Plan of Correction
Deficiencies: 1
Aug 28, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.
Findings
The facility failed to report complete COVID-19 data to the CDC's NHSN between 08/21/2023 and 08/27/2023 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day required reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Plan of Correction
Deficiencies: 1
May 23, 2023
Visit Reason
The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a required seven-day reporting period.
Findings
The facility failed to report complete COVID-19 information to the CDC's NHSN between 05/15/2023 and 05/21/2023 as required by CMS and CDC regulations, potentially causing more than minimal harm to residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's NHSN during a seven-day required reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Deficiencies: 0
Dec 22, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Heart of Georgia Nursing Home following a survey completed on December 22, 2022.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Census: 96
Deficiencies: 0
Dec 22, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the October 30, 2022 Recertification Survey.
Findings
All deficiencies cited in the October 30, 2022 Recertification Survey were found to be corrected during this revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
Dec 21, 2022
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 survey tags have been corrected.
Inspection Report
Plan of Correction
Deficiencies: 1
Nov 7, 2022
Visit Reason
The facility was reviewed due to failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.
Findings
The facility did not report complete COVID-19 data to the NHSN between 10/31/2022 and 11/06/2022 as required by CMS and CDC regulations, potentially causing more than minimal harm to all residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's NHSN during a seven-day required reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Life Safety
Census: 96
Capacity: 100
Deficiencies: 4
Nov 3, 2022
Visit Reason
A 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 improperly marked and unlocked fire alarm circuit breakers, dust accumulation on sprinkler heads, unsealed penetrations in fire walls, and privacy curtains not rated to NFPA 701 standards.
Severity Breakdown
F: 3
D: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Fire alarm circuit breakers were not properly marked, painted red, highlighted, or locked out. | F |
| Sprinkler heads throughout the facility were loaded with dust build-up. | F |
| Penetrations in the fire walls on the 400 Hall were not correctly sealed. | D |
| Privacy curtains in resident sleeping areas were not properly rated to NFPA 701 requirements. | F |
Report Facts
Census: 96
Total Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour |
Inspection Report
Renewal
Deficiencies: 1
Oct 30, 2022
Visit Reason
A Licensure Survey was conducted from 10/28/22 through 10/30/22 to assess compliance with licensure requirements at Heart of Georgia Nursing Home.
Findings
The facility failed to enter a physician order for suprapubic catheter care for one resident (R#95) and did not document catheter care provided. Interviews confirmed catheter care was performed but lacked documentation and physician orders, violating nursing care standards.
Deficiencies (1)
| Description |
|---|
| Failure to enter an order in the record for resident R#95 requiring suprapubic catheter care and lack of documentation that catheter care was provided. |
Report Facts
Sample size: 40
French size: 20
Cubic centimeters: 10
BIMS score: 7
Admission date: Aug 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wound Nurse | Interviewed and confirmed no order or documentation for catheter care | |
| Director of Nursing (DON) | Confirmed no active orders for suprapubic catheter care and lack of documentation |
Inspection Report
Routine
Census: 96
Deficiencies: 3
Oct 30, 2022
Visit Reason
A standard survey was conducted at Heart of Georgia Nursing Home from 10/28/22 through 10/30/22 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to develop a person-centered care plan for pneumonia for one resident, lack of physician orders and documentation for suprapubic catheter care for another resident, and failure of staff to perform hand hygiene during a lunch dining service.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to develop a person-centered care plan for one resident (R#251) for pneumonia. | SS= D |
| Failed to enter an order in the record for one resident (R#95) requiring suprapubic catheter care and no documentation that catheter care was provided. | SS= D |
| Failed to ensure staff performed hand hygiene during one lunch dining service of two dining services observed. | SS= D |
Report Facts
Resident census: 96
Sample size: 40
Medication duration: 5
Catheter size: 20
Catheter bulb volume: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN BB | Registered Nurse | Observed failing to perform hand hygiene during lunch dining service |
| LPN AA | Licensed Practical Nurse | Interviewed regarding care plan and monitoring for pneumonia resident |
| Director of Nursing | Director of Nursing | Confirmed lack of active orders for suprapubic catheter care and documentation practices |
| Infection Control Preventionist | Infection Control Preventionist | Interviewed regarding expectations for care plans and hand hygiene |
| MDS Coordinator | MDS Coordinator | Acknowledged oversight in developing care plan for pneumonia resident |
| Wound Nurse | Wound Nurse | Interviewed regarding lack of catheter care orders and documentation |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 5, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00209293.
Findings
The complaint #GA00209293 was substantiated with no deficiencies cited.
Complaint Details
Complaint #GA00209293 was substantiated with no deficiencies cited.
Inspection Report
Routine
Census: 59
Deficiencies: 0
Oct 26, 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 and §483.80 infection control regulations and has implemented the recommended practices to prepare for COVID-19.
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 0
Oct 22, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00209148.
