Based on interviews, record review, and review of the facility's policy titled Change in a Resident's Condition or Status, the facility failed to ensure that two of 40 sampled residents (R) (R159 and R9), medical providers, and family were timely notified of a change in condition. R159's medical provider was not notified of any changes in the resident's condition, including the lack of pedal pulses. Additionally, R159's family was not made aware of the resident's condition from 8/28/2024 until 9/7/2024. On 9/7/2024, R159's family was concerned about the resident's condition and requested that the resident be transferred to the hospital; however, the facility denied the request. …
F580 citations in Georgia
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Georgia cites F580 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F580 findings written in Georgia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations, staff and family interviews, record review, and review of the facility's policies titled, Notification of Changes, Change in Resident's Condition or Status, the facility's Senior Medical Systems Protocols, and New Facility Procedure, the facility failed to ensure timely physician and responsible party notification regarding a significant change in condition of resident (R) (R3) who had a decline in condition. Harm was identified to have occurred on 2/19/2026 when R3 was hospitalized due to a fall after a decline in condition. …
Based on observations, staff and resident interviews, record review, review of the facility's policy titled Notification of Changes, and Your Rights and Protections as a Nursing Home Resident, the facility failed to notify the emergency contact and/or responsible party after a fall for two of 11 sampled residents (R) (R1 and R2). This deficient practice had the potential to compromise the residents' rights to have their representatives informed of significant changes in condition and to participate in decisions regarding the residents' care and treatment.Findings include:1. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 1.02% | 0.71× |
| 2024 | 0.94% | 0.62× |
| 2025 | 1.03% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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