Inspection Reports for Jonesboro Nursing and Rehabilitation Center
2650 HIGHWAY 138 SE, GA, 30236
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Deficiencies: 0
May 15, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Jonesboro Nursing and Rehabilitation Center following a survey completed on May 15, 2025.
Findings
The report contains initial comments but does not specify any detailed deficiencies or findings.
Inspection Report
Re-Inspection
Census: 118
Deficiencies: 0
May 15, 2025
Visit Reason
A re-visit survey was conducted to verify correction of deficiencies cited in the recertification survey concluded on March 27, 2025.
Findings
All deficiencies cited in the prior recertification survey were found to be corrected during this re-visit survey.
Report Facts
Facility census: 118
Inspection Report
Follow-Up
Deficiencies: 0
May 6, 2025
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
The follow-up survey noted that all previously cited tags have been corrected.
Inspection Report
Routine
Deficiencies: 2
Mar 27, 2025
Visit Reason
A State Licensure survey was conducted at Jonesboro Nursing & Rehabilitation Center from March 25, 2025, through March 27, 2025, to assess compliance with state health regulations.
Findings
The survey revealed deficiencies including failure to provide bed hold information in writing at the time of transfer for one resident, and failure to implement a care plan for oxygen therapy for another resident, with oxygen levels not set according to physician orders.
Deficiencies (2)
| Description |
|---|
| The facility failed to provide bed hold information, in writing, at the time of transfer or within 24 hours for one of 40 sampled residents (R16). |
| The facility failed to implement a care plan for oxygen therapy for one of 10 residents (R53) receiving oxygen, with oxygen levels set incorrectly at 3 LPM instead of the ordered 2 LPM. |
Report Facts
Sampled residents: 40
Residents receiving oxygen therapy: 10
BIMS score: 9
Oxygen order: 2
Oxygen level observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) BB | Interviewed regarding bed hold policy and oxygen therapy settings | |
| Director of Admissions | Interviewed regarding bed hold policy and admission package | |
| Business Office Manager | Interviewed regarding responsibility for sending bed hold policy notices | |
| Administrator | Interviewed regarding facility bed hold policy | |
| Licensed Practical Nurse (LPN) AA | Interviewed regarding oxygen therapy settings for resident R53 | |
| Director of Nursing (DON) | Interviewed regarding adherence to physician orders for oxygen therapy |
Inspection Report
Complaint Investigation
Census: 112
Deficiencies: 4
Mar 27, 2025
Visit Reason
A standard survey was conducted from March 25 to March 27, 2025, in conjunction with Complaint Intake Number GA00253966, to investigate compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance due to failures including not providing bed hold information in writing at transfer for one resident, failing to implement a care plan for oxygen therapy for one resident, failing to transcribe and have physician orders for catheter care for one resident, and failing to follow physician orders for oxygen therapy for another resident.