Findings
The complaint was found to be unsubstantiated during the investigation.
Complaint Details
Complaint number GA00209148 was investigated and found to be unsubstantiated.
Inspection Report
Routine
Census: 88
Deficiencies: 0
Jul 14, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's 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 related to infection control regulations for COVID-19.
Report Facts
Total census: 88
Inspection Report
Follow-Up
Deficiencies: 0
Jan 31, 2020
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 survey tags have been corrected during the follow-up survey.
Inspection Report
Re-Inspection
Census: 89
Deficiencies: 0
Jan 27, 2020
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the December 12, 2019 standard survey.
Findings
All deficiencies cited in the prior December 12, 2019 standard survey were found to be corrected during this revisit survey.
Inspection Report
Routine
Census: 91
Deficiencies: 4
Dec 12, 2019
Visit Reason
A standard survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations related to long term care facilities.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to provide written transfer notices to residents, failure to notify residents of bed hold policies, lack of physician's order for oxygen therapy for one resident, and multiple food safety violations including unlabeled/undated food items, expired food, unclean equipment, and improper staff hygiene.
Severity Breakdown
E: 2
D: 1
F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to provide resident/family with written explanation of reason for hospital transfer for two residents. | E |
| Failed to provide written notice of bed hold policy to residents upon transfer for two residents. | E |
| Failed to obtain physician's order for oxygen therapy for one resident receiving oxygen. | D |
| Failed to assure food safety: unlabeled/undated food items, expired food, unclean kitchen equipment, staff not fully covering hair, and dented/rusted cans. | F |
Report Facts
Residents transferred to hospital since 7/23/18: 85
Residents receiving oxygen: 21
Residents receiving oral diet: 88
Resident census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Reported transfer form given to emergency personnel but no written documentation provided to residents | |
| Business Office Manager (BOM) | Reported no written notification of bed hold policy provided to residents | |
| LPN BB | Licensed Practical Nurse | Admitting nurse for resident #69, unable to find physician's order for oxygen therapy |
| LPN Supervisor AA | Licensed Practical Nurse Supervisor | Reported nursing does not provide documentation to residents going to hospital; responsible for checking resident pantry refrigerator |
| Dietary Manager (DM) | Reported on food labeling, expired items, and kitchen hygiene issues | |
| Housekeeping Supervisor | Reported cleaning practices for ice/water machine and noted calcium buildup | |
| Maintenance Director | Reported ice/water machine is leased and serviced by outside company | |
| Tech DD | Ice machine technician | Reported cleaning and servicing of ice machine and noted calcium buildup |
Inspection Report
Routine
Census: 91
Deficiencies: 4
Dec 12, 2019
Visit Reason
The inspection was conducted to assess compliance with physical plant standards related to food storage, labeling, and kitchen cleanliness at Heart of Georgia Nursing Home.
Findings
The facility failed to ensure that food items were properly labeled, dated, and used before expiration in the kitchen, emergency food storage, and resident pantry. Additionally, kitchen equipment cleanliness and staff compliance with hairnet use were deficient, and the ice/water machine showed buildup despite daily cleaning.
Deficiencies (4)
| Description |
|---|
| Items in the kitchen, emergency food storage, and food pantry were unlabeled, undated, or expired, including sausage meat, scrambled eggs, sandwiches, cornbread, cheese, juices, and bread. |
| Kitchen equipment was not clean, including a can opener with black buildup and dented, rusted cans in emergency food storage. |
| Staff serving on the tray line did not have hair fully covered by hairnets. |
| Ice/water machine in the resident pantry had white and pinkish brown buildup, including calcium deposits, despite daily cleaning. |
Report Facts
Residents affected: 88
Residents present: 91
Expired items: 9
Expired can weight: 5.44
Expiration dates: 201904
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Reported on labeling practices, bread usage, and apple juice storage |
| LPN Supervisor AA | Licensed Practical Nurse Supervisor | Reported on night shift nurses' responsibilities for cleaning and checking expired items in resident pantry |
| Housekeeping Supervisor | Housekeeping Supervisor | Reported on cleaning practices and observations of buildup on ice/water machine |
| Maintenance Director | Maintenance Director | Reported on ice/water machine leasing and maintenance procedures |
| Tech DD | Ice Machine Technician | Contracted to clean and service ice machine every six months; reported calcium buildup |
Inspection Report
Life Safety
Census: 91
Capacity: 100
Deficiencies: 1
Dec 9, 2019
Visit Reason
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.
Findings
The facility was found not in substantial compliance due to failure to protect cooking equipment in accordance with NFPA 96. Specifically, the UL 300 suppression system nozzles were not properly positioned over the stove, which could place kitchen staff at risk in the event of a fire.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Cooking equipment was not protected in accordance with NFPA 96; UL 300 suppression system nozzles were improperly positioned over the stove. | SS= D |
Report Facts
Census: 91
Total Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed finding regarding UL 300 suppression system nozzles positioning |
Inspection Report
Re-Inspection
Census: 97
Deficiencies: 0
Oct 3, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in a prior Complaint Survey dated 2019-08-01.
