Inspection Reports for Heritage Inn of Barnesville Health and Rehab
946 VETERANS PARKWAY, GA, 30204
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Deficiencies: 0
Jul 9, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Heritage Inn of Barnesville Health and Rehab, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not provide specific findings or deficiencies in the extracted text or image.
Inspection Report
Re-Inspection
Census: 108
Deficiencies: 0
Jul 9, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the April 10, 2025, standard survey.
Findings
All deficiencies cited in the prior April 10, 2025, standard survey were found to be corrected during the revisit survey.
Inspection Report
Annual Inspection
Deficiencies: 1
Apr 10, 2025
Visit Reason
A State Licensure survey was conducted at Heritage Inn of Barnesville Health and Rehab from April 8, 2025, through April 10, 2025, to assess compliance with state health regulations.
Findings
The facility failed to ensure the kitchen workplace and equipment were clean and sanitized, with buildup of dark substances and fuzzy particles observed on multiple kitchen surfaces and equipment, potentially placing residents at risk of foodborne illness.
Deficiencies (1)
| Description |
|---|
| The kitchen workplace and equipment were not properly cleaned and sanitized, with buildup of dark substances and fuzzy particles on the prepping table, food scale, food warmer, steam table, power switch above the stove, and oven interior. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Confirmed the findings during observation and interview on 4/9/2025 at 9:40 am, stating the white substance inside the oven was a cleaner and that dietary staff cleaned the kitchen on a rotating basis. |
Inspection Report
Complaint Investigation
Census: 108
Deficiencies: 2
Apr 10, 2025
Visit Reason
A standard survey was conducted from April 8 through April 10, 2025, including investigation of multiple complaint intake numbers. The visit was to assess compliance with Medicare/Medicaid regulations and investigate specific complaints.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including a medication error rate exceeding five percent and unsanitary kitchen conditions posing risk of foodborne illness.
Complaint Details
Multiple complaint intake numbers were investigated. Six complaints were unsubstantiated, two were substantiated with no deficiencies, and one was substantiated with deficiency related to medication errors.
Severity Breakdown
Level D: 1
Level F: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure medication error rate was less than five percent, with two errors in 26 opportunities for two residents. | Level D |
| Failed to ensure kitchen workplace and equipment were clean and sanitized, with buildup of dark substances and fuzzy particles on multiple surfaces and equipment. | Level F |
Report Facts
Medication error rate: 7.69
Census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| AA | Certified Medication Assistant | Named in medication error finding for not administering medications due to unavailability |
| BB | Licensed Practical Nurse | Described medication reorder process and confirmed medication error definition |
| Director of Nursing | Director of Nursing | Stated expectations for medication reorder and monitoring |
| Dietary Manager | Dietary Manager | Confirmed unsanitary kitchen findings during observation |
Inspection Report
Life Safety
Census: 106
Capacity: 117
Deficiencies: 0
Apr 8, 2025
Visit Reason
The visit was conducted to review the Emergency Preparedness Program and to perform a Life Safety Code Survey at Heritage Inn of Barnesville Health and Rehab.
Findings
The Emergency Preparedness Program was found to be in substantial compliance with 42 CFR § 483.73. The facility was also found in substantial compliance with the Life Safety Code requirements under 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition.
Report Facts
Census: 106
Certified beds: 117
Inspection Report
Deficiencies: 0
Mar 27, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction for Heritage Inn of Barnesville Health and Rehab, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Census: 96
Deficiencies: 0
Mar 27, 2024
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the February 15, 2024 complaint survey.
Findings
All deficiencies cited as a result of the February 15, 2024 complaint survey were found to be corrected.
Complaint Details
The visit was a follow-up to a complaint survey conducted on February 15, 2024; all cited deficiencies were corrected.
Inspection Report
Routine
Deficiencies: 2
Feb 15, 2024
Visit Reason
The inspection was conducted as a State Licensure survey from January 31, 2024 through February 15, 2024, to determine compliance with the State Long Term Care Requirements.