Complaint Details
Complaint Intake Number GA00253966 was investigated in conjunction with the standard survey.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide bed hold information in writing at the time of transfer or within 24 hours for one resident (R16). | SS= D |
| Failure to implement a care plan for oxygen therapy for one resident (R53) receiving oxygen therapy. | SS= D |
| Failure to transcribe and have physician orders for catheter care for one resident (R93) with an indwelling catheter. | SS= D |
| Failure to follow physician orders to administer oxygen at the ordered level for one resident (R53). | SS= D |
Report Facts
Resident census: 112
Sampled residents: 40
Residents receiving oxygen therapy: 10
Resident oxygen liter flow: 2
Resident oxygen liter flow observed: 3
BIMS score: 9
BIMS score: 15
BIMS score: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| BB | Licensed Practical Nurse (LPN) | Interviewed regarding bed hold policy and oxygen therapy for resident R53 |
| Director of Admissions | Interviewed regarding bed hold policy notice process | |
| Business Office Manager | Interviewed regarding responsibility for sending bed hold policy notices | |
| Administrator | Interviewed regarding facility bed hold policy | |
| AA | Licensed Practical Nurse (LPN) | Interviewed regarding oxygen therapy settings for resident R53 |
| Director of Nursing (DON) | Interviewed regarding expectations for adherence to physician orders for oxygen therapy and catheter care | |
| CC | Unit Manager (UM) | Interviewed regarding absence of physician orders for catheter care for resident R93 |
| DD | Admission Nurse (AN) | Interviewed regarding responsibility for writing and transcribing physician orders for catheter care for resident R93 |
Inspection Report
Life Safety
Census: 129
Capacity: 129
Deficiencies: 3
Mar 26, 2025
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 compliance with fire safety requirements, including failure to maintain a fire door in the kitchen area, a red-tagged fire extinguisher in the electrical room, and electrical hazards such as storage within 3 feet of the electrical panel and a missing cover on an electrical outlet in the activities room. These deficiencies affected one of four smoke compartments.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to maintain and identify a fire door in the kitchen area that opens and closes properly. | SS= D |
| Failed to maintain compliance with fire extinguisher requirements; electrical room fire extinguisher was red tagged. | SS= D |
| Failed to maintain compliance with electrical safety; items stored within 3 feet of electrical panel and an electrical outlet missing a cover in the activities room. | SS= D |
Report Facts
Census: 129
Total Capacity: 129
Smoke Compartments affected: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Abbreviated Survey
Census: 117
Deficiencies: 0
Dec 19, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints on behalf of the Georgia Department of Community Health.
Findings
Complaints GA00253104 and GA00248767 were substantiated, while the other complaints were unsubstantiated. No regulatory violations were cited.
Complaint Details
Complaints GA00253104 and GA00248767 were substantiated; all other complaints investigated were unsubstantiated.
Report Facts
Complaints investigated: 12
Complaints substantiated: 2
Census: 117
Inspection Report
Abbreviated Survey
Census: 118
Deficiencies: 0
Nov 18, 2024
Visit Reason
An abbreviated/partial extended survey was conducted at Jonesboro Nursing and Rehabilitation Center investigating complaint GA00252180.
Findings
The complaint intake number GA00252680 was found unsubstantiated and no federal deficiency was cited during the survey.
Complaint Details
Complaint Intake Number GA00252680 was found unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Feb 19, 2024
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 during the follow-up visit.
Inspection Report
Plan of Correction
Deficiencies: 0
Dec 19, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Jonesboro Nursing and Rehabilitation Center following a regulatory inspection.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Census: 115
Deficiencies: 0
Dec 19, 2023
Visit Reason
A Revisit Survey was conducted to verify correction of deficiencies cited during the 10/26/2023 Recertification/Complaint Survey.
Findings
All deficiencies cited during the previous Recertification/Complaint Survey were found to be corrected.
Report Facts
Census: 115
Inspection Report
Follow-Up
Deficiencies: 3
Dec 12, 2023
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited deficiencies at Jonesboro Nursing and Rehabilitation Center.
Findings
The facility failed to maintain and identify the fire alarm panel circuit breaker according to code, failed to maintain the fire alarm system resulting in a supervisory signal, and failed to maintain the sprinkler system including missing records for annual inspection, 5-year internal inspection, and backflow testing. These deficiencies affect the entire building.
Severity Breakdown
Level D: 1
Level F: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to maintain and identify fire panel circuit (breaker) according to code. | Level D |
| Failed to maintain fire alarm system; fire alarm panel at nurse's station shows Supervisory signal due to sprinkler pipe burst. | Level F |
| Failed to maintain sprinkler system including lack of records for annual inspection, 5-year internal inspection, and backflow testing. | Level F |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Interviewed and confirmed findings related to fire alarm and sprinkler system deficiencies. |
Inspection Report
Renewal
Deficiencies: 4
Oct 26, 2023
Visit Reason
A Licensure Survey was conducted from October 24, 2023 through October 26, 2023 to assess compliance with licensure requirements and facility standards.
