Inspection Reports for Miona Geriatric & Dementia Center
201 POPLAR STREET, GA, 31041
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Deficiencies: 0
Apr 22, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Miona Geriatric & Dementia Center following a regulatory inspection.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies.
Inspection Report
Re-Inspection
Census: 78
Deficiencies: 0
Apr 22, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the recertification survey on 2025-03-09.
Findings
All deficiencies cited as a result of the 2025-03-09 recertification survey were found to be corrected.
Inspection Report
Annual Inspection
Census: 71
Deficiencies: 1
Mar 9, 2025
Visit Reason
A State Licensure survey was conducted at Miona Geriatric and Dementia Center from March 7, 2025, through March 9, 2025, to assess compliance with state health regulations.
Findings
The facility's dietary staff failed to properly wash and sanitize dishware used for preparing puree food items, risking cross contamination for ten of 71 residents receiving an oral diet. Observations and interviews confirmed that the food processor bowl and blade were only rinsed with water and not sanitized between uses.
Deficiencies (1)
| Description |
|---|
| Dietary staff failed to wash and sanitize dishware while preparing puree food items, leading to potential cross contamination. |
Report Facts
Residents receiving oral diet affected: 10
Residents present during inspection: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook AA | Observed and interviewed regarding improper washing and sanitizing of food processor dishware | |
| Certified Dietary Manager | CDM | Confirmed observation of improper dishware sanitation and stated dietary staff responsibilities |
Inspection Report
Routine
Census: 76
Deficiencies: 1
Mar 9, 2025
Visit Reason
A standard survey was conducted at Miona Geriatric and Dementia Care Center from March 7, 2025, through March 9, 2025, to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found noncompliant with regulations due to dietary staff failing to properly wash and sanitize dishware while preparing puree food items, risking cross contamination for ten of 71 residents receiving an oral diet.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Dietary staff failed to wash and sanitize dishware while preparing puree food items, leading to potential cross contamination. | SS= D |
Report Facts
Residents present: 76
Residents affected: 10
Residents receiving oral diet: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook AA | Dietary Cook | Observed failing to properly wash and sanitize food processor dishware |
| Certified Dietary Manager | Certified Dietary Manager (CDM) | Confirmed observation of improper dishware sanitation |
Inspection Report
Life Safety
Census: 76
Capacity: 88
Deficiencies: 0
Mar 8, 2025
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 Life Safety Code requirements and the Emergency Preparedness Program was also in substantial compliance with 42 CFR 483.73.
Inspection Report
Follow-Up
Deficiencies: 0
Apr 18, 2024
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 deficiencies had been corrected during the follow-up survey.
Inspection Report
Renewal
Deficiencies: 0
Mar 10, 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 March 8, 2024 through March 10, 2024.
Inspection Report
Routine
Census: 78
Deficiencies: 0
Mar 10, 2024
Visit Reason
A standard survey was conducted at Monia Geriatric and Dementia Center from March 8, 2024, through March 10, 2024.
Findings
The standard survey revealed that the facility was in substantial compliance with the Health portion of the Medicare/Medicaid regulations at 42 Code of Federal Regulations Part 483, Subpart B-Requirements for Long-Term Care Facilities.
Inspection Report
Life Safety
Census: 79
Capacity: 88
Deficiencies: 2
Mar 9, 2024
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 with fire safety requirements, specifically failing to ensure smoke-tight ceilings in two hazardous areas and lacking documentation that all decorations were non-combustible. These deficiencies could place residents at risk in the event of a fire.
Severity Breakdown
E: 1
D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure ceilings were smoke-tight in two of ten hazardous areas (North Hall Mechanical room and West Hall House Keeping Closet). | E |
| Failed to ensure documentation was available to show that all decorations were non-combustible; loosely hanging plastic decorations noted in the TV Room corridor. | D |
Report Facts
Census: 79
Total Capacity: 88
Residents at risk due to smoke-tight ceiling deficiency: 30
Residents at risk due to combustible decoration deficiency: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings related to smoke-tight ceilings and combustible decorations during facility tour |
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 16, 2023
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00233394.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Complaint Details
Complaint #GA00233394 was investigated and found to be unsubstantiated with no regulatory violations cited.
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 0
Mar 7, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with a complaint investigation for intake numbers GA00223689 and GA00229855.
Findings
The complaints were unsubstantiated, no regulatory violations were cited, and the facility was found to be in compliance with infection control regulations and COVID-19 preparedness practices.
