Accura HealthCare of Kenesaw

In the surveyor’s words

From the most serious findings on record at Accura HealthCare of Kenesaw, in the surveyor’s own words.

• Immediate jeopardy, isolatedF584Jul 1, 2026

  Licensure Reference Number 175 NAC 12-007.04CiBased on observation, record review, and interview the facility failed to develop and implement a plan to maintain required safe temperatures in resident rooms to prevent heat-related injury for facility residents. This affected 1 of 3 sampled residents (Resident 1). The facility census was 58.The facility Administrator was notified on 07/01/2026 at 12:45 PM of an Immediate Jeopardy (IJ) which began on 07/01/2026. The IJ was removed on 07/01/2026, as confirmed by surveyor onsite verification. Findings are:Record review of the undated facility admission Agreement revealed that the facility shall provide room, board, linens, bedding, and nursing care to the resident. […]

• Immediate jeopardy, isolatedF689Mar 18, 2025

  Licensure Reference Number 175 NAC 12-006.09(I)(i)(1) Based on record review, observations, and interviews, the facility failed to identify causal factors for falls and failed to implement interventions for the prevention of new falls following each new incident. This affected 3 (Residents 3,7, and 11) of 3 sampled residents. The facility census was reported to be 60. The facility Administrator was notified on 3/17/2025 at 5:44 PM of an Immediate Jeopardy (IJ) which began on 12/01/2024. The IJ was removed on 3/17/2025, as confirmed by surveyor onsite verification. Findings are: Record review of the facility policy Fall Risk and Prevention Guidelines revised October 2024 revealed that a resident's fall risk begins pre-admission. […]

• Actual harm, isolatedF689Feb 17, 2026

  Licensure Reference Number 175 NAC 12-006.09(I)Licensure Reference Number 175 NAC 12-006.09(I)(i)(1)Licensure Reference Number 175 NAC 12-006.09(I)(i)(3)Based on observation, record review, and interview the facility failed to ensure that residents were protected from injury for 1 of 5 residents (Resident 1); failed to ensure that interventions to prevent falls were implemented for 1 of 5 residents (Resident 2); and failed to develop fall prevention interventions related to causal factors for 1 of 5 residents (Resident 6). […]

• No harm, potential for more than minimal, widespreadF607Aug 26, 2025

  Licensure Reference Number 175 NAC 12-006.04(A)(iii)(2)Licensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview, the facility failed to complete nurse aide registry checks prior to staff having possible/probable contact with residents for 3 of 6 sampled staff and failed to report an adverse event to the designated agencies as stated in facility policy for 1 resident (Resident 59) of 1 sampled residents. The facility census was 67.Findings Are:A.Review of a facility policy titled Pre-Employment Background Screening and dated 02/01/2024 revealed applicants for employment will receive job offers contingent upon the satisfactory completion of a background screening. […]

• No harm, potential for more than minimal, widespreadF880Aug 26, 2025

  Licensure Reference Number 175 NAC 12-006.04(A)(ii)Licensure Reference Number 175 NAC 12-006.18 Based on observation, interview, and record review the facility failed to ensure employee health screens were reviewed prior to the start of employment for 4 of 5 sampled employees and failed to complete hand hygiene per professional standards. These had the potential to affect all residents residing within the facility. The facility census was 67. Findings are:A.A record review of a facility supplied document titled Employee Health History Screen and dated 06/12/2025 was signed as completed by the Business Office Manager (BOM) on 06/12/2025. There was no signature indicating a facility staff member or nurse had reviewed the document prior to the Business Office Manager working in the facility. […]