Findings
The facility was found deficient in multiple areas including failure to ensure proper hand hygiene during wound care, failure to provide daily oral care to some residents, failure to implement care plans for wound care, inadequate pain management during wound care, and environmental sanitation issues such as dirty PTAC filters, broken fixtures, and malfunctioning emergency call lights.
Deficiencies (4)
| Description |
|---|
| Failure to ensure hand hygiene was completed between glove changes and between removing old dressings and application of clean dressing during wound care for two of three residents reviewed. |
| Failure to provide daily oral care for two of three sampled residents and failure to implement a care plan for one resident observed during wound care. |
| Failure to maintain a clean, homelike environment evidenced by dirty PTAC filters and grills, detached PTAC cover, missing PTAC ventilation slats, non-functioning bathroom emergency call light, missing dresser drawer handle, broken closet door handle, and detached baseboards. |
| Failure to maintain an emergency bathroom resident call light as evidenced by a malfunctioning emergency call light in one of 24 sampled bathrooms (Room 128). |
Report Facts
Deficiencies cited: 4
Dates of air filter cleaning/replacement: Air filters were cleaned or replaced on 8/4/2023, 9/29/2023, and 10/17/2023.
Resident ages: Resident R50 was 77 years old, R15 was 72 years old, R30 was 77 years old.
BIMS scores: R50 scored 15 (cognitively intact), R15 scored 7 (severe cognitive impairment), R30 scored 11 (moderate cognitive impairment), R51 scored 14 (little to no cognitive impairment).
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN AA | Registered Nurse (Wound Care Nurse) | Named in findings related to improper hand hygiene during wound care and pain management. |
| CNA BB | Certified Nursing Assistant | Assisted RN AA during wound care observations. |
| Director of Nursing | Director of Nursing (DON) | Provided statements regarding expectations for hand hygiene and oral care. |
| CNA NN | Certified Nursing Assistant | Interviewed regarding oral care procedures. |
| CNA OO | Certified Nursing Assistant | Interviewed regarding oral care procedures. |
| CNA PP | Certified Nursing Assistant | Interviewed regarding oral care procedures and bathing. |
| Maintenance Director | Maintenance Director | Interviewed regarding environmental sanitation and maintenance issues. |
| Administrator | Facility Administrator | Interviewed regarding maintenance and environmental issues. |
| Medical Director | Medical Director | Interviewed regarding pain management expectations. |
| Vice President of Operations | Vice President of Operations | Interviewed regarding maintenance policies and expectations. |
Inspection Report
Complaint Investigation
Census: 116
Deficiencies: 7
Oct 26, 2023
Visit Reason
A standard survey was conducted from October 24 through October 26, 2023, including investigations of multiple complaint intake numbers, some substantiated with and without citation.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to assess resident for self-administration of medication, failure to maintain a clean and homelike environment, failure to implement a care plan for wound care, failure to provide daily oral care, failure to manage pain appropriately, failure to maintain infection control during wound care, and failure to maintain a functioning emergency call system.
Complaint Details
Multiple complaint intake numbers were investigated; complaint number GA00227151 was substantiated without citation, and GA00226203 was substantiated with federal citation.
Severity Breakdown
D: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to assess one resident for ability to self-administer medications prior to leaving medications at bedside. | D |
| Failed to maintain a clean, homelike environment with dirty PTAC filters, broken and missing fixtures, and non-functioning emergency call light. | D |
| Failed to implement a care plan for wound care for one resident observed during wound care. | D |
| Failed to provide daily oral care for two residents. | D |
| Failed to provide pain management for one resident observed receiving wound care. | D |
| Failed to ensure hand hygiene was completed between glove changes and between removing old dressings and applying clean dressings during wound care for two residents. | D |
| Failed to maintain a functioning emergency bathroom resident call light in one sampled bathroom. | D |
Report Facts
Resident census: 116
Complaint intake numbers investigated: 11
Pain medication doses: 2
Number of residents reviewed for wound care: 3
Number of sampled bathrooms: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN AA | Registered Nurse | Observed performing wound care and acknowledged pain complaints and hand hygiene lapses |
| CNA BB | Certified Nursing Assistant | Assisted with wound care and resident positioning |
| LPN GG | Licensed Practical Nurse | Observed administering medication to resident without physician order |
| Director of Nursing | Director of Nursing | Interviewed regarding pain management and oral care expectations |
| Administrator | Facility Administrator | Interviewed regarding medication self-administration and environmental issues |
| Maintenance Director | Maintenance Director | Interviewed regarding environmental deficiencies and call light repair |
| Vice President of Operations | Vice President of Operations | Interviewed regarding maintenance policies and pain management |
| Medical Director | Medical Director | Interviewed regarding pain management expectations |
Inspection Report
Life Safety
Census: 114
Capacity: 129
Deficiencies: 13
Oct 25, 2023
Visit Reason
Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.
Findings
The facility was found not in substantial compliance with several Life Safety Code requirements including illumination of means of egress, emergency lighting, exit signage, cooking facilities maintenance, fire alarm system installation and maintenance, sprinkler system maintenance, portable fire extinguisher maintenance, fire drills, combustible decorations, door maintenance, and essential electrical system testing.
Severity Breakdown
E: 4
F: 5
D: 4
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to provide continuous illumination of means of egress; emergency lighting only at exit doors and few hallway lights tied to generator. | E |
| Failed to conduct emergency light testing; no records of monthly testing. | E |
| Failed to conduct exit sign testing; no records of monthly testing. | E |
| Failed to maintain hood cleaning and inspection reports for cooking facilities for past 12 months. | F |
| Failed to maintain and identify fire alarm panel circuit breaker according to code; missing lockout device, improper labeling, and unmarked batteries. | D |
| Fire alarm panel showed supervisory signal due to sprinkler pipe burst. | F |
| Missing cap from Fire Department Connection. | D |
| Failed to maintain sprinkler system including annual inspection, 5-year internal inspection, and backflow testing. | F |
| Failed to perform annual fire extinguisher maintenance and monthly checks; extinguishers out of date and no inspection records. | F |
| Failed to complete quarterly fire drills for each shift. | E |
| Rooms on Hall 200 had doors completely covered with combustible materials. | D |
| Failed to test and document monthly inspection of fire doors including egress, fire/smoke, and resident doors. | D |
| Failed to complete monthly and annual generator load testing and maintenance. | F |
Report Facts
Census: 114
Total Capacity: 129
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Interviewed and confirmed multiple findings during inspection |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jun 22, 2023
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00236214.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00236214 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 31, 2022
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00224482.
Findings
The complaint was unsubstantiated and no deficiencies were cited. The facility was found to be in compliance with vaccination requirements for facility staff.
Complaint Details
Complaint #GA00224482 was investigated and found to be unsubstantiated without deficiencies cited.
Inspection Report
Abbreviated Survey
Census: 118
Deficiencies: 0
May 23, 2022
Visit Reason
An Abbreviated/Partial Extended Survey was conducted in conjunction with a COVID-19 Staff Vaccination Matrix Survey to investigate multiple complaints identified by their numbers.
Findings
All complaints investigated were unsubstantiated with no regulatory violations cited. The facility was found to be in compliance with vaccination requirements for facility staff under CFR 483.80 (i) (1) - (3) (i) - (x).
Complaint Details
Complaints #GA00223825, #GA00223380, #GA00221214, #GA00221194, #GA00220868, and #GA00220864 were investigated and found to be unsubstantiated with no regulatory violations cited.
Report Facts
Complaints investigated: 6
Total census: 118
Inspection Report
Re-Inspection
Deficiencies: 0
Apr 14, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the Recertification survey on 2022-02-17.