Findings
The facility was found deficient in notifying physicians and families of significant changes in residents' conditions for three residents who refused dialysis or sustained falls. Additionally, the facility failed to maintain accurate medical records for six of eleven residents reviewed, with inconsistencies in discharge dates and documentation.
Deficiencies (2)
| Description |
|---|
| Failure to notify physician and family of change in condition for three residents (R1, R3, and R9), including refusal of dialysis and falls. |
| Failure to maintain accurate medical records on six out of eleven resident records reviewed, including inconsistent discharge dates and lack of documentation of return to facility. |
Report Facts
Residents reviewed for notification of change in condition: 11
Residents with notification failure: 3
Residents with inaccurate medical records: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| EE | Unit Manager | Interviewed regarding expectations for documenting and notifying refusals of dialysis |
| BB | Interim Director of Nursing | Confirmed lack of documentation for physician/family notification of refusals and falls |
| FF | Nurse Practitioner | Stated she was not notified of refusals of dialysis and described expected clinical orders |
| DOR | Director of Rehabilitation | Interviewed regarding therapy service dates and documentation inconsistencies |
| Administrator | Confirmed inconsistencies in resident records and stated plans to address accuracy in QAPI |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 5
Feb 15, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints alleging deficiencies at the facility, including failure to notify changes in condition, abuse and neglect, and inaccurate assessments.
Findings
The survey substantiated multiple deficiencies including failure to notify physicians and families of changes in condition for residents refusing dialysis or sustaining falls, failure to protect residents from verbal abuse and neglect, failure to complete timely significant change assessments, inaccurate fall reporting on MDS assessments, and failure to maintain accurate medical records.
Complaint Details
The investigation was initiated based on complaint numbers GA00232991, GA00233251, GA00233645, GA00234888, GA00241410, GA00242421, and GA00243182. Six complaints were substantiated with deficiencies cited, and one complaint was substantiated with no deficiencies.
Severity Breakdown
Level D: 3
Level B: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to notify physician and family of change in condition for residents refusing dialysis or sustaining falls. | Level D |
| Failure to protect residents from verbal abuse and neglect by staff, including calling a resident lazy and refusing assistance leading to a fall. | Level D |
| Failure to complete a significant change Minimum Data Set (MDS) assessment within 14 days of discharge from hospice services for one resident. | Level B |
| Failure to accurately reflect fall status on MDS assessments for two residents. | Level B |
| Failure to maintain accurate medical records, including inconsistent discharge dates and therapy documentation for multiple residents. | Level D |
Report Facts
Complaints investigated: 7
Residents reviewed for notification of change in condition: 11
Residents reviewed for abuse and neglect: 11
Residents reviewed for falls: 7
Residents reviewed for medical record accuracy: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| EE | Unit Manager | Stated expectations for staff to notify NP, family, and dialysis clinic when resident refused dialysis |
| BB | Interim Director of Nursing | Confirmed lack of documentation of physician/family notification for resident refusing dialysis and primary contact notification for resident fall |
| FF | Nurse Practitioner | Stated she was not notified of resident refusing dialysis and would have given orders if notified |
| GG | Licensed Practical Nurse | Involved in incident where resident was called lazy by CNA during dressing assistance |
| HH | Certified Nursing Assistant | Called resident lazy and refused assistance leading to verbal abuse allegation |
| DD | MDS Coordinator | Confirmed failure to complete significant change MDS and inaccurate fall reporting on MDS |
| DOR | Director of Rehabilitation | Reviewed therapy services and discharge dates, unaware of beneficiary representative signing notice |
| Administrator | Facility Administrator | Responded to abuse complaint, acknowledged inconsistencies in medical records and MDS data, and planned QAPI action |
Inspection Report
Re-Inspection
Census: 81
Deficiencies: 0
Apr 19, 2023
Visit Reason
A revisit survey was conducted at Heritage Inn Barnesville from April 18, 2023, through April 19, 2023, to verify correction of deficiencies cited in the February 23, 2023, Recertification survey conducted in conjunction with a Complaint Investigation.
Findings
All deficiencies cited in the prior February 23, 2023 survey were found to be corrected during this revisit survey.
Complaint Details
The revisit survey was conducted following a Complaint Investigation associated with the February 23, 2023 Recertification survey.
Report Facts
Census: 81
Inspection Report
Deficiencies: 0
Apr 19, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Heritage Inn of Barnesville Health and Rehab following a survey completed on April 19, 2023.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Routine
Deficiencies: 2
Feb 23, 2023
Visit Reason
A State Licensure survey was conducted at Heritage Inn of Barnesville Health and Rehab from February 20, 2023 through February 23, 2023 to assess compliance with state health regulations.
Findings
The survey revealed deficiencies including failure to notify a physician about a resident's uncontrolled pain, failure to provide adequate pain management, and failure to properly investigate and report an allegation of abuse involving a resident. The facility did not follow its policies regarding pain assessment and abuse investigation.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to notify the physician of a resident's uncontrolled pain and failed to provide adequate pain management for resident #283. | SS= D |
| Facility failed to report and thoroughly investigate an allegation of abuse for resident #24 and failed to protect the resident during the investigation. | SS= D |
Report Facts
Survey dates: 4
Brief Interview for Mental Status (BIMS) score: 5
Brief Interview for Mental Status (BIMS) score: 15
Medication administration frequency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #7 | Certified Nursing Assistant | Observed providing care to resident #283 and reported resident's pain |
| CNA #3 | Certified Nursing Assistant | Observed providing care to resident #283 and reported resident's pain |
| LPN #8 | Licensed Practical Nurse, Charge Nurse | Responsible for pain assessment and medication administration for resident #283 |
| RCC | Resident Care Coordinator | Involved in communication about resident #283's pain management |
| NP | Nurse Practitioner | Assessed resident #283 and provided medical oversight |
| DON | Director of Nursing | Oversaw nursing care and pain management policies |
| WCC | Wound Care Coordinator | Provided wound care and pain management for resident #283 |
| ADON | Assistant Director of Nursing | Received abuse allegation report regarding resident #24 |
| Administrator | Facility Administrator | Informed of abuse allegation and responsible for reporting |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 6
Feb 23, 2023
Visit Reason
A standard survey was conducted from February 20 through February 23, 2023, including investigation of Complaint Intake Number GA00222240, which was found to be unsubstantiated. The survey assessed compliance with Medicare/Medicaid regulations and investigated allegations of abuse and pain management concerns.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to notify the physician of a resident's uncontrolled pain, failure to provide a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN), failure to implement abuse policies including reporting and investigation of abuse allegations, and failure to provide adequate pain management for a resident.
Complaint Details
Complaint Intake Number GA00222240 was investigated and found to be unsubstantiated. However, the investigation revealed multiple deficiencies related to pain management and abuse allegations involving Resident #24 and Resident #283.
Severity Breakdown
SS= D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to notify the physician of a resident's uncontrolled pain for Resident #283, resulting in potential delay or prevention of treatment. | SS= D |
| Failure to provide a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) for Resident #24 upon discharge from Medicare Part A services. | SS= D |
| Failure to implement abuse policy related to reporting, investigating, and protecting Resident #24 during an abuse allegation investigation. | SS= D |
| Failure to report an allegation of abuse to the Administrator and appropriate agencies for Resident #24. | SS= D |
| Failure to thoroughly investigate an allegation of abuse and protect Resident #24 during the investigation. | SS= D |
| Failure to ensure pain management was provided for Resident #283, including failure to assess pain every eight hours or prior to treatments and failure to notify physician when pain reliever was ineffective. | SS= D |
Report Facts
Resident census: 77
BIMS score: 5
BIMS score: 15
Medication administration frequency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #7 | Certified Nursing Assistant | Observed providing care to Resident #283 and interviewed regarding pain management |
| CNA #3 | Certified Nursing Assistant | Interviewed regarding pain management process for Resident #283 |
| LPN #8 | Licensed Practical Nurse, Charge Nurse | Interviewed regarding pain management and physician notification for Resident #283 |
| Resident Care Coordinator (RCC) | Interviewed regarding pain management and resident preferences for Resident #283 | |
| Wound Care Coordinator (WCC) | Interviewed regarding pain management procedures for Resident #283 | |
| Director of Nursing (DON) | Interviewed regarding pain management expectations and abuse policy implementation | |
| Assistant Director of Nursing (ADON) | Reported abuse allegation from Resident #24 and described investigation | |
| Administrator | Interviewed regarding abuse allegations, reporting, and pain management policies | |
| Nurse Practitioner (NP) | Interviewed regarding assessment and management of Resident #283's pain | |
| Social Services Director (SSD) | Interviewed regarding notification requirements for Medicare Part A discharge |
Inspection Report
Life Safety
Census: 75
Capacity: 117
Deficiencies: 0
Feb 21, 2023
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found in substantial compliance with the Emergency Preparedness Program requirements under 42 CFR 483.73 and Life Safety Code requirements under 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition.
Report Facts
Certified Beds: 117
Census: 75
Inspection Report
Deficiencies: 0
Nov 8, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for Heritage Inn of Barnesville Health and Rehab following a survey completed on 11/08/2021.
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: 82
Deficiencies: 0
Nov 8, 2021
Visit Reason
A revisit survey was conducted in conjunction with a complaint investigation (Complaint GA# 00217693) to verify correction of previously cited deficiencies.
Findings
All deficiencies cited in the prior complaint survey on September 3, 2021 were found to be corrected. The complaint was substantiated but no deficiencies were cited during this revisit.
Complaint Details
Complaint GA# 00217693 was investigated and found to be substantiated with no deficiencies cited during the revisit survey.
Report Facts
Resident Census: 82
Inspection Report
Re-Inspection
Census: 82
Deficiencies: 0
Nov 8, 2021
Visit Reason
A revisit survey was conducted on November 8, 2021, in conjunction with the investigation of Complaint GA#00217693.
Findings
All deficiencies cited as a result of the survey on September 3, 2021 were found to be corrected.
Complaint Details
Complaint GA#00217693 was investigated in conjunction with the revisit survey.
Inspection Report
Renewal
Deficiencies: 1
Sep 3, 2021
Visit Reason
A Licensure Survey was conducted from 8/31/21 through 9/3/21 to assess compliance with licensure requirements.
Findings
The facility failed to ensure catheter care was performed properly to prevent cross-contamination by not changing gloves when moving from dirty to clean areas during care for one resident with a history of urinary tract infections.
