Inspection Reports for Powder Springs Center for Nursing & Healing

An abbreviated/partial extended survey was conducted to investigate Complaint Intake Number GA00254034 at Powder Springs Center Nursing and Rehab.

The complaint intake was found unsubstantiated and no deficiencies were cited during the survey.

Complaint Intake Number GA00254034 was investigated and found unsubstantiated.

The document is a statement of deficiencies and plan of correction for Powder Springs Center for Nursing & Healing following a survey completed on August 15, 2024.

The report contains initial comments but does not provide detailed findings or deficiencies.

A revisit survey was conducted to verify correction of deficiencies cited during the June 27, 2024 Recertification and State Licensure survey.

All deficiencies cited in the prior June 27, 2024 survey were found to be corrected during this revisit survey.

The Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found to be in substantial compliance with the emergency preparedness program requirements and Life Safety Code standards.

A State Licensure survey was conducted at Powder Springs Center for Nursing and Healing from June 25, 2024, through June 27, 2024, to assess compliance with state health regulations.

The facility failed to follow infection control protocols related to the disposal of personal protective equipment (PPE) in two out of five rooms with residents on Droplet Precautions, risking the spread of respiratory infections.

A recertification survey was conducted at Powder Springs Center for Nursing and Healing from June 25, 2024, through June 27, 2024, to assess compliance with Medicare/Medicaid regulations for long-term care facilities.

The facility was found not in substantial compliance due to failure to follow infection control protocols related to disposal of personal protective equipment (PPE) in rooms with residents on Droplet Precautions. Observations and interviews revealed inconsistent PPE disposal practices among staff.

The document is a statement of deficiencies and plan of correction for Powder Springs Center for Nursing & Healing, indicating a regulatory inspection was conducted.

The report contains initial comments but does not specify any detailed deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies identified during a complaint survey and focused infection control survey on 2024-04-15.

The deficiencies identified in the prior complaint and infection control survey were found to be corrected during this revisit survey.

The visit was a result of a complaint survey conducted on 2024-04-15; deficiencies from that survey were corrected.

A revisit survey was conducted in conjunction with a complaint investigation to verify correction of previous deficiencies and to investigate complaints.

No deficient practice was identified related to the complaints, and the deficiencies from the original survey were found to be corrected.

The revisit survey was conducted in conjunction with complaint investigations GA00246735 and GA246860; no deficiencies related to the complaints were identified.

An Abbreviated/Partial Extended Survey was conducted investigating multiple complaints from March 12, 2024 to April 15, 2024, including substantiated complaints related to resident care and facility compliance.

The facility was found to be in Immediate Jeopardy related to failure to provide timely laboratory services causing resident harm and death. Additional deficiencies included failure to promote resident dignity, unresolved grievances, incomplete care plans, medication administration errors, inadequate fall supervision and documentation, improper medication storage, unsanitary food service conditions, improper garbage disposal, inaccurate resident records, deficient infection control tracking, failure to ensure pneumococcal vaccinations were offered or documented, and a nonfunctional resident call system.

The survey was initiated due to multiple complaints (GA00242286, GA00228762, GA00229683, and others) which were substantiated with cited deficiencies including Immediate Jeopardy related to failure to provide timely laboratory services causing serious harm and death.

A Licensure Survey was conducted from 3/12/2024 through 4/15/2024 to assess compliance with state licensure requirements and regulations for Powder Springs Center for Nursing & Healing.

The survey identified multiple deficiencies including failure to promptly resolve resident grievances, improper medication storage and administration practices, failure to maintain infection control tracking and trending, inadequate care planning and medication administration errors for sampled residents, unsanitary kitchen and dumpster conditions, and failure to ensure residents were offered or consented to pneumococcal vaccinations.

The document is a statement of deficiencies and plan of correction for Powder Springs Center for Nursing & Healing, indicating a regulatory inspection was conducted.

The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.

A Follow-Up Survey was conducted to verify correction of previously cited survey tags.

All previously cited survey tags have been corrected as of the follow-up survey date.

A Licensure Survey was conducted from 4/19/2022 through 4/22/2022 to assess compliance with state regulations and licensing requirements for Powder Springs Center for Nursing & Healing.

The survey identified multiple deficiencies including a non-functional nurse call system in one wing, failure to properly screen staff and residents for COVID-19 symptoms, and a medication error rate exceeding 5% with specific medication administration errors documented.

The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and building rehabilitation standards.

The facility was found not in substantial compliance with 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition due to failure to document daily inspections of areas undergoing construction or alterations to ensure means of egress in case of emergency. Specifically, a temporary plastic wall barrier near room 338 was not inspected daily as required.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints (#GA00220743, #GA00220532, #GA00220242, #GA00219468, #GA00218498, #GA00218477, #GA00218305, #GA00218047, #GA00217658, and #GA00217525).

