Inspection Reports for Heritage Inn of Sandersville Health and Rehab
652 FERNCREST DRIVE, SANDERSVILLE, GA, 31082
Back to Facility ProfileInspection Report Summary
The most recent inspections conducted from March 28 through March 30, 2025, found no deficiencies in state health, Medicare/Medicaid compliance, or Life Safety Code requirements. Earlier inspections showed a pattern of Life Safety Code deficiencies related primarily to fire safety issues such as missing door closers, sprinkler system maintenance, and unsecured electrical components, with these concerns appearing intermittently over several years. Complaint investigations were generally unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior follow-up surveys confirmed correction of previously cited deficiencies. The overall trend indicates improvement, with the facility addressing earlier Life Safety Code issues and maintaining compliance in recent inspections.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
55 residents
Based on a March 2025 inspection.
Census over time
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 30, 2025
Visit Reason
State Licensure survey conducted to determine compliance with the State Long Term Care Requirements.
Findings
No State Health deficiencies were cited during the survey conducted from March 28 through March 30, 2025.
Inspection Report
Routine
Census: 55
Deficiencies: 0
Date: Mar 30, 2025
Visit Reason
A standard survey was conducted at Heritage Inn of Sandersville from March 28, 2025, through March 30, 2025.
Findings
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.
Inspection Report
Life Safety
Census: 55
Capacity: 60
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
The 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 Life Safety Code requirements and the Emergency Preparedness Program was also in substantial compliance with 42 CFR § 483.73.
Report Facts
Certified beds: 60
Census: 55
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 14, 2024
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey deficiencies.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Renewal
Deficiencies: 0
Date: Jan 11, 2024
Visit Reason
The inspection was conducted as a State Licensure survey to determine compliance with the State Long Term Care Requirements.
Findings
No State Health deficiencies were cited during the survey conducted from January 9, 2024, through January 11, 2024.
Inspection Report
Routine
Census: 59
Deficiencies: 0
Date: Jan 11, 2024
Visit Reason
A standard survey was conducted at Heritage Inn of Sandersville Health and Rehabilitation from January 9, 2024, through January 11, 2024, to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found to be in substantial compliance with the health portion of the Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 59
Capacity: 60
Deficiencies: 7
Date: Jan 10, 2024
Visit Reason
The inspection 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 NFPA 101 Life Safety Code 2012 edition, with multiple deficiencies noted affecting 1 to 2 of 3 smoke compartments. Deficiencies included missing door closers on hazardous area doors, improper sprinkler system maintenance, unsealed firewall attic access, open electrical junction boxes, use of prohibited portable space heaters, and improper use of power strips and multi-plug adapters.
Deficiencies (7)
Therapy storage closet was missing a door closer.
Wires tied to sprinkler piping hangers on the dining room side of the firewall.
Room 206 attic access firewall was not properly sealed on both sides.
Two open electrical junction boxes on the kitchen side of the firewall.
Hall 300 panel box had open spaces.
Kitchen office had a portable space heater with no thermostatic documentation.
Multi plug adapter used in a receptacle next to drink machines in Hall 100.
Report Facts
Census: 59
Total Capacity: 60
Smoke Compartments Affected: 1
Smoke Compartments Affected: 1
Smoke Compartments Affected: 2
Smoke Compartments Affected: 1
Smoke Compartments Affected: 1
Smoke Compartments Affected: 1
Smoke Compartments Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple findings during the facility tour on January 10, 2024 |
Inspection Report
Life Safety
Census: 58
Capacity: 60
Deficiencies: 0
Date: Jun 30, 2022
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 to be in substantial compliance with the Emergency Preparedness Program requirements and Life Safety Code standards.
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 26, 2022
Visit Reason
The inspection was conducted as a Licensure Survey from June 24, 2022 through June 26, 2022 to assess compliance for facility licensure renewal.
Findings
No deficiencies were identified during the Licensure Survey conducted from June 24 through June 26, 2022.
Inspection Report
Routine
Census: 58
Deficiencies: 0
Date: Jun 26, 2022
Visit Reason
A standard survey was conducted from 6/24/22 through 6/26/22, including an investigation of Complaint Intake Number GA00214987 in conjunction with the standard survey.
