Inspection Reports for Rockdale Healthcare Center
1510 RENIASSANCE DRIVE, CONYERS, GA, 30012
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 26, 2025, found no deficiencies and determined that complaints investigated were unsubstantiated. Earlier inspections showed a mixed record with several citations related to medication management, care planning, sanitary conditions in the kitchen, and emergency preparedness, including issues such as untimely Medicare Part A notifications, incomplete assessments for medication self-administration, and unsanitary food handling practices. Complaint investigations were mostly unsubstantiated, though one substantiated complaint in late 2024 involved deficiencies that were later corrected. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed prior deficiencies promptly, showing improvement in follow-up surveys after the October 2024 findings.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
100 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Abbreviated Survey
Census: 100
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00254526 and GA00255548.
Complaint Details
Complaints GA00254526 and GA00255548 were investigated and found to be unsubstantiated.
Findings
The complaints were unsubstantiated and no regulatory violations were cited during the survey.
Report Facts
Complaints investigated: 2
Census: 100
Inspection Report
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction for Rockdale Healthcare Center following a survey completed on December 19, 2024.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
A health revisit survey was conducted from December 17, 2024 through December 19, 2024 to verify correction of deficiencies cited in the October 31, 2024 Recertification Survey conducted in conjunction with a Complaint Investigation.
Findings
All deficiencies cited as a result of the October 31, 2024 Recertification Survey and Complaint Investigation were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
The Life Safety Code revisit found that all previously cited Life Safety Code deficiencies had been corrected.
Inspection Report
Routine
Census: 103
Deficiencies: 6
Date: Oct 31, 2024
Visit Reason
The inspection was a State Licensure survey conducted at Rockdale Healthcare Center from October 29, 2024, through October 31, 2024, to determine compliance with the State Long Term Care Requirements.
Findings
The facility was cited for multiple deficiencies including failure to timely notify residents of Medicare Part A benefit discontinuation, failure to add a 14-day stop date for PRN psychotropic medication, inadequate assessment for self-administration of medication, failure to develop comprehensive care plans addressing high-risk medications and ADL needs, failure to maintain a clean environment including dirty PTAC filters, and unsanitary food handling practices in the kitchen.
Deficiencies (6)
Failure to ensure timely notifications of discontinuation of Medicare Part A benefits for three residents.
Failure to add a 14-day stop for as-needed psychotropic medication for one resident.
Failure to adequately assess one resident for self-administration of medication.
Failure to develop comprehensive person-centered care plans addressing high-risk medications for two residents and failure to ensure ADL care for two residents.
Failure to maintain clean PTAC filters in 2 resident rooms.
Failure to maintain sanitary practices in the kitchen regarding food handling and hair coverings.
Report Facts
Facility census: 103
Residents reviewed for Medicare Part A notification: 3
Residents reviewed for unnecessary psychotropic medication: 5
Residents sampled for self-administration assessment: 50
Residents sampled for care plan review: 50
Residents reviewed for ADL care: 3
Resident rooms inspected for PTAC filter cleanliness: 42
Residents affected by kitchen sanitation deficiency: 101
Employees mentioned
| Name | Title | Context |
|---|---|---|
| VV | Registered Nurse/Unit Manager | Interviewed regarding psychotropic medication stop dates and medication at bedside |
| TT | Infection Preventionist | Interviewed regarding care plan updates |
| BBB | Minimum Data Set Director | Interviewed regarding care plan updates and reviews |
| GG | Certified Nursing Assistant | Interviewed regarding bathing and nail care practices |
| HH | Certified Nursing Assistant | Interviewed regarding bathing and nail care practices |
| BB | Licensed Practical Nurse | Interviewed regarding nail care expectations |
| NN | Cook | Observed without beard net in kitchen food preparation area |
| DM | Dietary Manager | Interviewed regarding kitchen sanitation and hair covering practices |
| SSD | Social Services Director | Interviewed regarding Medicare Part A discharge notifications |
| BOM | Business Office Manager | Interviewed regarding Medicare Part A discharge notifications |
| DON | Director of Nursing | Interviewed regarding psychotropic medication stop dates, medication at bedside, care plans, and nail care |
| MD | Facility Medical Doctor | Interviewed regarding psychotropic medication orders |
| Administrator | Facility Administrator | Interviewed regarding facility expectations for notifications, medication orders, and environmental maintenance |
| MD | Maintenance Director | Interviewed regarding PTAC filter maintenance |
| RN Area Director | RN Area Director from Hospice | Interviewed regarding hospice medication orders |
Inspection Report
Routine
Census: 103
Deficiencies: 10
Date: Oct 31, 2024
Visit Reason
A standard survey was conducted at Rockdale Healthcare Center from October 29, 2024, through October 31, 2024, including investigation of multiple complaint intake numbers.
