Based on record review, interviews, and review of the facility's policy titled Laboratory Services and Reporting, the facility failed to provide critical laboratory tests for one of 57 sampled residents (R) (R10). The Nurse Practitioner ordered urine culture sensitivity (UA and CS) tests on [DATE]. The failure caused R10 to be sent to an acute care hospital with the diagnosis of shock, sepsis, and metabolic crisis (including acute kidney injury and acute renal failure). R10 expired in the hospital on [DATE]. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. …
F770 citations in Georgia
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Georgia cites F770 more often than its own record predicts
1.10 times the share F770 takes of citations nationally.
Of every deficiency written in Georgia in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F770 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 and record review, the facility failed to ensure laboratory orders were obtained as ordered by the physician for one of 13 residents (R) (R21). This failure resulted in actual harm on 9/19/2023 when R21 was admitted to the local hospital and required a blood transfusion after the facility failed to obtain ordered labs for March 2023 and June 2023 facility received lab results on September 19, 2023, indicating R21 had a hemoglobin level of 5.9 g/dl (grams per deciliter) normal range was 13.5 - 17.5 g/dl. …
Based on interview and record review, the facility failed to revise their CLIA (Clinical Laboratory Improvement Amendments) certificate within 30 days after new ownership. The facility does not have a current CLIA certificate appropriate for the level of testing it conducts after approximately seven months of ownership.Findings include:Review of the CLIA Certificate of Waiver with Effective Date of 5/6/2024 and Expiration Date of 5/5/2026 is in the name of the previous owner hospital.Review of the CLIA Certificate of Compliance with Effective Date of 8/19/2023 and Expiration Date of 8/18/2025 is in the name of the previous laboratory service owner. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.77× |
| 2024 | 0.27% | 1.27× |
| 2025 | 0.23% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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