Findings
All deficiencies cited in the prior Recertification survey were found to be corrected during this revisit survey.
Inspection Report
Re-Inspection
Deficiencies: 0
Apr 14, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the Recertification survey on 2022-02-17.
Findings
All deficiencies cited in the prior Recertification survey were found to be corrected during this revisit survey.
Inspection Report
Abbreviated Survey
Census: 126
Deficiencies: 0
Feb 25, 2022
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00221069, initiated on January 27, 2022 and concluded on February 25, 2022.
Findings
The complaint #GA00221069 was found to be unsubstantiated during the abbreviated survey.
Complaint Details
Complaint #GA00221069 was investigated and found to be unsubstantiated.
Report Facts
Resident Census: 126
Inspection Report
Routine
Census: 121
Deficiencies: 2
Feb 17, 2022
Visit Reason
A standard survey was conducted at Jonesboro Nursing and Rehabilitation Center from February 15, 2022 through February 17, 2022 to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to develop a person-centered care plan for a resident with an indwelling urinary catheter and failure to ensure psychotropic medications were not ordered as PRN for more than 14 days without clinical indication.
Severity Breakdown
Level D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop a person-centered care plan for one resident (R#5) for the use of an indwelling urinary catheter. | Level D |
| Failure to ensure psychotropic medications including antianxiety medications were not ordered as needed (PRN) for more than 14 days unless clinically indicated for one resident (R#84). | Level D |
Report Facts
Resident census: 121
Residents with indwelling or external catheters: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| BB | Licensed Practical Nurse/Minimum Data Set Assistant | Named in relation to lack of awareness of catheter care plan for resident R#5 |
| AA | Licensed Practical Nurse/Minimum Data Set Assistant | Named as new to position and responsible for not creating care plan for resident R#5 |
| Director of Nursing | Director of Nursing | Verified lack of 14 day stop order or rationale for continuation of PRN Xanax for resident R#84 |
| EE | Nurse Practitioner | Verified no address of continuation of PRN Xanax order for resident R#84 |
Inspection Report
Renewal
Deficiencies: 1
Feb 17, 2022
Visit Reason
The inspection was a Licensure Survey conducted from February 13, 2022 through February 17, 2022 to assess compliance with licensure requirements.
Findings
The facility failed to develop a person-centered care plan for one resident (R#5) regarding the use of an indwelling urinary catheter, despite having seven residents with catheters. The resident's medical record and care plan did not reflect catheter use, although orders and observations confirmed catheter presence.
Deficiencies (1)
| Description |
|---|
| Failure to develop a person-centered care plan for resident R#5 for the use of an indwelling urinary catheter. |
Report Facts
Residents with indwelling or external catheters: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| BB | Licensed Practical Nurse/Minimum Data Set Assistant | Stated unawareness of resident R#5 having a Foley catheter and verified lack of care plan for catheter use. |
| AA | Licensed Practical Nurse/Minimum Data Set Assistant | New to position and acknowledged not creating the care plan for R#5's indwelling catheter. |
Inspection Report
Life Safety
Census: 119
Capacity: 129
Deficiencies: 0
Feb 16, 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 compliance with the Life Safety Code requirements and the Emergency Preparedness Program met the regulatory standards.
Report Facts
Certified beds: 129
Census: 119
Inspection Report
Abbreviated Survey
Deficiencies: 0
Dec 20, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00210031.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Complaint Details
Complaint #GA00210031 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Census: 121
Deficiencies: 0
Nov 5, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints at Jonesboro Nursing and Rehabilitation Center from November 3, 2021 through November 5, 2021.
Findings
The complaint #GA00217160 was substantiated with no deficient practice cited, and other complaints were unsubstantiated with no deficient practice cited. The facility was found to be in compliance with infection control regulations and COVID-19 preparedness requirements.
Complaint Details
Complaint #GA00217160 was substantiated with no deficient practice cited. Complaints GA00213770, GA00213827, GA00215286, GA00215902, and GA00216102 were unsubstantiated with no deficient practice cited.
