Based on record review, interviews, licensure review, personnel file review, and review of the facility policy titled, Non-Corporate New Hire Process the facility failed to ensure that a staff person hired as a licensed nurse had the required licensure to provide nursing care to residents on four of four wings of the facility (wings one through four). On January 30, 2020 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. The facility's Administrator, Director of Health Services, Corporate Nurse Consultant, and Clinical Competency Coordinator were informed of the Immediate Jeopardy on January 30, 2020 at 3:45 p.m. …
F839 citations in Georgia
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Georgia cites F839 more often than its own record predicts
1.19 times the share F839 takes of citations nationally.
Of every deficiency written in Georgia in 2024, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F839 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, record review, and review of the facility's policies titled Background Screening Investigations and Hiring Process, the facility failed to ensure that one of three staff members (Registered Nurse (RN) HH) had the required licensure to provide nursing care to the residents. The facility census was 150 residents. Findings included: A review of the facility policy titled Background Screening Investigations dated April 2021, revealed that any licensed professional applying for a position that may involve direct contact with residents, his/her respective licensing board is contacted to determine if any sanctions have been assessed against the applicant's license. …
What else Georgia surveyors cite →
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