Based on interview, record review, and policy review titled Freedom of Abuse, Neglect and Exploitation; Abuse Prevention: Fast Alerts, the facility failed to implement multiple abuse policy interventions (reporting, investigation, and protection) for two staff to resident physical altercations that occurred on 3/8/22 and 3/9/22 and involved R#1. The sample size was 40. On 6/23/22 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. Facility Administrator BBB and Assistant Director of Nursing (ADON) DDD were informed of the Immediate Jeopardy (IJ) on 6/23/22 at 12:19 p.m. …
F607 citations in Georgia
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Georgia cites F607 less often than its own record predicts
0.26 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F607 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 record review, interviews, and policy review, the facility failed to obtain verification of nursing license background checks before the date of hire for two of nine newly hired nurses (Licensed Practical Nurse (LPN) 13 and Registered Nurse (RN) 5) and failed to update the abuse policy regarding the new state guidance regarding verification of nursing license background checks via NURSYS. The deficient practice could result in a staff member with an unknown criminal background having access to residents.Findings included:1. A review of employee records for LPN13 revealed that LPN13 was hired on 06/09/26. The NURSYS license verification check was dated 06/18/26 (the date the records were requested). 2. A review of employee records for RN5 revealed that RN5 was hired on 05/01/26. …
Based on record review and staff interview, the facility failed to obtain reference checks for ten of ten employee files reviewed. The census was 68. Findings include: Review of the personnel files revealed that reference checks had not been performed for ten of ten employee files reviewed. Interview on 8/3/22 at 1:30 p.m. with the Cooperate Director, confirmed that she could not provide reference checks for the ten employee files reviewed. During further interview, she stated the Director of Human Resources revealed the facility does not do reference checks on perspective employees and stated that reference checks are not required to work in this facility, and therefore, had not been done. Interview on 8/3/22 at 3:30 p.m. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.85% | 1.14× |
| 2024 | 0.54% | 0.71× |
| 2025 | 0.17% | 0.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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