Deficiencies (1)
| Description |
|---|
| Failure to change gloves when going from dirty to clean during catheter care for resident #44, risking cross-contamination. |
Report Facts
Sample size: 32
Resident ID: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA AA | Certified Nursing Assistant | Observed performing catheter care without changing gloves appropriately |
| CNA BB | Certified Nursing Assistant | Assisted during catheter care observation |
| Director of Nursing | Director of Nursing | Interviewed regarding glove changing policies and expectations |
| LPN CC | Licensed Practical Nurse/Education Coordinator | Interviewed about in-service training on catheter and peri-care |
| LPN DD | Licensed Practical Nurse/Wound Nurse | Conducted in-service training and interviewed about catheter care education |
Inspection Report
Routine
Census: 78
Deficiencies: 1
Sep 3, 2021
Visit Reason
A standard survey was conducted at Heritage Inn of Barnesville from 8/31/21 through 9/3/21 by Ascellon Corporation on behalf of the Georgia Department of Community Health to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations related to catheter care and prevention of urinary tract infections. Specifically, staff failed to change gloves appropriately during catheter care, risking cross-contamination for a resident with a history of UTIs.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure catheter care was performed to prevent cross-contamination by changing gloves when moving from dirty to clean areas during care of a resident with a history of urinary tract infections. | SS= D |
Report Facts
Resident census: 78
Sample size: 32
Date of culture: Feb 27, 2021
Date of culture: May 2, 2021
Date of in-service: Aug 19, 2021
Date of in-service: Aug 26, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA AA | Certified Nursing Assistant | Observed performing catheter care without changing gloves appropriately |
| CNA BB | Certified Nursing Assistant | Assisted during catheter care observation |
| Director of Nursing | Director of Nursing | Interviewed regarding glove changing policies and in-service trainings |
| LPN Education Coordinator CC | Licensed Practical Nurse / Education Coordinator | Interviewed about in-service trainings and expectations for catheter care |
| LPN Wound Nurse DD | Licensed Practical Nurse / Wound Nurse | Conducted in-service on catheter care and peri-care; interviewed about training content |
Inspection Report
Life Safety
Census: 78
Capacity: 117
Deficiencies: 0
Aug 31, 2021
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code standards.
Findings
The facility was found to be in compliance with the Emergency Preparedness Program requirements and the Life Safety Code standards as per 42 CFR Subpart 483.90(a) and NFPA 101 2012 edition.
Report Facts
Certified beds: 117
Census: 78
Inspection Report
Routine
Census: 76
Deficiencies: 0
Feb 4, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with relevant CMS and CDC regulations 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 related to emergency preparedness and infection control regulations, implementing CMS and CDC recommended practices for COVID-19.
Inspection Report
Routine
Census: 70
Deficiencies: 0
Dec 29, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were 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, implementing CMS and CDC recommended practices for COVID-19.
Report Facts
Total census: 70
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 26, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00209083.
Findings
The complaint was unsubstantiated and no regulatory violations were cited.
Complaint Details
Complaint GA00209083 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 19, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate Complaint Intake Numbers GA00206489 and GA00205765.
Findings
The complaints investigated during the survey were found to be unsubstantiated.
Complaint Details
The complaints related to Complaint Intake Numbers GA00206489 and GA00205765 were investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Aug 19, 2020
Visit Reason
A revisit survey was conducted on 8/19/2020 to investigate Complaint Intake Numbers GA00206489 and GA00205765 in conjunction with this revisit survey.
Findings
All deficiencies cited as a result of the 7/2/2020 COVID-19 Focused Infection Control Survey were found to be corrected. The complaint investigation found both complaints to be unsubstantiated.
Complaint Details
Complaint Intake Numbers GA00206489 and GA00205765 were investigated and found to be unsubstantiated.
Report Facts
Complaint Intake Number: GA00206489 and GA00205765 investigated during revisit survey
Inspection Report
Routine
Census: 62
Deficiencies: 0
Jul 30, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess the facility's compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with the relevant regulations, and no deficiencies were cited during this survey.
Inspection Report
Abbreviated Survey
Census: 70
Deficiencies: 3
Jul 2, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted due to concerns about infection prevention and control related to COVID-19 in the facility's memory care unit.
Findings
The facility failed to consistently implement infection control measures to prevent the spread of COVID-19 among residents in the memory care unit. Staff did not always wear gowns as required, residents who tested positive for COVID-19 wandered without masks and mingled with COVID-negative residents, and dedicated staff for COVID-positive residents were not provided. These lapses put residents at risk for contracting COVID-19.
Deficiencies (3)
| Description |
|---|
| Staff did not don all required personal protective equipment (PPE), specifically gowns, when entering residents' rooms as per policy and CDC recommendations. |
| COVID-positive residents wandered throughout the memory care unit without consistent mask use and interacted closely with other residents without adequate staff redirection. |
| The facility did not provide dedicated staff to care exclusively for COVID-positive residents; staff cared for both COVID-positive and COVID-negative residents together. |
Report Facts
Total census: 70
COVID unit residents: 19
COVID positive residents sampled: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN AA | Licensed Practical Nurse | Observed not wearing gown when entering COVID-positive resident rooms; stated staff treated all residents as if COVID positive |
| CNA AA | Certified Nurse Assistant | Observed not wearing gown when entering COVID-positive resident rooms; stated gowns only worn for direct contact care |
| CNA BB | Certified Nurse Assistant | Stated staff treated all residents as if COVID positive; residents removed masks and mingled despite redirection |
| CNA CC | Certified Nurse Assistant | Observed not wearing gown when entering COVID-positive resident rooms; stated gowns only worn for personal care |
| DON | Director of Nursing | Acting as Infection Control Nurse; stated facility following CDC guidance; noted prior infection control nurse was terminated for poor performance |
| Administrator | Provided information about COVID unit designation and infection control practices |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 7, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00193152.
Findings
The complaint was investigated and found to be unsubstantiated.
Complaint Details
Complaint number GA00193152 was investigated and determined to be unsubstantiated.
Inspection Report
Annual Inspection
Census: 104
Deficiencies: 0
Sep 27, 2018
Visit Reason
A standard survey was conducted from September 24, 2018 through September 27, 2018, including investigation of Complaint Intake Number GA00189677.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B. The complaint was unsubstantiated.
Complaint Details
Complaint Intake Number GA00189677 was investigated and found to be unsubstantiated.
Inspection Report
Life Safety
Census: 105
Capacity: 115
Deficiencies: 0
Sep 25, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found in substantial compliance with the Emergency Preparedness plan requirements and Life Safety Code standards.
Report Facts
Census: 105
Certified beds: 115
Inspection Report
Follow-Up
Deficiencies: 0
Dec 13, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey deficiencies had been corrected.
Findings
The surveyor noted that all previously cited survey tags have been corrected.
Inspection Report
Routine
Census: 108
Deficiencies: 0
Oct 26, 2017
Visit Reason
A standard survey was conducted at Heritage Inn of Barnesville Health and Rehab from October 23, 2017 to October 26, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B, with some deficiencies noted related to the standard survey.
Inspection Report
Life Safety
Census: 108
Capacity: 117
Deficiencies: 2
Oct 24, 2017
Visit Reason
The Life Safety Code Survey was conducted to assess the facility's 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 have an approved automatic sprinkler system throughout, specifically missing a sprinkler head in the emergency food supply storage closet, and failure to maintain smoke barrier walls with proper fire resistance rating due to unsealed and improperly sealed penetrations.
Severity Breakdown
D: 1
F: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Emergency food supply storage closet did not have an automatic sprinkler head installed. | D |
| Smoke barriers within the building were not properly maintained with unsealed penetrations, use of sheetrock compound instead of fire caulk, and unsealed at the roof deck. | F |
Report Facts
Census: 108
Total Capacity: 117
Number of smoke barriers: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff R | Confirmed findings during facility tour and interview |
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 2, 2017
Visit Reason
An abbreviated survey was conducted to investigate a complaint (#GA 00174409) and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the abbreviated survey conducted on 5/2/17 at Heritage Inn of Barnesville Health and Rehab.
Complaint Details
Complaint #GA 00174409 was investigated and no deficiencies were found.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 10, 2017
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate GA complaint numbers 169089, 164694, and 165663.
Findings
Complaint 169089 was partially substantiated. The facility was found to be in compliance with Federal and State Long Term Care regulations, and no deficiencies were cited.
Complaint Details
Complaint 169089 was partially substantiated.
Report Facts
Complaint numbers investigated: 3
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