Complaint Details
Complaint Intake Number GA00214987 was investigated in conjunction with this standard survey.
Findings
The standard survey revealed that 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.
Inspection Report
Routine
Census: 43
Deficiencies: 0
Date: Nov 10, 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 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 52
Deficiencies: 0
Date: Oct 14, 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 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations for COVID-19.
Inspection Report
Routine
Census: 57
Deficiencies: 0
Date: Jul 16, 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.
Findings
The facility was found to be in compliance with 42 CFR 483.73 and 42 CFR 483.80 infection control regulations and has implemented recommended practices to prepare for COVID-19.
Report Facts
Total census: 57
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 30, 2019
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted during the Follow-Up Survey.
Inspection Report
Life Safety
Census: 57
Capacity: 60
Deficiencies: 1
Date: Nov 12, 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 maintain emergency lighting, with two emergency lights not working when manually tested, potentially placing residents and staff at risk during emergencies.
Deficiencies (1)
Failed to maintain emergency lighting; emergency light #6 in med room and emergency light #8 in 300 hall did not work when manually manipulated.
Report Facts
Census: 57
Total Capacity: 60
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jul 31, 2018
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
All previously cited survey tags were noted to have been corrected during the follow-up survey.
Inspection Report
Life Safety
Census: 60
Capacity: 60
Deficiencies: 5
Date: Jul 2, 2018
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety requirements, including blocked exit egress, missing door closers, improperly maintained sprinkler system components, blocked fire extinguishers, and resident room doors that would not close and latch securely.
Deficiencies (5)
Exit door was blocked by carts impeding egress.
Kitchen food storage door was missing a door closer.
Fire sprinkler system not properly maintained: wires and antenna attached to sprinkler pipe, loaded sprinkler head in activity room, and sprinkler head blocked by decorations.
Kitchen fire extinguisher (type K) was blocked from view by stacks of boxes.
Resident room door 302 would not close and latch securely.
Report Facts
Census: 60
Total Capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Routine
Census: 60
Deficiencies: 0
Date: Jun 28, 2018
Visit Reason
A standard survey was conducted at Heritage Inn of Sandersville from June 25, 2018 through June 28, 2018 to assess compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B.
Findings
The standard survey revealed that the facility was in compliance with Health only, Medicare/Medicaid regulations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Oct 31, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00181353.
Complaint Details
Complaint GA00181353 was investigated and found to be unsubstantiated.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 7, 2017
Visit Reason
A follow-up to the Recertification survey of 7/13/17 was conducted to verify correction of previously cited deficiencies.
Findings
The follow-up survey revealed that all previously cited deficiencies had been corrected and the facility was in substantial compliance as of 8/25/17.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Aug 28, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
Inspection Report
Life Safety
Census: 57
Capacity: 60
Deficiencies: 3
Date: Jul 11, 2017
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) Life Safety Code standards.
Findings
The facility was found not in substantial compliance with fire safety requirements, including improper maintenance of the fire sprinkler system, failure to maintain smoke barrier walls with required fire resistance, and unsecured electrical junction boxes. These deficiencies posed risks to residents in the event of fire.
Deficiencies (3)
Fire sprinkler system had wiring and sheetrock on sprinkler piping and two corroded sprinkler heads in the laundry dryer vent room.
Smoke barriers had unsealed penetrations, improperly sealed penetrations using sheetrock compound instead of fire caulk, and the top of the rated wall joint was not sealed to the deck above.
Electrical junction box on the 200 Hall smoke barrier was left open without the appropriate cover installed.
Report Facts
Residents at risk due to sprinkler system deficiency: 57
Residents at risk due to smoke barrier deficiency: 57
Residents at risk due to electrical junction box deficiency: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Confirmed findings during facility tour and staff interview |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 11, 2017
Visit Reason
The inspection was conducted to investigate complaint #GA00174870 and determine compliance with Federal and State Long Term Care regulations.
Complaint Details
Complaint #GA00174870 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint survey.
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