Based on record review, staff interviews, and review of the facility's policies titled Abuse Neglect and Exploitation and Proper Use of Bed Rails, the facility failed to protect one Resident (R) (R3) from neglect by not providing adequate supervision and oversight to ensure the resident was free from the risk of entrapment related to the use of side rails. Specifically, the assigned Certified Nursing Assistant (CNA) FF failed to provide required monitoring and assistance with Activities of Daily Living (ADL) care for R3 on [DATE] between 12:46 am to 4:30 am. As a result, R3 was found unresponsive with agonal breathing and entrapped in the siderails for an unknown amount of time. …
F600 citations in Georgia
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Georgia cites F600 less often than its own record predicts
0.85 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F600 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 staff interviews, record review, and review of the facility's policy titled Abuse Prohibition, the facility failed to protect one of 42 sampled residents (R) (R81) right to be free from physical abuse by another resident. Actual harm was identified to have occurred on July 6, 2026, when R87 physically assaulted R81, causing a laceration of the left palm and an open displaced fracture of the proximal phalanx of the right ring finger. Findings include:Review of the facility's undated policy titled Abuse Prohibition revealed the Intent section included, It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse, or misappropriation of patient property. The Guidelines section included, . …
Based on staff interviews, record review, and a review of the facility policy titled, Abuse, Neglect, and Exploitation, the facility failed to protect the resident's right to be free from abuse for one of 39 sampled residents (R) (R66), by a staff member. The deficient practice had the potential to affect resident psychosocial health and safety. Findings include:Review of the facility's policy titled, Abuse, Neglect, and Exploitation last revised 03/05/2026, documented on page 1: It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property.Review of the most recent Quarterly Minimum… …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 1.36% | 0.77× |
| 2024 | 1.95% | 0.83× |
| 2025 | 2.23% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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