4angels Of Byromville Healthcare 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.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. 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.

• Potential for harm · D2026-04-09 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 Enteral Nutrition, the facility failed to ensure appropriate treatment and services were provided by not checking placement and residual per physician's orders for one of one resident (R) R6 receiving tube feed. This deficient practice had the potential to cause feeding intolerance, aspiration and worsening of R6's medical conditions.Findings include:Review of the facility's policy titled Enteral Nutrition revised November 2018 documented Policy Interpretation and Implementation:. 11. The nurse confirms that orders for enteral nutrition are complete. Complete orders include: a. the enteral nutrition product; b. the specific enteral access device (nasogastric, gastric, jejunostomy tube, etc.; c. administration method (continuous, bolus, intermittent); d. volume and rate of administration; e. the volume/rate goals and recommendations for advancement toward these; and f. instructions for flushing (solution, volume,…

  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 · D2026-04-09 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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, Medication Labeling and Storage, the facility failed to remove expired medications from one of one medication room reviewed. This deficient practice had the potential to cause decline in the residents' medical conditions.Findings include:Review of the facility's policy titled Medication Labeling and Storage revised February 2023 documented Policy Interpretation and Implementation: Medication Storage: . 3. If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items. Observation on 04/08/2026 at 12:23 PM during review of the medication room on the100 Hall revealed there were expired medications in the medication room. Observations revealed: 1 bottle [NAME]-Vite tablets had expiration date 07/2025, 1 bottle bisacodyl 5 milligram (mg) tablets had expiration date 03/2026, one bottle Acetaminophen 325 mg…

  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 · Dcited before2026-04-09 · tag F0880 — failed to prevent and control infections — isolated
  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, and a review of the facility's policies titled Handwashing/Hand Hygiene, Personal Protective Equipment - Gloves, and Laundry and Bedding, Soiled, the facility failed to implement infection control protocols. Staff did not sanitize their hands between glove changes, carried unbagged soiled linen down the 100 hallway, and wore gloves in the hallway. This deficient practice had the potential to increase the risk of infection for residents.Findings include: Review of the facility's policy titled Handwashing/Hand Hygiene revised August 2019 documented This facility considers hand hygiene the primary means to prevent the spread of infections. Policy Interpretation and Implementation:. 2. All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. 7. Use an alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap (antimicrobial or non-antimicrobial) and water for the following situations: m. After removing gloves. 9. The use of gloves…

  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 · F2024-09-12 · 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 interview, and review of the policy titled, Food Preparation and Service, the facility failed to discard food in the refrigerator by the use by date and failed to label opened food items in the freezer. The deficient practice had the potential to place four residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include: Review of the facility policy titled Food Preparation and Service, revised November 2022, revealed the Policy Statement of Food and nutrition employees prepare, distribute and serve food in a manner that complies with safe food handling practices. The Food Storage after opening section stated, Follow the following food storage guidelines after opening: . 6. Salads, Coleslaw, are to be kept for 3 to 4 days. During a tour of the kitchen on 9/10/2024 at 9:50 am, observation in one refrigerator revealed one bag of coleslaw with an expiration date of 9/6/2024, one package of chicken breast lunch meat with an expiration date of 7/14/2024, one head of lettuce with a handwritten stored date 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-09-12 · 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 observation, staff interviews, and review of the facility policy titled Laundry and Bedding, Soiled, the facility failed to ensure the storage and processing of linens and clothing to produce hygienically clean laundry and prevent the spread of infections and cross-contamination risk for four of four residents. These failures had the potential to expose residents to infections due to cross-contamination. Findings include: Review of the facility policy titled Laundry and Bedding, Soiled, revised September 2022, revealed the Policy Statement was Soiled laundry/bedding shall be handled, transported and processed according to best practices for infection prevention and control. Observations on 9/11/2024 at 2:30 pm in the laundry room revealed two rolling carts with a buildup of dust, trash on the floor, one ladder, one table, old furniture, one cart with nails and paint, and one folded black cloth present on the laundry folding table. All objects were covered with a buildup of dust. Further observation revealed the hand washing sink in the laundry room had a buildup of brown…

  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 · F2024-09-12 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interviews and record review, the facility failed to have the Antibiotic Stewardship Program acknowledged by the Pharmacist and Medical Director. This deficient practice had the potential to affect all residents residing in the facility. The facility census was four residents. Findings include: Review of the Antibiotic Stewardship Program documents revealed there were no antibiotic stewardship acknowledgment forms for the Pharmacist or the Medical Director to acknowledge their accountability. Interview on 9/12/2024 at 4:12 pm, the Director of Nursing (DON)/Infection Preventionist (IP) revealed the facility did not have an acknowledgment form for the Pharmacist or Medical Director for the facility's Antibiotic Stewardship Program. Interview on 9/12/2024 at 4:15 pm, the Administrator revealed the facility did not have the acknowledgment forms for the Medical Director and the Pharmacist for the facility's Antibiotic Stewardship Program.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure a safe, clean, and comfortable environment was maintained for four of four resident rooms (Rooms 101, 102, 103, and 107). The facility census was four residents. These deficient practices had the potential to place the residents at risk of living in an unsanitary and unsafe living environment and a potential for diminished quality of life. Findings include: Observations on 9/10/2024 at 8:14 am revealed the ceiling intake vents in resident rooms [ROOM NUMBERS] had heavy dust buildup. Observation on 9/10/2024 at 8:20 am of resident room [ROOM NUMBER] revealed the toilet bowl had a dark gray thick substance buildup and the paper towel holder was broken. Further observations during the survey revealed the buildup remained in the toilet bowl. Observations from 9/10/2024 through 9/12/2024 revealed the heavy dust buildup on the ceiling intake vents in resident rooms [ROOM NUMBERS] remained throughout the survey period. Further observation of 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
• No harm found · C2024-09-12 · tag F0842 — failed to keep accurate, complete medical records — widespread
  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 — the official record, unedited, may be distressing

  Based on observation and staff interviews, the facility failed to ensure resident protected health information was inaccessible to non-essential staff. This deficient practice placed the residents at risk of unauthorized staff having access to their protected health information. The facility census was four residents. Findings include: Observation on 9/11/2024 at 2:35 pm revealed two large rolling carts with resident charts containing clinical information were located in the laundry room. The charts were visible and accessible to anyone in the laundry room. Interview on 9/11/2024 at 3:00 pm, housekeeping staff stated the charts belonged to previous residents who were discharged due to the facility closing and further stated the charts were left behind. Interview on 9/12/2024 at 3:45 pm, the Administrator stated she was unaware the resident charts were stored in the laundry room and would take care of them. Interview on 9/12/2023 at 3:48 pm, the Director of Nursing (DON) revealed the facility didn't have a policy on storing medical records.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date 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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 6 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.

What families pay in GA