Complaint Details
Complaint Intake Numbers GA00246329, GA00247316, GA00248676, GA00249019, and GA00252114 were investigated. Four were unsubstantiated; one (GA00252114) was substantiated with deficiencies.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations with deficiencies including failure to assess self-administration of medication, untimely Medicare Part A discharge notifications, unclean PTAC filters, incomplete resident assessments and care plans, inadequate ADL care, medication administration errors, failure to secure oxygen, lack of 14-day stop dates on PRN psychotropic medications, and unsanitary food handling practices in the kitchen.
Deficiencies (10)
Failure to adequately assess one resident for self-administration of medication, placing resident at risk for unsafe medication use.
Failure to ensure timely notifications of discontinuation of Medicare Part A benefits for three residents.
Failure to maintain clean PTAC filters in resident rooms, risking infection and poor air quality.
Failure to ensure all high-risk medications were coded on admission assessment for one resident.
Failure to develop comprehensive person-centered care plans addressing high-risk medications for two residents.
Failure to provide Activities of Daily Living (ADL) care including nail care for two residents.
Failure to administer ordered medications and implement resident-directed care consistent with podiatrist orders for two residents.
Failure to administer oxygen as ordered and failure to secure oxygen canister for one resident.
Failure to add a 14-day stop date for PRN psychotropic medication for one resident on hospice.
Failure to maintain sanitary food handling practices including lack of hair coverings and unclean environment in kitchen.
Report Facts
Residents sampled: 50
Residents reviewed for Medicare notification: 3
Resident rooms inspected for PTAC filters: 42
Residents reviewed for ADL care: 3
Residents reviewed for oxygen administration: 5
Facility census: 103
Employees mentioned
| Name | Title | Context |
|---|---|---|
| VV | Registered Nurse/Unit Manager | Named in medication self-administration deficiency and medication administration interview. |
| UU | Housekeeper | Named in PTAC filter cleanliness deficiency. |
| BBB | Minimum Data Set Director | Named in resident assessment and care plan deficiencies. |
| TT | Infection Preventionist | Named in resident assessment deficiency. |
| GG | Certified Nursing Assistant | Named in ADL care deficiency. |
| HH | Certified Nursing Assistant | Named in ADL care deficiency. |
| BB | Licensed Practical Nurse | Named in ADL care deficiency. |
| RR | Registered Nurse | Named in medication administration deficiency. |
| KK | Licensed Practical Nurse | Named in podiatry care deficiency. |
| JJ | Certified Nursing Assistant | Named in podiatry care deficiency. |
| DM | Dietary Manager | Named in food service sanitary practice deficiency. |
| NN | Cook | Named in food service sanitary practice deficiency. |
| DON | Director of Nursing | Named in multiple deficiencies including medication administration, care plans, oxygen administration, and psychotropic medication oversight. |
| Administrator | Named in multiple deficiencies including medication administration and psychotropic medication oversight. |
Inspection Report
Life Safety
Census: 103
Capacity: 102
Deficiencies: 2
Date: Oct 30, 2024
Visit Reason
The inspection was conducted to review the Emergency Preparedness Program and to perform a Life Safety Code Survey to assess compliance with federal regulations and fire safety standards.
