Based on observations, record review, interviews, and review of the Policies and Procedures for Nursing Facility Services, the facility failed to ensure that ventilator machines had properly functioning heart rate and pulse oximetry alarms that were audible outside resident rooms. In addition, the facility failed to ensure end tidal carbon dioxide (ETCO2) analyzers were implemented for measuring ETCO2 of ventilator residents This deficient practice affected six of six residents (R) (R281, RE, RF, R70, R68, R76) sampled for mechanical ventilators and CO2 monitors. …
F908 citations in Georgia
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Georgia cites F908 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F908 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 interviews and record reviews, the facility failed to ensure that resident care equipment was maintained in safe operating condition for one of six residents (R) (R1) reviewed for accidents. Harm was identified to have occurred on 2/24/2024, when R1 fell from a faulty shower bed and sustained a closed right peritrochanteric femur fracture requiring admission to an acute care hospital. Findings included: A review of the electronic medical record (EMR) revealed that R1 was initially admitted on [DATE] and readmitted to the facility on [DATE] with diagnoses including but not limited to hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, aphasia following cerebral infarction, Alzheimer's Disease, and morbid (severe) obesity. …
Based on observation, interview, and document review, the facility failed to assure dietary department equipment was in safe working condition. Specifically, the steam table located in the kitchen was in disrepair. The failure to assure that the steam table worked correctly had the potential to impact 85 residents that received oral diets from the kitchen steam table. Findings include:Review of the facility's policy titled Record of Food Temperatures, last revised 06/01/2024, documented under Policy Explanation and Compliance Guidelines, number 2. Hot food will be held at 135 degrees Fahrenheit or greater; number 8. If the food temperature falls into an unsafe range, immediately follow procedures for reheating previous cooked food; number 9. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.60% | 1.28× |
| 2024 | 0.54% | 1.22× |
| 2025 | 0.34% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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