Findings
All deficiencies cited as a result of the Complaint Survey were found to be corrected during this revisit survey.
Complaint Details
This revisit survey was conducted following a Complaint Survey dated 2019-08-01. All prior deficiencies were corrected.
Report Facts
Census: 97
Inspection Report
Follow-Up
Deficiencies: 0
Sep 11, 2018
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags have been corrected.
Inspection Report
Routine
Census: 95
Deficiencies: 0
Jul 26, 2018
Visit Reason
A standard survey was conducted at Heart of Georgia Nursing Home from July 23, 2018 through July 26, 2018 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed the facility was in substantial compliance with the Health Portion of the Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long-Term Care Facilities.
Inspection Report
Life Safety
Census: 94
Capacity: 100
Deficiencies: 5
Jul 24, 2018
Visit Reason
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) 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety code requirements, including issues with egress doors having improper locking devices, exit discharge surfaces not maintained, sprinkler system maintenance deficiencies, smoke/fire barrier penetrations not properly sealed, and electrical system hazards such as unapproved adapters and daisy-chained power strips.
Severity Breakdown
D: 4
F: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Egress doors equipped with multiple locking devices not permitted by code. | D |
| Exit discharge at the end of the 300 Hall not maintained as a hard packed all-weather travel surface. | D |
| Sprinkler piping supporting external loads in multiple areas and sprinkler riser missing hydraulic data plate. | F |
| Penetrations in smoke/fire barriers not properly sealed with a listed fire stop system in multiple locations. | D |
| Electrical system hazards including unapproved cube adapters, strip adapters not mounted off floor, and daisy chained power strips. | D |
Report Facts
Census: 94
Total Capacity: 100
Residents at risk due to exit discharge issue: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Re-Inspection
Deficiencies: 0
Jul 3, 2018
Visit Reason
A Revisit Survey was conducted to verify correction of deficiencies cited during the Complaint survey on 2018-05-25.
Findings
All 11 deficiencies cited as a result of the Complaint survey on 2018-05-25 were found to be corrected during the Revisit Survey.
Complaint Details
The Revisit Survey was conducted following a Complaint survey on 2018-05-25. The deficiencies cited in the Complaint survey were corrected.
Report Facts
Deficiencies cited: 11
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 5, 2017
Visit Reason
An unannounced complaint investigation was conducted based on complaint GA00181362.
Findings
No deficient practice was cited as a result of the complaint investigation.
Complaint Details
The complaint was anonymous and the complainant was not contacted. The ombudsman was contacted and a voice message was left.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 26, 2017
Visit Reason
The inspection was conducted as a Complaint Survey to investigate complaint #GA00180003 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey conducted from 9/25/17 through 9/26/17.
Complaint Details
Complaint investigation #GA00180003 was conducted and found no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Sep 25, 2017
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey deficiencies had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags had been corrected.
Inspection Report
Routine
Census: 82
Deficiencies: 0
Jul 27, 2017
Visit Reason
A standard survey was conducted at Heart of Georgia Nursing Home from July 24, 2017 through July 27, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B, with no deficiencies identified during the standard survey.
Inspection Report
Life Safety
Census: 82
Capacity: 100
Deficiencies: 5
Jul 25, 2017
Visit Reason
The visit was a Life Safety Code Survey to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with fire safety requirements, including failure to properly separate hazardous areas with smoke-resisting partitions, inadequate maintenance and testing of sprinkler systems, smoke barrier doors not meeting fire resistance ratings, evacuation and relocation plan not readily available to staff, and incomplete smoking regulations.
Severity Breakdown
E: 1
F: 1
D: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to separate hazardous areas from other areas with smoke-resisting partitions, including ceiling penetrations in electrical closets and IT room. | E |
| Facility failed to have an inspection, testing, and maintenance program in accordance with NFPA 25 for wet and dry fire sprinkler systems, including missing inspections and tests. | F |
| Smoke barrier doors did not provide at least a 20 minute fire resistance rating; distance between double doors exceeded allowed gap. | D |
| Evacuation and relocation plan was not readily available to staff at accessible locations such as nurse's station. | D |
| Smoking policy failed to include provision for metal containers with self-closing covers for ashtrays in smoking areas. | D |
Report Facts
Census: 82
Total Capacity: 100
Date of last sprinkler inspection: May 1, 2015
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Interviewed and confirmed findings during facility tour and record review | |
| Staff A | Interviewed and confirmed findings during facility tour and record review |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 29, 2017
Visit Reason
A complaint survey was conducted to investigate Complaint # GA00175123.
Findings
The survey revealed the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities.
Complaint Details
Complaint # GA00175123 was investigated and found the facility in substantial compliance.
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