Findings
The facility failed to properly update the Emergency Preparedness Plan annually, affecting all six smoke compartments. Additionally, the facility failed to repair holes/penetrations in oxygen rooms and dirty linen room doors, affecting two of six smoke compartments.
Deficiencies (2)
Facility failed to properly update the Emergency Preparedness Plan annually.
Facility failed to repair holes/penetrations in oxygen rooms and dirty linen room doors.
Report Facts
Census: 103
Total Capacity: 102
Smoke Compartments Affected: 6
Smoke Compartments Affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour on 10/30/2024 |
Inspection Report
Complaint Investigation
Census: 86
Deficiencies: 0
Date: Feb 19, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with a complaint survey investigating Complaint Number GA00243864.
Complaint Details
Complaint Number GA00243864 was unsubstantiated.
Findings
The complaint was unsubstantiated, no regulatory violations were cited, and the facility was found to be in compliance with 42 CFR 483.80 infection control regulations and CMS/CDC recommended COVID-19 practices.
Inspection Report
Abbreviated Survey
Census: 100
Deficiencies: 0
Date: Feb 7, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaint numbers GA00237982, GA00240702, GA00242290, GA00243026, and GA00241108.
Complaint Details
The survey investigated complaints GA00237982, GA00240702, GA00242290, GA00243026, and GA00241108. No deficiencies were cited related to these complaints.
Findings
No deficiencies were cited related to the investigated complaints during the survey.
Inspection Report
Deficiencies: 0
Date: Oct 16, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Rockdale Healthcare Center, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not specify any detailed deficiencies or findings.
Inspection Report
Re-Inspection
Census: 97
Deficiencies: 0
Date: Oct 16, 2023
Visit Reason
A revisit survey was conducted on 10/19/2023 to verify correction of deficiencies cited during the 6/25/2023 Recertification Survey.
Findings
All deficiencies cited as a result of the 6/25/2023 Recertification Survey were found to be corrected.
Report Facts
Census: 97
Inspection Report
Routine
Census: 98
Capacity: 99
Deficiencies: 1
Date: Aug 23, 2023
Visit Reason
The inspection was conducted to assess sanitary conditions related to dishware drying and storage practices in the facility's kitchen.
Findings
The facility failed to maintain sanitary conditions during the drying process for dishware by stacking and storing wet cups, glasses, and plate covers, which had the potential to cause food borne illness affecting 98 residents. Audits and interviews confirmed improper wet stacking practices despite staff training.
Deficiencies (1)
Failure to maintain sanitary conditions during dishware drying by stacking and storing wet cups, glasses, and plate covers.
Report Facts
Residents affected: 98
Residents census: 98
Total facility capacity: 99
Staff trained: 12
Wet dishware items stacked: 4
Wet dishware items stacked: 8
Wet dishware items stacked: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Monitored kitchen sanitation, stopped improper stacking, confirmed wet dishware, and conducted audits | |
| Dietary Aide CC | Observed stacking wet dishware and confirmed recent training on wet nesting | |
| Dietary Aide AA | Interviewed about dish drying process and stacking practices | |
| Dietary Aide BB | Interviewed about dish drying process and stacking practices | |
| Administrator | Presented training on kitchen sanitation and wet nesting, aware of audit documentation |
Inspection Report
Re-Inspection
Census: 99
Deficiencies: 1
Date: Aug 23, 2023
Visit Reason
A revisit survey was conducted to determine if the facility had achieved substantial compliance with Medicare/Medicaid regulations following a prior survey.
Findings
The facility failed to maintain sanitary conditions during the drying process for dishware by stacking and storing wet cups, glasses, and plate covers, which could potentially cause foodborne illness affecting 98 of 99 residents receiving an oral diet. The Dietary Manager and staff acknowledged the issue and had recently conducted training on proper sanitation and wet nesting procedures.
Deficiencies (1)
Failed to maintain sanitary conditions during drying process for dishware by stacking and storing wet cups, glasses, and plate covers.
