Based on record review and staff interviews the facility failed to provide in-service training and education to ensure staff had the appropriate competencies and skills to provide nursing care for 52 of 52 residents in the facility with behavioral healthcare needs. On 1/29/2020, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. The facility's Administrator, Director of Nursing, and Social Services Director were informed of the Immediate Jeopardy on 1/29/2020 at 10:26 a.m. …
F741 citations in Georgia
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Georgia cites F741 more often than its own record predicts
1.73 times the share F741 takes of citations nationally.
Of every deficiency written in Georgia in 2023, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F741 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, review of the Monitor Log, and review of the facility policy titled, Behavior Management Standard, the facility failed to provide continuous one-to-one monitoring for one of two residents (R)#44 with a history of physically aggressive behavior. Specifically, the facility failed to ensure that R#44 was provided consistent one to one monitoring as ordered by the physician. Findings include: Review of the facility policy titled, Behavior Management Standard, dated September 2021 revealed the following on page 11: Violent Behavior Management: At times, resident behavior may become violent in nature. These behaviors may spill over onto other residents and staff. In these cases, the disruption must be controlled before further assessment can be done. …
What else Georgia surveyors cite →
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