Inspection Reports for Social Circle Nsg & Rehab Ctr

The inspection was conducted as a State Licensure survey at Social Circle Nursing and Rehab Center from May 27, 2025 through May 29, 2025 to determine compliance with State Long Term Care Requirements.

Multiple deficiencies were cited including failure to secure medication carts properly, improper disinfection of glucometers, failure to administer enteral feedings as ordered, incomplete documentation of personal care, malfunctioning call lights, and missing floor tiles affecting the home-like environment.

A standard survey was conducted from May 27 through May 29, 2025, in conjunction with Complaint Intake Number GA00253953, which was substantiated with deficiency. The visit aimed to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with federal regulations, with deficiencies including failure to maintain a home-like environment due to missing floor tiles in resident rooms, failure to administer enteral tube feedings according to physician orders, improper medication cart security and medication dating, failure to document personal and continence care, inadequate disinfection of glucometers, and a non-functioning call light in one resident room.

Complaint Intake Number GA00253953 was investigated in conjunction with the standard survey and was found substantiated with deficiency.

The inspection was conducted as a State Licensure survey at Social Circle Nursing and Rehab Center from May 27, 2025 through May 29, 2025 to determine compliance with State Long Term Care Requirements.

Multiple deficiencies were cited including failure to secure medication carts properly, improper disinfection of glucometers, failure to administer enteral feedings according to physician orders, incomplete documentation of personal care, malfunctioning call lights, and missing floor tiles in resident rooms affecting the home-like environment.

A standard survey was conducted from May 27 through May 29, 2025, including investigation of Complaint Intake Number GA00253953, which was substantiated with deficiency.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain a home-like environment due to missing floor tiles in resident rooms, failure to administer enteral feedings according to physician orders, improper medication cart security and medication dating, failure to document personal and continence care, inadequate glucometer disinfection, and a non-functioning call light in one resident room.

Complaint Intake Number GA00253953 was investigated in conjunction with the standard survey and was found substantiated with deficiency.

The inspection was conducted as a State Licensure survey at Social Circle Nursing and Rehab Center from May 27, 2025 through May 29, 2025 to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including failure to properly secure medication carts, improper disinfection of glucometers, failure to administer enteral feedings according to physician orders, incomplete documentation of personal care, nonfunctional call light in one resident room, and failure to maintain a home-like environment due to missing floor tiles in several rooms.

A standard survey was conducted from May 27 through May 29, 2025, including investigation of Complaint Intake Number GA00253953, which was substantiated with deficiency.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain a home-like environment due to missing floor tiles in resident rooms, failure to administer enteral feedings according to physician orders, improper medication cart security and medication dating, failure to document personal and continence care, improper disinfection of glucometers, and a non-functioning call light in one resident room.

Complaint Intake Number GA00253953 was investigated in conjunction with the standard survey and was found substantiated with deficiency.

The inspection was a State Licensure survey conducted to determine compliance with the State Long Term Care Requirements at Social Circle Nursing and Rehab Center.

The facility was cited for multiple deficiencies including failure to secure medication carts properly, improper dating of opened eye drop medication, inadequate disinfection of glucometers, failure to administer enteral feedings as ordered, incomplete documentation of personal care, nonfunctional call light in one resident room, and failure to maintain a home-like environment due to missing floor tiles in several rooms.

A standard survey was conducted from May 27 through May 29, 2025, including investigation of Complaint Intake Number GA00253953, which was substantiated with deficiency.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain a home-like environment due to missing floor tiles, failure to administer enteral feedings per physician orders, improper medication cart security and medication dating, failure to document personal and continence care, improper glucometer disinfection, and a non-functioning call light in one resident room.

Complaint Intake Number GA00253953 was investigated in conjunction with the standard survey and was found substantiated with deficiency.

The inspection was a State Licensure survey conducted to determine compliance with the State Long Term Care Requirements at Social Circle Nursing and Rehab Center.

The facility was found deficient in multiple areas including medication cart security, proper dating of opened medications, glucometer disinfection, administration of enteral feedings, documentation of personal care, call light functionality, and maintenance of flooring to preserve a home-like environment.

A standard survey was conducted from May 27 through May 29, 2025, including investigation of Complaint Intake Number GA00253953, which was substantiated with deficiency.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain a home-like environment due to missing floor tiles, failure to administer enteral feedings per physician orders, improper medication cart security and medication dating, failure to document personal and continence care, improper glucometer disinfection, and a non-functioning call light in one resident room.

Complaint Intake Number GA00253953 was investigated in conjunction with the standard survey and was found substantiated with deficiency.

The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.

The facility was found not in substantial compliance due to deficiencies including lack of emergency lighting in the kitchen area and patient room doors failing to properly close, affecting one of four smoke compartments.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints against the facility.

Complaint GA00246006 was substantiated, while the other complaints were unsubstantiated. No deficiencies were cited related to any of the complaints.

Complaint GA00246006 was substantiated. Complaints GA00253500, GA00248094, GA00247060, GA00246419, GA00245810, and GA00243243 were unsubstantiated.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00242427.

The complaint GA00242427 was unsubstantiated with no regulatory violations cited during the survey.

Complaint GA00242427 was investigated and found to be unsubstantiated with no regulatory violations cited.

The document is a statement of deficiencies and plan of correction for Social Circle Nursing & Rehab Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the October 29, 2023 Recertification Survey.

All deficiencies cited in the October 29, 2023 Recertification Survey were found to be corrected during this revisit survey.

A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.

The Emergency Preparedness Program was reviewed and found to be in substantial compliance with regulatory requirements. All previously cited deficiencies were corrected.

The inspection was a State Licensure survey conducted at Social Circle Nursing and Rehabilitation Center from October 27, 2023 through October 29, 2023 to determine compliance with the State Long Term Care Requirements.

The facility was cited for multiple deficiencies including failure to maintain resident dignity by not providing dignity bags for catheter drainage, failure to implement stop dates for psychotropic medications, medication storage and labeling issues, failure to follow care plan interventions for PICC line care and contracture management, safety issues with laundry equipment, infection control lapses including hand hygiene and laundry practices, and failure to properly label and date opened food items in the kitchen.

A standard survey was conducted at Social Circle Nursing and Rehabilitation Center from October 27, 2023, to October 29, 2023, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with multiple regulatory requirements including resident dignity, advance directives, care planning, medication management, infection control, and equipment maintenance. Deficiencies included failure to provide dignity bags for catheterized residents, lack of physician orders for code status, incomplete care plans, improper medication storage and labeling, inadequate infection control practices, and a leaking industrial washer in the laundry.

The Life Safety Code Survey was conducted to assess compliance with fire safety and related National Fire Protection Association (NFPA) standards for participation in Medicare/Medicaid.

The facility was found not in substantial compliance due to improper use of flammable foam to seal AC penetrations on an exterior wall and a smoke door in the south hallway that did not close properly, potentially placing residents at risk from fire and smoke spread.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints identified by their numbers.

Complaints #GA00227862 and #GA00229939 were substantiated with no deficiencies found. Complaints #GA00229044, #GA00231896, #GA00233285, and #GA00238515 were unsubstantiated.

Complaints #GA00227862 and #GA00229939 were substantiated with no deficiencies. Complaints #GA00229044, #GA00231896, #GA00233285, and #GA00238515 were unsubstantiated.

This document is a Statement of Deficiencies and Plan of Correction following a survey completed at the facility.

The report contains initial comments and a summary statement of deficiencies identified during the survey; however, no specific deficiencies or findings are detailed on this page.

A revisit survey was conducted to verify correction of deficiencies cited in the 11/23/22 Complaint Survey.

All deficiencies cited in the previous complaint survey were found to be corrected during this revisit survey.

This revisit survey followed a complaint survey conducted on 11/23/22. All deficiencies from that complaint survey were corrected.

An abbreviated/partial extended survey was conducted to investigate complaint intake GA00229858 regarding allegations of sexual abuse by one resident towards others.

The facility failed to protect two residents from sexual abuse by another resident, failed to report allegations of abuse to the State Survey Agency timely, and failed to investigate the allegations of abuse. Multiple staff and resident interviews confirmed inappropriate behavior by the accused resident, and the facility administration was unaware of some incidents.

Complaint number GA00229858 was substantiated with deficiencies related to sexual abuse allegations involving residents #1, #2, and #3.

The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.

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 7/21/22 recertification survey.

All deficiencies cited in the previous recertification survey were found to be corrected during this revisit survey.

The inspection was a Licensure Survey conducted from July 19, 2022 through July 21, 2022 to assess compliance with licensure requirements.

The facility failed to maintain cleanliness of the kitchen grease trap, resulting in a buildup of black, greasy substance that posed potential health and safety hazards to residents and staff. Interviews revealed lack of maintenance scheduling and communication regarding the grease trap cleaning responsibilities.

A standard survey was conducted from 7/19/22 through 7/21/22, including investigation of Complaint Intake Number GA00225705, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, including failure to provide Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) to two residents discharged from Medicare Part A services but remaining in the facility, and failure to maintain cleanliness of the kitchen grease trap, exposing residents and staff to potential health and safety hazards.

Complaint Intake Number GA00225705 was investigated in conjunction with the standard survey. The complaint involved failure to provide SNFABN notices to residents discharged from Medicare Part A services but remaining in the facility.

The visit was conducted as a Life Safety Code survey to assess compliance with fire safety and related regulations at Social Circle Nursing and Rehab.

The facility was found to be in compliance with the requirements for participation in Medicare/Medicaid under 42 CFR Subpart 483.90(a) and the NFPA 101 Life Safety Code 2012 Edition. Five rooms in the North Hall were not surveyed due to COVID patients, but daily life safety assessments were documented.

The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.

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

A revisit survey was conducted to verify correction of deficiencies cited in the complaint survey conducted on 2022-06-02.

All deficiencies cited in the previous complaint survey were found to be corrected during this revisit survey.

The inspection was conducted as a Licensure Survey from May 22, 2022 through June 2, 2022 to assess compliance with licensure requirements.

The facility failed to implement a respiratory care plan intervention by not obtaining a physician order for oxygen use for one of three sampled residents with asthma and COPD. The Director of Nursing confirmed that care plans should be followed and updated as needed.

An abbreviated/partial extended survey was conducted to investigate complaints #GA00211410 and #GA00211346.

The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.

Complaints #GA00211410 and #GA00211346 were investigated and found to be unsubstantiated.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints identified by their numbers.

The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.

Complaints #GA00204989, #GA00205309, #GA00206201, #GA00207228, #GA00207473, #GA00208622, and #GA00208796 were investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the August 12, 2020 COVID-19 Infection Control Focus Survey.

All deficiencies cited in the prior COVID-19 Infection Control Focus Survey were found to be corrected during this revisit survey.

A COVID-19 Focused Infection Control Survey was conducted on August 11-12, 2020 by Ascellon on behalf of the Georgia Department of Community Health (DCH) to assess the facility's compliance with infection control regulations related to COVID-19.

The facility was found not in substantial compliance with 42 CFR §483.80 infection control regulation due to failure to properly contain COVID-19 for four of six sampled residents on the COVID/Observation Unit. Specifically, a Certified Nursing Assistant failed to perform hand hygiene after removing PPE and before donning new gloves.

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.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and had implemented recommended practices to prepare for COVID-19.

An Abbreviated/Partial Extended Survey was conducted to investigate complaints # GA00200057, GA00202422, and GA00203032.

Complaints GA00200057 and GA00203032 were not substantiated, while complaint GA00202422 was substantiated. No deficiencies were cited during the survey.

Complaint # GA00202422 was substantiated; complaints # GA00200057 and GA00203032 were not substantiated.

A complaint survey was conducted on 6/12/19 to investigate complaint GA00196852 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint investigation survey.

Complaint GA00196852 was investigated and no deficiencies were found, indicating compliance with applicable requirements.

A follow-up to the Recertification survey conducted from 1/22/19 through 1/26/19 was performed from 3/18/19 through 3/21/19 to verify correction of previous deficiencies. Additionally, an Abbreviated/Partial Extended survey was conducted to investigate complaint #GA00195166.

All deficiencies from the prior recertification survey had been corrected, and the facility was in substantial compliance as of 3/11/19. The complaint investigation found no deficient practices.

Complaint #GA00195166 was investigated during the revisit survey with no deficient practice cited.

An unannounced abbreviated survey was conducted from 3/18/19 through 3/21/19 to investigate complaint #GA00195166, along with a revisit survey to the Recertification survey of 1/22/19 through 1/26/19.

No deficient practice was cited for the complaint portion of the survey.

Complaint #GA00195166 was investigated and no deficient practice was found.

A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.

The follow-up survey noted that all previously cited survey tags have been corrected.

A standard survey was conducted at Social Circle Nursing & Rehab Center from 1/22/19 to 1/26/19 to assess compliance with Medicare/Medicaid regulations and evaluate resident care and facility operations.