Report Facts
Census: 99
Staff trained: 12
Wet dishware items stacked: 4
Wet dishware items stacked: 8
Wet dishware items stacked: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Monitored kitchen sanitation, verified stacked wet dishware, and conducted staff training |
| Dietary Aide CC | Dietary Aide | Observed stacking wet dishware and interviewed regarding sanitation practices |
| Dietary Aide AA | Dietary Aide | Interviewed about dish drying process and stacking practices |
| Dietary Aide BB | Dietary Aide | Interviewed about dish drying process and stacking practices |
| Administrator | Administrator | Provided information about audit documentation and staff training |
Inspection Report
Life Safety
Census: 92
Capacity: 102
Deficiencies: 0
Date: Jun 30, 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 to be in compliance with the Emergency Preparedness Program requirements and Life Safety Code standards during the survey.
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Jun 25, 2023
Visit Reason
The inspection was conducted as a Licensure Survey from June 23, 2023 through June 25, 2023 to assess compliance with state regulations for Rockdale Healthcare Center.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity by not providing privacy bags for urinary catheter drainage bags, failure to manage pain adequately for a resident after a fall resulting in actual harm, failure to maintain a clean and homelike environment in resident rooms, and failure to properly label, date, and store food items in the dietary department.
Deficiencies (4)
Failure to maintain dignity by ensuring a dignity bag was provided for a resident with an indwelling urinary catheter.
Failure to manage pain for a resident after a fall, resulting in actual harm including a chronic subdural hematoma.
Failure to maintain a clean and comfortable homelike environment in eight resident rooms, including black scuff marks on walls and dirty, dusty air vents in bathrooms.
Failure to label and date opened food items in the walk-in cooler, freezer, and dry storage pantry; failure to discard food items by discard date; and failure to maintain sanitary conditions by stacking wet drinking cups.
Report Facts
Residents in sample size: 35
Residents receiving oral diet: 89
Date of inspection completion: Jun 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| AA | Certified Nurse's Aide (CNA) | Provided information about catheter care and privacy bag availability |
| BB | Licensed Practical Nurse (LPN) | Confirmed catheter care responsibilities and privacy bag expectations |
| CC | Licensed Practical Nurse (LPN) | Confirmed nursing staff responsibility for catheter privacy bags |
| DD | LPN Unit Manager | Discussed privacy cover use and planned staff education |
| EE | Licensed Practical Nurse (LPN) | Provided information about incident packet and fall protocol |
| FF | Dietary Aide | Verified food storage and labeling deficiencies |
| GG | Dietary Aide | Discussed food labeling and discard date requirements |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 7
Date: Jun 25, 2023
Visit Reason
A standard survey was conducted in conjunction with complaint investigations of two complaint intake numbers, one found unsubstantiated and the other substantiated with deficiencies.
Complaint Details
Complaint Intake Numbers GA00231401 and GA00231835 were investigated. GA00231401 was unsubstantiated. GA00231835 was substantiated with deficiencies including actual harm from an unwitnessed fall resulting in a subdural hematoma and pain.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain dignity for a resident with a urinary catheter, failure to maintain a clean environment in resident rooms, failure to update care plans related to falls, failure to properly assess and follow up after a resident's fall including neuro checks and timely radiology services, failure to manage pain after a fall, and failure to properly label and date food items and maintain sanitary conditions in dietary areas.
Deficiencies (7)
Failure to maintain dignity by ensuring a dignity bag was provided for a resident with an indwelling urinary catheter.
Failure to maintain a clean and comfortable homelike environment in eight resident rooms including black scuff marks on walls and dirty and dusty air vents in bathrooms.
Failure to update and revise the comprehensive person-centered care plan related to unwitnessed falls for one resident.
Failure to ensure proper assessment and followup for one resident post fall including incomplete neuro-checks and delayed radiology services.
Failure to manage pain for one resident after a fall, with continued pain and delayed treatment.
Failure to provide radiology services in a timely manner for one resident.
Failure to label and date opened food items in walk-in cooler, freezer, and dry storage; failure to discard food by discard date; and failure to maintain sanitary conditions by stacking wet drinking cups.
Report Facts
Resident census: 90
Deficiencies cited: 7
Pain medication dose: 1000
Neuro check frequency: 15
Neuro check frequency: 30
Neuro check frequency: 60
Neuro check frequency: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN BB | Licensed Practical Nurse | Interviewed regarding urinary catheter drainage bag privacy bag policy and observations |
| LPN CC | Licensed Practical Nurse | Interviewed regarding urinary catheter drainage bag privacy bag policy |
| LPN Unit Manager DD | Licensed Practical Nurse Unit Manager | Interviewed regarding urinary catheter drainage bag privacy bag policy and corrective actions |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding urinary catheter drainage bag privacy bag policy, fall care plan updates, neuro checks, and pain management |
| Maintenance Director | Interviewed regarding maintenance concerns and cleaning responsibilities | |
| Housekeeping Supervisor | Interviewed regarding cleaning protocols and responsibilities | |
| LPN II | Licensed Practical Nurse II | Interviewed regarding fall assessment and neuro checks |
| Medical Doctor | Resident's Medical Doctor | Interviewed regarding expectations for fall assessment and pain management |
| Dietary Aide FF | Dietary Aide | Interviewed regarding food labeling and storage practices |
| Dietary Aide GG | Dietary Aide | Interviewed regarding food labeling and discard dates |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding food storage, labeling, and discard practices |
| Registered Dietician | Registered Dietician (RD) | Interviewed regarding expectations for food labeling and drying procedures |
| Administrator | Interviewed regarding expectations for maintenance and dietary compliance |
Inspection Report
Abbreviated Survey
Census: 88
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
An abbreviated survey was conducted to investigate complaints #GA00223025 and #GA00227846.
Complaint Details
Complaint #GA00223025 was substantiated with no deficiencies. Complaint #GA00227846 was unsubstantiated with no deficiencies.
Findings
Complaint #GA00223025 was substantiated with no deficiencies found, and complaint #GA00227846 was unsubstantiated with no deficiencies identified.
Report Facts
Resident Census: 88
Inspection Report
Abbreviated Survey
Census: 97
Deficiencies: 0
Date: Feb 21, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Rockdale Healthcare Center following a state inspection.
Findings
The report contains initial comments and a summary statement of deficiencies identified during the inspection.
Inspection Report
Re-Inspection
Census: 95
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
A revisit survey was conducted on 1/24/2022 through 1/25/2022 to verify correction of deficiencies cited in the 11/19/2021 Standard Survey.
Findings
All deficiencies cited as a result of the 11/19/2021 Standard Survey were found to be corrected during this revisit survey.
Inspection Report
Abbreviated Survey
Census: 95
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00219419.
Complaint Details
Complaint #GA00219419 was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Nov 19, 2021
Visit Reason
The inspection was conducted as a licensure survey for Rockdale Healthcare Center.
Findings
No deficiencies were identified during the licensure survey.
Inspection Report
Complaint Investigation
Census: 98
Deficiencies: 2
Date: Nov 19, 2021
Visit Reason
A standard survey was conducted from 11/16/21 to 11/19/21, including investigation of Complaint Intake Numbers GA00214707 and GA00212256, to assess compliance with Medicare/Medicaid regulations.
Complaint Details
Complaint Intake Numbers GA00214707 and GA00212256 were investigated in conjunction with the standard survey.
Findings
The facility was found not in substantial compliance with regulations due to failure to follow physician orders for two residents. Specifically, the facility administered Eliquis without consulting the GI physician for Resident #145 and administered oxygen at a higher flow rate than ordered for Resident #198.
Deficiencies (2)
Failure to consult the Gastrointestinal physician before administering Eliquis to Resident #145.
Failure to administer the correct amount of oxygen to Resident #198, administering 5L/NC instead of the ordered 2L/NC.