Report Facts
Total census: 121
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jun 3, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00214675.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00214675 was investigated and found to be unsubstantiated with no deficiencies cited.
Inspection Report
Re-Inspection
Census: 112
Deficiencies: 0
Mar 19, 2021
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the January 29, 2021 COVID-19 Infection Control Focus Survey.
Findings
All deficiencies cited in the previous COVID-19 Infection Control Focus Survey were found to be corrected during this revisit survey.
Inspection Report
Re-Inspection
Census: 112
Deficiencies: 0
Mar 19, 2021
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the January 29, 2021 COVID-19 Infection Control Focus Survey.
Findings
All deficiencies cited in the prior COVID-19 Infection Control Focus Survey were found to be corrected.
Inspection Report
Complaint Investigation
Census: 112
Deficiencies: 0
Mar 18, 2021
Visit Reason
A COVID-19 Focus Infection Control Survey was conducted in conjunction with a complaint survey investigating complaints #GA00210431, #GA00206780, #GA00211918, and #GA00212176 from 3/16/2021 through 3/18/2021.
Findings
The complaints were unsubstantiated and no regulatory violations were cited. The facility was found to be in compliance with infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparedness.
Complaint Details
Complaints #GA00210431, #GA00206780, #GA00211918, and #GA00212176 were investigated and found to be unsubstantiated with no regulatory violations cited.
Report Facts
Total census: 112
Inspection Report
Abbreviated Survey
Census: 109
Deficiencies: 1
Jan 29, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and an Abbreviated/Partial Survey were conducted to investigate two complaints, GA00210531 and GA00211689.
Findings
The facility was found in compliance with infection control regulations. Complaint GA00211689 was unsubstantiated, while complaint GA00210531 was substantiated due to failure to remove expired medications from medication storage rooms.
Complaint Details
Complaint Number GA00210531 was substantiated with the cited deficiency. Complaint Number GA00211689 was unsubstantiated.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to remove expired medications including 13 bags of lactated ringers solution, five bags of dextrose, and two vials of Pneumovax from medication storage rooms. | SS= D |
Report Facts
Expired medication quantities: 13
Expired medication quantities: 5
Expired medication quantities: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing | Observed medication storage rooms and interviewed regarding expired medication removal responsibilities |
Inspection Report
Abbreviated Survey
Census: 109
Deficiencies: 1
Jan 29, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and an Abbreviated/Partial Survey were conducted to investigate two complaints, GA00210531 and GA00211689.
Findings
The facility was found in compliance with COVID-19 infection control regulations. Complaint GA00211689 was unsubstantiated, while complaint GA00210531 was substantiated due to failure to remove expired medications from medication storage rooms.
Complaint Details
Complaint Number GA00211689 was unsubstantiated. Complaint Number GA00210531 was substantiated with the cited deficiency related to expired medications.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to remove expired medications including 13 bags of lactated ringers solution, five bags of dextrose, and two vials of Pneumovax from medication storage rooms. | D |
Report Facts
Expired medication quantities: 13
Expired medication quantities: 5
Expired medication quantities: 2
Resident census: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Interviewed regarding expired medications and responsible for removing expired medications during survey |
Inspection Report
Abbreviated Survey
Census: 116
Deficiencies: 0
Dec 17, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey, in conjunction with an Abbreviated/Partial Extended survey, was conducted to assess compliance with infection control regulations and COVID-19 preparedness.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and CMS and CDC recommended practices for COVID-19. Complaints GA00205900 and GA00209081 were unsubstantiated, and complaint GA00209327 was substantiated with no deficiencies.
Complaint Details
Complaints GA00205900 and GA00209081 were unsubstantiated. Complaint GA00209327 was substantiated with no deficiencies.
Report Facts
Census: 116
Inspection Report
Abbreviated Survey
Census: 99
Deficiencies: 0
Jun 18, 2020
Visit Reason
A Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted at Jonesboro Nursing and Rehabilitation Center on June 18, 2020.
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, including CMS and CDC recommended practices for COVID-19 preparation.
Inspection Report
Complaint Investigation
Census: 119
Deficiencies: 0
Mar 16, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00203612 to determine compliance with Federal and State Long Term Care Requirements.
Findings
The complaint was unsubstantiated with no deficiencies cited during the investigation.
Complaint Details
Complaint GA00203612 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Resident Census: 119
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 0
Feb 11, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00200332 and GA00201538 to determine compliance with Federal and State Long Term Care Requirements.
Findings
Complaint GA00201538 was unsubstantiated. Complaint GA00200332 was substantiated with no deficiency cited.
Complaint Details
Complaint GA00201538 was unsubstantiated. Complaint GA00200332 was substantiated with no deficiency cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 7, 2019
Visit Reason
A complaint investigation was conducted to investigate complaint #GA00194618.
Findings
No deficiencies were cited during the complaint investigation.
Complaint Details
Complaint #GA00194618 was investigated and found to have no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Jan 8, 2019
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
Census: 112
Deficiencies: 0
Nov 16, 2018
Visit Reason
A standard survey was conducted at Jonesboro Nursing and Rehabilitation Center from November 13, 2018 through November 16, 2018 to assess compliance with Medicare/Medicaid regulations for long term care facilities.
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.
Inspection Report
Life Safety
Census: 111
Capacity: 129
Deficiencies: 6
Nov 15, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with fire safety and related regulations for Medicare/Medicaid participation.
Findings
The facility was found not in substantial compliance with Life Safety Code requirements, including failures in maintaining self-closing doors, fire alarm system testing, sprinkler system maintenance, fire extinguisher inspections, emergency generator testing, and proper signage for oxygen storage.
Severity Breakdown
D: 2
F: 4
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to maintain doors requiring self-closing devices; door to central supply department does not latch and cannot be secured. | D |
| Facility failed to maintain the fire alarm system; annual inspection and testing of the fire alarm system was not completed. | F |
| Facility failed to maintain the fire sprinkler system; annual fire sprinkler report was not available for review. | F |
| Facility failed to properly maintain fire extinguishers; annual fire extinguisher inspection and testing report not completed within last 12 months. | F |
| Facility failed to properly conduct monthly load testing of the emergency generator; no testing logs or records available. | F |
| Facility failed to provide an oxygen storage location precautionary sign readable from five feet with required wording. | D |
Report Facts
Residents at risk due to door deficiency: 26
Patients at risk due to fire alarm deficiency: 111
Residents at risk due to sprinkler system deficiency: 111
Patients at risk due to fire extinguisher deficiency: 111
Residents at risk due to emergency generator testing deficiency: 111
Patients at risk due to oxygen storage signage deficiency: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Interviewed and confirmed findings related to fire alarm system, sprinkler system, fire extinguisher maintenance, emergency generator testing, and door deficiencies. | |
| Staff B | Interviewed and confirmed oxygen storage signage deficiency. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 31, 2018
Visit Reason
A complaint survey was conducted to investigate complaints GA00192351 and GA00192346 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
The complaint survey investigated complaints GA00192351 and GA00192346 and found no deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 15, 2018
Visit Reason
A complaint survey was conducted to investigate complaint GA00191877 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint investigation survey.
Complaint Details
Complaint GA00191877 was investigated and no deficiencies were found, indicating the complaint was not substantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 23, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint number GA00190207.
Findings
No deficiencies were cited during the survey.
Complaint Details
Complaint number GA00190207 was investigated and found to have no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Jul 9, 2018
Visit Reason
A follow-up to the complaint survey of May 25, 2018 was conducted to verify correction of previously identified deficiencies.
Findings
The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of July 1, 2018.
Complaint Details
The visit was a follow-up to a complaint survey conducted on May 25, 2018.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 22, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00186428.