Complaint Details
Complaint intake numbers GA00223689 and GA00229855 were investigated and found to be unsubstantiated.
Report Facts
Facility census: 77
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 0
Mar 7, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with a Complaint survey investigating complaint intake numbers GA00223689 and GA00229855.
Findings
The complaints were unsubstantiated, no regulatory violations were cited, and the facility was found to be in compliance with 42 CFR §483.80 infection control regulations and COVID-19 preparedness practices.
Complaint Details
Complaint intake numbers GA00223689 and GA00229855 were investigated and found to be unsubstantiated.
Report Facts
Complaint intake numbers: 2
Inspection Report
Life Safety
Census: 81
Capacity: 88
Deficiencies: 0
Apr 29, 2022
Visit Reason
The visit was conducted to perform a Life Safety Code Survey to assess compliance with Medicare/Medicaid participation requirements and related fire safety standards.
Findings
The facility was found to be in compliance with the Emergency Preparedness Program requirements under 42 CFR § 483.73 and the Life Safety Code standards per NFPA 101 2012 edition.
Report Facts
Certified beds: 88
Census: 81
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 4
Apr 24, 2022
Visit Reason
A standard survey was conducted from 4/22/22 through 4/24/22 in conjunction with Complaint Intake Number GA#00222382 to investigate compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility failed to label and date food items that had been opened, delivered, or removed from original packaging, including items in the freezer, cooler, and dry food pantry. This deficient practice had the potential to affect 75 of 80 residents receiving nutrition orally.
Complaint Details
Complaint Intake Number GA#00222382 was investigated in conjunction with the standard survey.
Severity Breakdown
F 0812 SS=F: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to label and date items opened in the freezer, including diced chicken, frozen vegetables, black-eyed peas, nuggets, chicken tenders, and cookies. | F 0812 SS=F |
| Failed to properly store hams in the walk-in cooler above eggs. | F 0812 SS=F |
| Failed to label expiration dates on corn tortillas and graham crackers stored outside original packaging in the dry food pantry. | F 0812 SS=F |
| Containers for cornmeal, flour, sugar, and grits lacked open or use by dates and had buildup. | F 0812 SS=F |
Report Facts
Resident census: 80
Residents potentially affected: 75
Number of unlabeled frozen vegetable bags: 5
Number of hams improperly stored: 3
Number of unlabeled corn tortilla sleeves: 6
Number of unlabeled containers: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Dietary Manager (CDM) | Interviewed and confirmed unlabeled food items and storage practices | |
| Dietary Staff BB | Dietary Staff | Reported labeling procedures for opened food items |
Inspection Report
Renewal
Capacity: 80
Deficiencies: 4
Apr 22, 2022
Visit Reason
A Licensure Survey was conducted from 4/22/2022 through 4/24/2022 to assess compliance with physical plant standards and licensure requirements.
Findings
The facility failed to label and date opened items in the freezer, items upon delivery, and items removed from original packaging, potentially affecting 75 of 80 residents receiving nutrition orally. Additional issues included improper storage of hams in the cooler and buildup on food containers without open or use-by dates.
Deficiencies (4)
| Description |
|---|
| Failed to label and date items opened in the freezer, including diced chicken, frozen vegetables, black-eyed peas, nuggets, chicken tenders, and cookies. |
| Failed to label and date items upon delivery and items removed from original packaging, including corn tortillas and graham crackers. |
| Improper storage of hams on a 4-shelf rack above eggs in the walk-in cooler. |
| Food containers for cornmeal, flour, sugar, and grits lacked open or use-by dates and had buildup. |
Report Facts
Residents potentially affected: 75
Total licensed capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Staff BB | Dietary Staff | Reported that opened items should be labeled with the date opened and sealed |
| Certified Dietary Manager | Certified Dietary Manager (CDM) | Confirmed labeling deficiencies and storage practices during interviews and kitchen tours |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Dec 9, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00201886.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the survey.
Complaint Details
Complaint #GA00201886 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Routine
Census: 76
Deficiencies: 0
Jul 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 regulations.
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
Census: 76
Inspection Report
Follow-Up
Deficiencies: 0
Apr 29, 2019
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: 87
Deficiencies: 0
Mar 14, 2019
Visit Reason
A standard survey was conducted at Miona Geriatric and Dementia Center from March 11, 2019 through March 14, 2019 to assess compliance with Medicaid/Medicare regulations for long term care facilities.