Report Facts
Resident census: 98
Medication dosage: 2.5
Oxygen flow rate ordered: 2
Oxygen flow rate administered: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Interviewed regarding lack of evidence of GI physician consultation and confirmation of oxygen order. | |
| Licensed Practical Nurse GG | Confirmed resident had physician's order for oxygen at 2L/NC. |
Inspection Report
Life Safety
Census: 98
Capacity: 102
Deficiencies: 0
Date: Nov 17, 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 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
Census: 98
Total Capacity: 102
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 23, 2021
Visit Reason
A revisit to the Focused Infection Control survey of 1/19/2021 was conducted to verify correction of previously identified deficiencies.
Findings
The revisit revealed that the deficiency identified in the prior survey had been corrected as of 3/5/2021.
Inspection Report
Abbreviated Survey
Census: 87
Deficiencies: 0
Date: Feb 8, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted in conjunction with a COVID-19 Focused Infection Control Survey to investigate Complaint GA00211637.
Complaint Details
Complaint GA00211637 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
Complaint GA00211637 was found to be unsubstantiated with no deficiencies cited. No additional deficient practice was identified during the Focused Infection Control Survey.
Inspection Report
Abbreviated Survey
Census: 78
Deficiencies: 1
Date: Jan 19, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and implementation of CMS and CDC recommended practices related to COVID-19.
Findings
The facility was found not to be in compliance with infection control regulations, specifically failing to provide education and/or offer the PCV13 pneumococcal vaccine to four of five residents reviewed, increasing the risk of pneumonia among residents.
Deficiencies (1)
Failure to provide education and/or offer the PCV13 pneumococcal vaccine to four of five residents reviewed for flu/pneumonia vaccinations.
Report Facts
Residents reviewed for flu/pneumonia vaccinations: 5
Residents not offered PCV13 vaccine: 4
Total census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing Services | Stated that PCV13 vaccine was not offered and was new to them | |
| Consultant Pharmacist | Stated that PCV13 immunization was not normally provided and was at discretion of physician and resident | |
| Facility Physician | Voicemail stating the facility had not been giving the 13 valent vaccine or providing educational pieces |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 10, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints (#GA00198380, #GA00198367, #GA00199945, #GA00201644, and #GA00206293) at the facility.
Complaint Details
Complaints #GA00198367 and #GA00201644 were substantiated without regulatory violations. Complaints #GA00206923, #GA00199945, and #GA00198380 were unsubstantiated with no regulatory violations.
Findings
Complaints #GA00198367 and #GA00201644 were substantiated without regulatory violations. Complaints #GA00206923, #GA00199945, and #GA00198380 were unsubstantiated with no regulatory violations.
Inspection Report
Routine
Census: 84
Deficiencies: 0
Date: Sep 23, 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: 93
Deficiencies: 0
Date: Jul 31, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted by Ascellon on behalf of the Georgia Department of Community Health on July 30-31, 2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Re-Inspection
Census: 89
Deficiencies: 0
Date: Dec 13, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the 10/18/18 recertification survey.
Findings
All deficiencies cited in the previous recertification survey were found to be corrected during this revisit survey.
Inspection Report
Life Safety
Census: 94
Capacity: 105
Deficiencies: 0
Date: Oct 29, 2018
Visit Reason
The visit was conducted as a Life Safety Code Survey to assess compliance with fire safety regulations and Medicare/Medicaid participation requirements.
Findings
Rockdale Healthcare Center was found to be in substantial compliance with the Life Safety Code requirements, including the Emergency Preparedness plan and NFPA 101 Life Safety Code 2012 edition standards.
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 3
Date: Oct 18, 2018
Visit Reason
A standard survey was conducted from 10/15/18 through 10/18/18, including investigation of two complaint intake numbers GA00189040 and GA00191296. The visit was triggered by complaints and the standard survey to assess compliance with Medicare/Medicaid regulations.
Complaint Details
Complaint Intake Number GA00189040 was substantiated with deficiencies cited related to failure to follow care plans and prevent accidents. Complaint Intake Number GA00191296 was substantiated without deficiencies cited.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to failure to follow care plans for activities of daily living (ADL) for two residents, including inadequate assistance with bed mobility leading to a fall and failure to provide proper nail care. The facility also failed to provide adequate supervision and assistance devices to prevent accidents, resulting in a resident fall due to staff not following the care plan.
Deficiencies (3)
Failure to follow the plan of care related to activities of daily living (ADL) for two residents, including assistance with bed mobility and nail care.
Failure to provide necessary services to maintain good nutrition, grooming, and personal hygiene for one dependent resident related to nail care.
Failure to ensure the resident environment was free of accident hazards and to provide adequate supervision and assistance devices to prevent accidents, resulting in a fall.
Report Facts
Resident census: 88
Sample size: 25
Date of incident: May 11, 2018
Number of staff trained: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA EE | Certified Nursing Assistant | Named in fall incident involving Resident #20 and found to have left resident unattended; received education on care plan and Kardex system after incident; no longer employed at facility. |
| CNA GG | Certified Nursing Assistant | Interviewed regarding ADL care and nail care practices for Resident #6. |
| LPN HH | Licensed Practical Nurse Unit Manager | Interviewed regarding expectations for staff to provide care per orders and care plan including nail care. |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding expectations for staff to follow care plans and facility policies; confirmed no nail care policy. |
| LPN BB | Licensed Practical Nurse | Provided report on resident fall incident and care requirements for Resident #20. |
| CNA AA | Certified Nursing Assistant | Interviewed about care needs of Resident #20 and staff awareness of care requirements. |
| LPN AA | Licensed Practical Nurse | Interviewed about staff communication and resident care needs for Resident #20. |
| Staff Educator | Staff Educator | Interviewed about CNA orientation and training process including use of electronic care plan and Kardex system. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Oct 18, 2018
Visit Reason
The inspection was conducted to assess compliance with nursing care plans and overall facility adherence to regulatory requirements related to patient care, including activities of daily living (ADL) and safety measures.
Findings
The facility failed to follow the plan of care related to activities of daily living for two residents, including inadequate assistance with bed mobility and unkept nails. A resident fall occurred due to staff not following the plan of care, and staff education was recommended. The facility lacked a policy for nail care.
Deficiencies (1)
Failure to follow the plan of care related to activities of daily living for two residents, including assistance with bed mobility and nail care.
Report Facts
Residents sampled: 25
Incident date: May 11, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA EE | Certified Nursing Assistant | Named in fall incident and related care plan deficiency |
| Director of Nursing | Interviewed regarding incident and care plan expectations | |
| Assistant Director of Nursing | Interviewed regarding incident and care plan expectations | |
| Licensed Practical Nurse HH | Unit Manager | Interviewed regarding nail care expectations |
| Certified Nursing Assistant GG | Certified Nursing Assistant | Interviewed regarding ADL care and nail care |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 17, 2018
Visit Reason
A complaint survey was conducted to investigate complaint #GA00187233 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
Complaint #GA00187233 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint investigation survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 1, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00185311.
Complaint Details
Complaint #GA00185311 was investigated and found to be unsubstantiated.
Findings
The complaint investigation was concluded as unsubstantiated with no deficiencies detailed in the report.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 27, 2017
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 deficiencies had been corrected.
Inspection Report
Routine
Census: 97
Deficiencies: 0
Date: Nov 9, 2017
Visit Reason
A standard survey was conducted at Rockdale Healthcare from November 6th, 2017 through November 9th, 2017 to assess compliance with Medicare/Medicaid regulations at 42 C.F.R. 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: 98
Capacity: 102
Deficiencies: 2
Date: Nov 6, 2017
Visit Reason
The 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 the sprinkler system, evidenced by a yellow tag with repair notes on the sprinkler riser, and failure to maintain the laundry room door which was damaged and needed replacement to ensure it remains self-closed and latched or magnetically held open by the fire alarm system.
Deficiencies (2)
Failure to maintain the sprinkler system; a yellow tag with repair notes was found on the sprinkler system riser.
Failure to maintain corridor door to laundry room; door was damaged and needed replacement to ensure proper self-closing and latching.
Report Facts
Census: 98
Total Capacity: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings regarding sprinkler system and laundry room door during facility tour |
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