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.
Complaint Details
Complaint GA00186428 was investigated and found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 5, 2018
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
Routine
Census: 120
Deficiencies: 0
Jan 19, 2018
Visit Reason
A standard survey was conducted at Jonesboro Nursing and Rehabilitation Center from January 16, 2018 through January 19, 2018 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that 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: 122
Capacity: 129
Deficiencies: 5
Jan 19, 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 NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with fire safety requirements, including failure to properly maintain hazardous area enclosures, fire sprinkler system maintenance, corridor doors to resist smoke passage, smoke barrier walls, and emergency generator annunciator. These deficiencies posed risks to residents in the event of fire or power outage.
Severity Breakdown
SS= D: 4
SS= F: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Medical records room door did not have a door closer installed, failing hazardous area enclosure requirements. | SS= D |
| Failure to maintain the fire sprinkler system, including no record of last 5-year internal testing, dry system out of service, and sprinkler heads loaded with dust. | SS= F |
| Corridor doors had gaps greater than 0.5 inch between door face and door stop, failing to resist passage of smoke. | SS= D |
| Smoke barrier walls on the 200 hall had unsealed and improperly sealed penetrations, failing to maintain required fire resistance rating. | SS= D |
| Emergency generator lacked a remote annunciator to indicate alarm conditions. | SS= D |
Report Facts
Residents at risk: 4
Residents at risk: 122
Residents at risk: 9
Residents at risk: 40
Residents at risk: 122
Certified beds: 129
Census: 122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Confirmed findings related to hazardous area enclosure, fire sprinkler system, corridor doors, smoke barrier walls, and emergency generator during tour and interviews. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 27, 2017
Visit Reason
The visit was conducted as a Complaint Survey to investigate complaint numbers GA00179758 and GA00181293 to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey conducted on 10/27/17 and 10/28/17 at Jonesboro Nursing and Rehabilitation Center.
Complaint Details
Investigation of complaints GA00179758 and GA00181293 found no deficiencies; the complaints were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 12, 2017
Visit Reason
The inspection was conducted to investigate complaint #GA00180458 to determine compliance with Federal and State Long Term regulations for Long Term Care Facilities.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00180458 was investigated and found to have no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 14, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00178745.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was not substantiated and no deficiencies were cited.
Complaint Details
Complaint GA00178745 was investigated and found not substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 8, 2017
Visit Reason
A complaint survey was conducted at Jonesboro Health and Rehabilitation Center on July 8, 2017, investigating Complaint (#GA00176766).
Findings
The 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, with no health deficiencies found during the complaint survey.
Complaint Details
Complaint (#GA00176766) was investigated and found to have no health deficiencies; the facility was in substantial compliance.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 23, 2017
Visit Reason
The inspection was conducted to investigate complaints #GA00176429 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey at Jonesboro Nursing and Rehabilitation Center.
Complaint Details
Complaint investigation for complaints #GA00176429; no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 19, 2017
Visit Reason
The inspection was conducted to investigate complaint GA00175543 at Jonesboro Nursing and Rehabilitation Center.
Findings
No health deficiencies were cited during the complaint survey.
Complaint Details
Complaint GA00175543 was investigated and found to have no health deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 12, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints identified by codes GA00172879, GA00172684, and GA00173423.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaints were unsubstantiated and no deficiencies were cited.
Complaint Details
The complaints investigated during the survey were unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Apr 27, 2017
Visit Reason
A revisit was conducted to the recertification survey conducted on 3/16/17 to verify correction of all deficiencies.
Findings
The facility had corrected all deficiencies identified in the prior recertification survey.
Inspection Report
Life Safety
Census: 123
Capacity: 129
Deficiencies: 0
Mar 14, 2017
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 2012 Edition.
Findings
Jonesboro Nursing and Rehabilitation Center was found in substantial compliance with the applicable life safety code requirements during the survey.
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