Haralson Nsg & Rehab Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 32.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 49 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 97.4 residents a day — about 81% occupied, or roughly 23 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.14 hrs/resident/day on weekends vs 3.43 on weekdays — 8% thinner on weekends. RN hours go from 0.26 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Actual harm · Gcited before2025-04-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, interviews, and a review of the facility policy titled Hot Beverage Policy, the facility failed to ensure that one of 14 sampled residents (R) (R4) was free from accident hazards. Harm was identified to have occurred on 11/12/2024 when staff served R4 hot liquids, which resulted in a second-degree burn.Findings included:An undated facility policy titled Hot Beverage Policy revealed that serving hot beverages that are at exceedingly high temperatures can increase the risk of burns and scalding amongst elderly residents. It is important to provide hot beverages at a safe temperature. Hot beverages should be served between 130 [degrees] and 160 [degrees]. The policy further indicated to check the temperature of the coffee/hot water from the dispenser daily with a calibrated thermometer to ensure the temperature management system of the coffee machine is accurate. Do not fill the cup to the brim to avoid spilling. To-go coffee cups should have securely fastened lids.A review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Actual harm · G2022-07-21 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, document review, interviews, and a review of facility policy, the facility failed to protect two of two residents (R) (R#205 and R#98) from abuse from R#204. On 7/20/21, the psychiatrist indicated there was an alarming change in R#204's impulsivity and recommended staff should watch R#204 more carefully while the medications get stabilized. However, there was no documented evidence the facility increased the resident's supervision to protect residents. On 7/30/21, staff found R#204 hitting the resident's roommate (R#205) in the face with a fist. The facility implemented interventions including moving the resident's roommate; however, the facility failed to implement interventions to supervise R#204. Interviews with staff revealed R#204 had to be redirected from R#98's room and/or threatened the resident; however, no interventions were implemented to protect R#98. On 9/14/21, R#204 was captured on video coming out R#98's room. R#98 was found to have bruising to the face under the eye, on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-07-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and facility policy review, the facility failed to ensure a root cause was identified and person-centered interventions were developed after a fall for one of three sampled residents (R) (R#69) reviewed for falls. Specifically, R#69 had an unwitnessed fall in the resident's room on 4/2/22 and the root cause of the fall was not identified nor were new interventions developed. The resident experienced another unwitnessed fall in the resident's room on 6/27/22 and sustained a fracture to the left hand. Findings include: A review of the undated facility policy titled, Cypress Skilled Nursing Clinical Standard of Practice, revealed, Subject: Fall Management Standard: 1. The facility will identify residents at risk for falls and will care plan and implement interventions to minimize fall occurrences and injury due to falls. A review of the admission Record for R#69 revealed the resident's diagnosis included Alzheimer's disease. A review of the annual Minimum Data Set (MDS), dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the facility policy titled, Transfer or Discharge, Preparing a Resident for, the facility failed to provide a 30-day notice to one of three residents (R) (R14). This deficient practice had the potential to place the resident and resident representative at risk of being uninformed about their rights related to being transferred to another facility. Findings include:Review of the facility policy titled, Transfer or Discharge, preparing a Resident For with a revised date of April 2024, revealed, Residents will be prepared in advance for discharge. The facility shall develop and implement an effective discharge planning process that focuses on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions. Under Policy Interpretation and Implementation: 1. The facility shall support each resident and/or representative in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policy titled, Administering Medications and the Standing Orders-Medication Protocols, the facility failed to ensure systems were in place to accurately document medication administration in the Medication Administration Record (MAR) for two of five residents (R) (R16 and R2) reviewed during medication administration. These deficient practices resulted in incomplete clinical records with the potential to negatively impact safety for R16 and R2. Findings include:Review of the facility policy titled Administering Medications, dated February 2020, revealed: The individual administering the medication should document the administration on the eMAR.Review of the facility's Standing Orders-Medication Protocols revealed an order for Acetaminophen 325 mg, two tablets every six hours as needed for pain for seven days; however, the standing order did not include instructions regarding transcription of the medication into the electronic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-07 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, record review, and review of the facility's policies titled Administering Medications, Medication and Treatment Orders, Insulin Administration, and package insert titled, Lantus (insulin glargine injection), the facility failed to ensure medications were administered accurately for four of 25 medication administration opportunities observed, resulting in a medication error rate of 16 percent. This deficient practice had the potential to adversely affect residents' clinical conditions.Findings include:Observation on 05/05/2026 at 9:58 AM on Wing 2-B with Registered Nurse (RN) AA revealed R17 had a physician order for Lantus SoloStar (insulin glargine) 50 units subcutaneously every 12 hours for diabetes mellitus type II (DMII). During medication administration, RN AA dialed the prescribed dose but failed to prime the insulin pen prior to injection. RN AA administered the medication to the abdomen and removed the pen after approximately three seconds. Medication leakage was observed at the injection site, and RN AA stated, let me wipe what is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and review of the facility policy titled Ice Machines and Ice Storage Chests, the facility failed to ensure the ice machine was maintained in a clean and sanitary condition. This deficient practice had the potential to place the 86 residents who received hydration and nutrition from the kitchen at increased risk of foodborne illness. Findings include:Review of the facility policy titled Ice Machines and Ice Storage Chests, dated 10/2022, revealed the Policy Statement section stated, Ice machines and ice storage/distribution containers will be used and maintained to assure [sic] a safe and sanitary supply of ice. The Policy Interpretation and Implementation section included, 1. To prevent contamination of ice machines, ice storage chests/containers or ice, staff, shall follow these precautions: . f. Clean and sanitize the ice chests and ice scoop daily.Review of a facility-provided document titled Ice Machine Cleaning Log revealed three dates of 6/3/2025, 7/8/2025, and 8/22/2025. There was a signature next to each date. Observation on 9/9/2025…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-11 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, record review, and review of the facility policies titled Handwashing/Hand Hygiene and Handling of Linen, the facility failed to ensure infection control practices were followed during disposal of soiled items, resident equipment maintenance, during laundry processes, and during meal tray delivery. These deficient practices had the potential to place the residents residing in the facility at increased risk of infections due to cross-contamination. The facility census was 100. Findings Include: Review of the facility's undated policy titled “Handwashing/Hand Hygiene” revealed the “Policy Statement” stated, “This facility considers hand hygiene the primary means to prevent the spread of infections.” The “Policy Interpretation and Implementation” section included, “… 2. All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. … 6. The use of gloves does not replace hand washing/hand hygiene. Integration of glove use along with routine hand hygiene is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-11 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff and resident interviews, record review, and review of the facility policies titled Resident Rights, Dining and Meal Service, and Quality of Life-Dignity, the facility failed to ensure that dining practices supported and maintained the dignity and person-centered preferences for two of 49 sampled residents (R) (R43 and R53). This deficient practice had the potential to place R43 and R53 at risk of a decreased sense of dignity, autonomy, and person-centered care. Findings include:Review of the undated facility policy titled Resident Rights revealed the Policy Interpretation and Implementation section included, 1. b. be treated with respect, kindness, and dignity.Review of the policy titled Dining and Meal Service, revised 4/5/2024, revealed that The dining experience will be person-centered with the purpose of enhancing each individual patient's/resident's quality of life and being supportive of everyone's needs during dining.Review of the policy titled, Quality of Life-Dignity, undated, revealed under section 2. 'Treated with Dignity' means the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and review of the facility's policy titled Hazardous Area, Devices, and Equipment, the facility failed to ensure an environment free from hazards in three of 30 rooms on the 100 Hall. This deficient practice had the potential to place the residents residing in the rooms at increased risk of exposure to harmful substances and items. Findings include:Review of the facility's undated policy titled Hazardous Area, Devices, and Equipment revealed the Policy Interpretation and Implementation section included, 1. As part of the facility's overall safety and accident prevention program, hazardous areas and objects in the resident environment will be identified and addressed by the Safety Committee. The Identification of Hazards section included, 1. A hazard is identified as anything in the environment that has the potential to cause injury or illness. c. sharp objects that are accessible to vulnerable residents. g. access to toxic chemicals.Observation on 9/9/2025 at 10:28 am in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-11 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, record review, and review of the facility policy titled Dining and Meal Service, the facility failed to ensure one of 13 residents (R) (R117) with pureed diet orders was served a diet in accordance with the physician's orders. This deficient practice had the potential to place R117 at risk of medical complications and a diminished quality of life. Findings include:Review of the facility policy titled Dining and Meal Service, revised 4/5/2024, revealed the Policy section included, . Individuals will be provided with nourishing, palatable, attractive meals that meet daily nutritional and special dietary needs. The Procedure section included, . 8. Food will be at the proper texture/consistency to meet everyone's needs and desires.Review of the admission Record revealed R117 was admitted to the facility on [DATE] with diagnoses including, but not limited to, type 2 diabetes with unspecified complications, Alzheimer's disease, cerebral infarction, hemiplegia, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and a review of the facility policy titled, Floor Care, the facility failed to ensure that the shower rooms were maintained in a clean condition and free from dark brown to black fuzzy and slimy substances on the walls in two of the two halls (Hall 100 and Hall 200). Findings included: An undated facility policy titled, Floor Care, revealed, MONTHLY CARE - All bathroom ceramic tile floors should be scrubbed with a buffing machine or appropriate scrubbing brush (depending on size of the floor-- a buffing machine may not fit in smaller bathrooms). A combination of cleanser with bleach and warm water should be used when scrubbing. Bleach cleanser will help to clean and disinfect difficult-to-reach grout areas and will help prevent bacterial growth. An observation on 4/9/2025 at 4:15 pm of the shower rooms on the 100 and 200 Halls revealed dark brown to black fuzzy and slimy substances on the walls in each of the shower units near cracks in the grout/caulking. The shower rooms had a slightly musty odor. During a concurrent observation and interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2025-04-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure that the medical record documentation was completed and/or accurate for one of three residents (R) (R2) reviewed for pressure ulcers. Findings included: A review of the electronic medical record (EMR) revealed that R2 was admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy, type 2 diabetes mellitus, and unspecified diarrhea. A review of the quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 5/31/2024 revealed that R2 had a Brief Interview for Mental Status (BIMS) score of 13, which indicated the resident had intact cognition. The MDS assessment revealed that R2 had an unstageable pressure ulcer that was present on admission. A review of the Care Plan Report dated 6/10/2024 revealed that R2 had a pressure ulcer or potential for pressure ulcer development due to immobility. Interventions directed staff to provide weekly treatment to include measurement of each area of skin breakdown. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,948 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $8,948 — penalty dated 2025-04-15
• Medicare payment denial — starting 2025-06-14 for 23 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CYPRESS SKILLED NURSING — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 28 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $490K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA