Based on staff interviews and review of facility documents, the facility failed to follow the code of conduct by not maintaining accurate documentation and providing false documentation. Findings included: An interview with Registered Nurse (RN) AAA on 8/17/2023 at 9:44 a.m. revealed he was employed at the facility until 7/21/2023. RN AAA stated that he was in the process of providing an in-service code of conduct to the staff when he was told to stop the in-service by the Director of Health Services (DHS). He stated that he made a copy of the in-service. A review of the copy of in-service revealed RN AAA provided in-service to staff on 6/22/2023 at 6:30 a.m. on Compliance Training, Code of Conduct, and False Claims Act. …
F895 citations in Georgia
Administration Deficiencies
Have a Compliance and Ethics Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Georgia cites F895 more often than its own record predicts
4.94 times the share F895 takes of citations nationally.
Of every deficiency written in Georgia in 2023, this is the portion that was F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F895 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.
What else Georgia surveyors cite →
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