The survey identified multiple deficiencies including failure to promptly notify family of resident condition changes, failure to protect a resident from staff abuse, inaccurate resident assessments, insufficient nursing staff to complete medication passes timely, elevated hot water temperatures in resident bathrooms, incomplete infection control surveillance and reporting, and failure to properly post nurse staffing information.

The inspection was conducted to assess compliance with healthcare regulations including administration, infection control, nursing care, physical plant standards, and patient safety at Social Circle Nursing & Rehab Center.

The facility failed to promptly notify a resident's family of a new pressure ulcer and treatment, did not adequately analyze infection control data or respond to infection clusters, failed to implement care plans related to falls, medication administration, and catheter care, and did not maintain hot water temperatures within safe limits, failing to monitor and communicate elevated water temperatures effectively.

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.

The facility was found not in substantial compliance with fire safety requirements including improper maintenance of the fire alarm system, lack of sprinkler protection in some closets, corridor doors not closing and latching properly, unprotected penetrations in rated ceilings, failure to maintain rated doors, improper use of portable space heaters, and lack of a remote annunciator for the emergency generator.

A complaint survey was conducted to investigate complaints #GA00190251 to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

Complaint #GA00190251 was investigated and no deficiencies were found.

A complaint survey was conducted to investigate complaints #GA00189471 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

Complaint #GA00189471 was investigated and found to have no deficiencies.

A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.

The surveyor noted that all previously cited survey tags have been corrected.

A revisit survey was conducted to verify correction of deficiencies cited during the Recertification survey of 2/1/18.

All deficiencies cited as a result of the Recertification survey of 2/1/18 were corrected.

A Follow-Up Survey was conducted to verify correction of previously cited deficiencies related to the facility's Emergency Preparedness Plan.

The facility's Emergency Preparedness Plan was found not to be in substantial compliance as it did not address all identified hazards and not all staff had been trained and tested, placing 59 residents at risk in the event of an emergency.

A standard survey was conducted at Social Circle Health Nursing and Rehab Center from January 29, 2018 to February 1, 2018 to assess compliance with Medicare/Medicaid regulations and facility standards.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to document Quality Improvement Organization information on Medicare Non-Coverage notices, incomplete comprehensive care plans for multiple residents, failure to prevent and treat pressure ulcers, lack of restorative therapy services as ordered, inadequate bowel and bladder assessments and interventions, failure to provide therapeutic diets and assistance with eating, and failure to maintain infection control practices for a resident in isolation.

The inspection was conducted to evaluate compliance with infection control practices, comprehensive care planning, and nursing care standards at the Social Circle Nursing & Rehab Center.

The facility failed to maintain proper infection control practices for a resident in isolation for possible clostridium difficile and failed to develop comprehensive care plans for six residents with various medical and care needs including pressure ulcers, dialysis, nutrition, range of motion limitations, and bowel/bladder functioning.

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

The facility was found not in substantial compliance with emergency preparedness and life safety code requirements, including deficiencies in the emergency preparedness plan, fire alarm system installation and initiation, sprinkler system maintenance, fire extinguisher maintenance, corridor doors, electrical systems, HVAC maintenance, generator maintenance, and oxygen cylinder storage.

The inspection was conducted to investigate complaint #GA00181144 and determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey at Social Circle Nursing and Rehab.

Complaint #GA00181144 was investigated and found to have no deficiencies.

The inspection was conducted to investigate complaint #GA00178560 and determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey conducted from 8/17/17 to 8/18/17.

Complaint #GA00178560 was investigated and found to have no deficiencies.

A follow-up survey was conducted on 4/26/17 to the recertification survey conducted on 3/2/17.

All deficiencies identified in the prior recertification survey had been corrected.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up survey.

An abbreviated/partial extended survey was conducted to investigate Complaint GA00173610.

The complaint GA00173610 was unsubstantiated and no deficiencies were found during the investigation.

Complaint GA00173610 was investigated and found to be unsubstantiated with no deficiencies.

An abbreviated/partial extended survey was conducted to investigate complaint GA00173362.

The complaint GA00173362 was found to be unsubstantiated during the survey.

Complaint GA00173362 was investigated and found to be unsubstantiated.

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

The facility was found not in substantial compliance with life safety requirements, including improperly secured exit doors, failure to maintain exit and emergency lighting, improperly installed smoke detectors, inadequate fire sprinkler system coverage and maintenance, damaged rated ceilings, electrical system deficiencies, incomplete fire drills on all shifts, use of prohibited portable space heaters, failure to properly test the emergency generator, and lack of required oxygen storage signage.