Arrowhead Post Acute LLC
Jonesboro, Georgia · CCN 115539
15 surveys since 2009, 6 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 93
- Surveys
- 15
- Harm or worse
- 6
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 115
- Ownership
- For profit - Limited Liability company
- Chain
- ELEVATION HEALTHCARE
- County
- Clayton
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 96 for-profit facilities of 100–127 beds in Georgia.
Last survey on record
Jun 12, 2025
515 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.07 | 3.35 |
| Registered-nurse hours per resident day | 0.29 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2681.3% | E515.6% | F13.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F5531×
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
In the surveyor’s words
From the most serious findings on record at Arrowhead Post Acute LLC, in the surveyor’s own words.
- Immediate jeopardy, patternF656Apr 29, 2021
Based on record review, staff interview, and review of facility policies titled Care Plans last revised 11/2017 and 'Wandering-Unsafe Resident last revised 11/2017, the facility failed to follow the care plan for one of seven residents (R#1) by not checking the wander guard for proper function. On 4/22/2021, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment or death to residents. On 4/22/2021 at 12:41 p.m. the facility's Administrator was informed of the Immediate Jeopardy (IJ). […]
- Immediate jeopardy, patternF689Apr 29, 2021
Based on observation, interviews, record review, staff interviews, and review of facility policies 'Wandering, Unsafe Resident', ' Routine Resident Checks, Use of Wanderguard System', and 'Routine Resident Checks', the facility failed to provide supervision and monitoring to prevent the elopement of two (2) residents (R) from a sample of seven (7) residents identified by the facility for being at risk for elopement (R#1 and R#2). Facility failed to ensure the wander-guard tag was functioning properly. R#1 eloped from the facility and has not been located. R#2 eloped from the facility and was located approximately two blocks from the facility. […]
- Immediate jeopardy, patternF835Apr 29, 2021
Based on record review, staff interview and review of the 'Administrator Job Description', and 'Position Description Director of Nursing', and review of 'Quality Assurance Performance Improvement (QAPI)' meeting held on 1/19/2021, the facility failed to be administered in a manner to ensure there was an effective elopement prevention program that consistently monitored residents at risk for elopement and determine the root cause of resident elopements, and failed to ensure that all staff were knowledgeable regarding how to check the wander guard bracelet for proper functioning, and prevent resident elopement. […]
- Immediate jeopardy, patternF867Apr 29, 2021
Based on record review, staff interviews, and review of policy titled Quality Assessment and Performance Improvement Plan and Program (QA/QAPI) the facility failed to have an effective Quality Assurance (QA) process that identified concerns related to care and management of residents at risk for elopement (seven residents), including failure to ensure the Wander Guard system functions properly, after an elopement on 1/17/2021 by R#2, to prevent the elopement of R#1 on 4/10/2021. On 4/22/2021, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment or death to residents. On 4/22/2021 at 12:41 p.m. […]
- No harm, potential for more than minimal, widespreadF812Jun 12, 2025
Based on observations, staff interview, and review of the facility's policy titled, Ice Machines and Ice Storage Chests F880, the facility failed to ensure food items in the walk-in cooler were labeled and dated, maintain the kitchen in a clean and sanitary manner, and keep the ice scoop clean and covered. The deficient practices had the potential to place the 77 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include: Review of the facility's policy titled, Ice Machines and Ice Storage Chests F880, reviewed 10/2024, revealed, . Ice machines and ice storage distribution containers will be used and maintained and to assure safe and sanitary supply of ice . To help prevent contamination of . […]
Read 26 findings in full →The most serious and the most recent: 26 of 93 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 12, 2025Standard and complaint17 findings
- Jan 25, 2024Standard and complaint4 findings
- Mar 25, 2022Standard and complaint11 findings
- Apr 29, 2021Complaint4 findings · 4 harm
- Sep 4, 2019Complaint1 finding
- Jul 5, 2019Standard4 findings
- Feb 7, 2019Complaint1 finding
- May 10, 2018Standard2 findings
Show the 7 earlier surveys
- Jun 15, 2017Standard5 findings
- Aug 7, 2015Standard6 findings
- Jun 19, 2014Standard5 findings
- Sep 20, 2012—6 findings
- Jun 12, 2012—3 findings
- Mar 15, 2011—20 findings · 2 harm
- Oct 15, 2009—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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