F656 in Georgia. Pick another state for the same tag.
Against expectation — 2025
Georgia cites F656 more often than its own record predicts
Versus expected share1.89×
1.89 times the share F656 takes of citations nationally.
Share of Georgia citations6.51%
Of every deficiency written in Georgia in 2025, this is the portion that was F656.
Georgia6.51%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F656 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, isolatedApril 27, 2026
Based on staff interviews, record review, review of the facility documentation, and review of the facility's policy titled MDS (Minimum Data Set) - Care Plan, the facility failed to implement a person-centered, comprehensive care plan related to the administration of medication as ordered for one of nine residents (R) (R1) reviewed for a medication administration. Specifically, the facility administers Methotrexate 2.5 mg (milligram) once a day instead of once weekly, as ordered. …
Based on staff interviews, record review, and review of the facility's policy titled Comprehensive Care Plans, the facility failed to implement the care plan for one of 58 sampled residents (R) (R14). Actual harm was identified to have occurred on 05/07/2026, when R14 sustained a laceration to the right side of the forehead, right ankle sprain, and abdominal wall contusion from a fall from his bed that occurred when staff provided ADL care with one-person assistance when the resident required two-person assistance.Findings include:Review of the facility's policy titled Comprehensive Care Plan, dated October 2025, revealed the Policy section included, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with… …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on record review, and staff interviews, the facility failed to develop a care plan for an indwelling Foley catheter for one of three sampled residents (R) (R2), who were observed for perineal care. The deficient practice increased the risk that care would be omitted for R2. Findings includeReview of the admission record revealed R2 was admitted to the facility on [DATE], with the following diagnoses that included, but were not limited to, type 2 diabetes mellitus, chronic obstructive pulmonary disease, hemiplegia and hemiparesis following cerebrovascular disease affecting left non-dominant side, hypothyroidism, and right below the knee (BKA).Review of the care plan dated 02/05/2019 and revised on 08/04/2025 revealed, R2 was incontinent of bowel and bladder. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction