F655 in Georgia. Pick another state for the same tag.
Against expectation — 2025
Georgia cites F655 less often than its own record predicts
Versus expected share0.87×
0.87 times the national share — cited less often here than elsewhere.
Share of Georgia citations0.57%
Of every deficiency written in Georgia in 2025, this is the portion that was F655.
Georgia0.57%
National0.66%
Share of all citations that were F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F655 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.
J · Immediate jeopardy, isolatedJuly 3, 2024
Based on staff interviews, record review, and the facility policy titled Care Plans, the facility failed to develop a person-centered baseline care plan for one resident (R) (R1) of three residents reviewed for care and treatment of resident with chronic respiratory complications. This deficient practice had the potential to have an adverse effect for the resident.
On 7/1/2024, 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 and Director of Health Services (DHS) were informed of the Immediate Jeopardy (IJ) on 7/1/2024 at 10:22 am. …
Based on observations, staff interviews, and record review, the facility failed to implement the baseline care plan for one of one residents (R) (R14) who received wound care. On 12/8/2025, actual harm occurred when Licensed Practical Nurse (LPN) AA failed to administer pain medication to R14 prior to providing wound care treatment, resulting in pain during the treatment.Findings include:Review of the medical record for R14 revealed the resident was admitted with a diagnosis including, but not limited to, osteomyelitis on the left heel, pressure ulcers of skin of multiple topographic sites, decubitus ulcer of ankle, peripheral vascular disease, and type 2 diabetes.Review of the baseline care plan for R14, dated 12/3/2025, revealed a care plan problem/goal for Pain - Adult,… …
D · No harm, potential for more than minimal, isolatedJuly 29, 2026
Based on observations, record review, staff interviews and review of facility policy titled, Care Plans the facility failed to develop and implement a baseline care plan within 48 hours of admission for 1 of 51 sampled residents (R) (R136) reviewed for baseline care planning. This had the potential to result in unaddressed or delayed intervention for R136 not having a documented plan addressing his fall risk, malnutrition risk, and non-ambulatory status. Findings include:Review of the facility's policy titled, Care Plans, revised on [DATE], revealed the baseline care plan should be initiated in 24 hours and will be completed and implemented within 48 hours of admission.Review of R136's Electronic Health Record (EHR) revealed he was admitted on [DATE] with diagnoses including, but not… …
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