Findings
The standard survey revealed that the facility was in substantial compliance with the Health portion of the Medicaid/Medicare regulations at 42 C.F.R. Part 483, Subpart B.
Inspection Report
Life Safety
Census: 87
Capacity: 88
Deficiencies: 2
Mar 11, 2019
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with fire safety regulations and related NFPA standards at Miona Geriatric and Dementia Center.
Findings
The facility was found not in substantial compliance with NFPA 101 Life Safety Code 2012 edition, specifically regarding cooking equipment placement under the NFPA 96 hood and the presence of transfer grilles in corridor doors, which could place residents and staff at risk in the event of a fire.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to properly place cooking equipment under the NFPA 96 hood, with less than a 6 inch overhang over the stove edge. | D |
| Facility had openings to the corridor with transfer grilles in the door to the East Hall storage room. | D |
Report Facts
Census: 87
Total Capacity: 88
Deficiency count: 2
Overhang measurement: 6
Residents at risk: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and staff interview |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 13, 2018
Visit Reason
The inspection was conducted to investigate complaint #GA00190637 to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00190637 was investigated and found to have no deficiencies.
Inspection Report
Re-Inspection
Census: 82
Deficiencies: 0
Apr 24, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the February 22, 2018 complaint survey.
Findings
All deficiencies cited in the February 22, 2018 complaint survey were found to be corrected during this revisit survey.
Complaint Details
The revisit survey was conducted following a complaint survey on February 22, 2018; all deficiencies from that complaint survey were corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 29, 2018
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
All previously cited survey tags have been corrected as of the follow-up survey date.
Inspection Report
Routine
Census: 79
Deficiencies: 0
Mar 1, 2018
Visit Reason
A standard survey was conducted at Miona Geriatric and Dementia Center from February 26, 2018 through March 1, 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 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 79
Capacity: 88
Deficiencies: 1
Feb 26, 2018
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 include all required provisions of the smoking policy, specifically the absence of noncombustible metal containers with self-closing lids in designated smoking areas, which could pose a fire risk.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide noncombustible metal containers with self-closing lids in outside resident and staff smoking areas as required by smoking regulations. | SS= D |
Report Facts
Census: 79
Certified Beds: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed the finding regarding smoking area containers during the tour |
Inspection Report
Complaint Investigation
Deficiencies: 2
Feb 22, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00185378 regarding a resident fall and related care issues.
Findings
The facility was found not in compliance with federal and state long term care regulations. Actual harm occurred when Resident #1 fell from her bed during a bed bath, resulting in a left femur fracture and a closed nondisplaced fracture of the left frontal skull. The facility failed to follow the care plan requiring two-person assistance for transfers and failed to provide adequate supervision to prevent the fall.
Complaint Details
Complaint GA00185378 was investigated. The complaint involved a fall of Resident #1 during a bed bath on 2/9/18, resulting in serious injuries. The facility failed to follow the care plan and provide adequate supervision. The CNA did not report the fall immediately and was terminated.
Severity Breakdown
SS=G: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop and implement a comprehensive care plan ensuring two person assist for transfers for Resident #1. | SS=G |
| Failure to provide adequate supervision and assistance devices to prevent accidents, resulting in Resident #1's fall and injuries. | SS=G |
Report Facts
Date of fall: Feb 9, 2018
Date of survey completion: Feb 22, 2018
Sample size: 6
Distance from bed to closet: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) AA | Gave bed bath to Resident #1, failed to follow two person assist protocol, did not report fall immediately | |
| Licensed Practical Nurse (LPN) BB | Confirmed Resident #1 required two person assist for transfers | |
| Registered Nurse (RN) MDS Coordinator | Confirmed care plan details for Resident #1 | |
| Director of Nursing (DON) | Confirmed care plan requirements and facility policies regarding transfers and fall reporting | |
| Administrator | Reported CNA AA was terminated for failure to report fall |
Inspection Report
Routine
Census: 80
Deficiencies: 0
Mar 2, 2017
Visit Reason
A standard survey was conducted at Miona Geriatric and Dementia Center from 2/27/2017 through 3/02/2017 to assess compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations.
Inspection Report
Life Safety
Census: 80
Capacity: 88
Deficiencies: 0
Feb 27, 2017
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 Miona Geriatric Dementia Center was found to be in substantial compliance with the Life Safety Code requirements during the survey.
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