Complaint #GA00220743 was substantiated with no regulatory violations cited. All other complaints investigated were unsubstantiated with no regulatory violations cited.

Complaint #GA00220743 was substantiated with no regulatory violations cited. Complaints #GA00220532, #GA00220242, #GA00219468, #GA00218498, #GA00218477, #GA00218305, #GA00218047, #GA00217658, and #GA00217525 were unsubstantiated with no regulatory violations cited.

A revisit survey was conducted to verify correction of deficiencies cited during a complaint survey on September 30, 2021.

All deficiencies cited as a result of the complaint survey were found to be corrected during the revisit survey.

The visit was a follow-up to a complaint survey conducted on September 30, 2021, verifying correction of cited deficiencies.

A revisit survey was conducted to verify correction of deficiencies cited as a result of a complaint survey on September 30, 2021.

All deficiencies cited during the complaint survey on September 30, 2021 were found to be corrected during the revisit survey on November 16, 2021.

The revisit survey was conducted following a complaint survey on September 30, 2021. All cited deficiencies were corrected.

Licensure Survey conducted from September 28, 2021 through September 30, 2021 to assess compliance with nursing care requirements.

The facility failed to implement a care plan for every two-hour monitoring for one resident following elopement from the facility. There was no evidence that the ordered two-hour monitoring had been completed as required.

An abbreviated/partial extended survey was conducted to investigate multiple complaint intake numbers related to resident care and safety concerns.

The facility failed to implement a comprehensive care plan and follow physician orders for two-hour monitoring of a resident (R#3) after elopement. Additionally, the facility failed to adequately supervise the resident to prevent elopement from a secured unit, resulting in the resident leaving through a window and being found at a nearby gas station. The facility lacked policies on monitoring residents as a nursing standard and did not have a wander guard or identification bracelet system for residents at risk of elopement.

The investigation was initiated based on multiple complaint intake numbers. Some complaints were unsubstantiated without deficiency, some substantiated without deficiency, and two complaints substantiated with deficiencies related to resident monitoring and supervision.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00212422.

The complaint was unsubstantiated and no deficiencies were cited during the survey.

Complaint #GA00212422 was investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited during the January 20, 2021 Complaint Survey.

All deficiencies cited as a result of the January 20, 2021 Complaint Survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on January 20, 2021; all cited deficiencies were corrected.

A revisit survey was conducted to verify correction of deficiencies cited during the January 20, 2021 Complaint Survey.

All deficiencies cited as a result of the January 20, 2021 Complaint Survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on January 20, 2021; all cited deficiencies were corrected.

A COVID-19 Focused Infection Control Survey was conducted in conjunction with an Abbreviated/Partial Extended Survey investigating complaint numbers GA00211513 and GA00211478.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and CMS/CDC recommended practices for COVID-19. The complaints were unsubstantiated and no deficiencies were cited.

Complaints GA00211513 and GA00211478 were investigated and found to be unsubstantiated.

The inspection was conducted as a licensure survey investigating multiple complaints (GA00210262, GA00210483, GA00210640, and GA00211225) regarding water temperature issues and other concerns at the facility.

The facility failed to maintain adequate hot water temperatures on one of three halls in the East Wing, resulting in cold water in resident rooms. Some complaints were partially substantiated with deficiencies cited, while others were unsubstantiated. The facility took corrective actions including replacing the mixing valve and circulating pump to improve water temperatures.

The investigation included complaints GA00210262, GA00210483, GA00210640, and GA00211225. Complaints GA00210626, GA00210483, and GA00211225 were unsubstantiated with no deficiencies cited. Complaint GA00210640 was partially substantiated with deficiencies cited.

An abbreviated/partial extended survey was conducted to investigate complaints GA00210262, GA00210483, GA00210640, and GA00211225. Three complaints were unsubstantiated, and one was partially substantiated with deficiencies cited.

The facility failed to maintain comfortable and document water temperatures on one of three halls on the East Wing, resulting in cold water temperatures in resident rooms. Water temperatures were measured as low as 58-70 degrees Fahrenheit in resident rooms on the East Wing/C-Hall. The mixing valve was set at 110°F but showers running caused cold water in resident rooms until showers were completed. The issue was partially resolved after replacing the circulating pump and mixing valve, with improved water temperatures and fewer complaints by the end of the survey.

Complaint numbers GA00210262, GA00210483, GA00210640, and GA00211225 were investigated. GA00210626, GA00210483, and GA00211225 were unsubstantiated with no deficiencies cited. GA00210640 was partially substantiated with deficiencies cited related to cold water temperatures.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.

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.