Cartersville Center for Nursing and Healing

In the surveyor’s words

From the most serious findings on record at Cartersville Center for Nursing and Healing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 18, 2025

  Based on observations, staff interviews, and review of the facilities policies titled, Food Preparation and Service, Food Brought by Family/Visitors, and Sanitization, the facility failed to ensure food was labeled, stored and prepared under sanitary conditions. In addition, the facility failed to ensure cleanliness of the kitchen and that equipment was working properly. The deficient practices created an unsanitary environment that increased the potential for cross contamination and food borne illness for the 109 of 112 residents receiving meals prepared in the kitchen.Findings include:Review of the undated policy titled Food Preparation and Service documented Food service employees shall prepare and serve food in a manner that complies with safe food handling practices. […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observations, staff interviews, and review of the facility's policies titled, Sanitation, Refrigeration and Freezer, Food Receiving and Storage, and Food Preparation and Service, the facility failed to discard dry and frozen food by expiration dates, ensure proper food labeling, storage and dates, follow puree recipe, perform proper thawing procedure, and maintain proper sanitary conditions of two of two ice machines. The deficient practice had the potential to affect 108 residents who receive an oral diet from the kitchen. The facility census was 110 residents. Findings Include: Review of the facility policy titled Sanitation dated [DATE] revealed under 12. […]

• No harm, potential for more than minimal, widespreadF812Jul 16, 2022

  Based on observation, interview, record review, and policy review, the facility failed to ensure the kitchen was maintained in a sanitary manner to prevent the potential spread of foodborne illness to all 104 facility residents. Concerns included improper dishwashing, inadequate sanitizer solutions, meat thawing, ice dispensing procedures, labeling, and food handling. Findings include: 1. The initial kitchen inspection was completed with the Dietary Manager on 07/12/22 from 9:43 AM to 10:07 AM. The following concerns were noted: a. The Dietary Manager (DM) stated she had been employed in her position for three weeks and was working on bringing the dietary department back up to acceptable standards. […]

• No harm, potential for more than minimal, patternF759Dec 18, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility's policies titled, Medication Administration, the facility failed to maintain a medication error rate below 5% (percent). The observed medication administration error rate was 17.24% with 5 errors of 29 opportunities for four residents (R) (R50, R15, R23, and R82) during medication administration. This deficient practice had the potential to cause health complications for residents on B hall.Findings include:Review of the facility's policy titled Medication Administration, revised 4/2/2025, section 10. revealed Ensure that the six rights of medication administration are followed. […]

• No harm, potential for more than minimal, patternF559Apr 24, 2025

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to provide written notice of a room change prior to changing residents' rooms within the facility, which affected 4 (Residents #1, #7, #11, and #12) of 4 residents reviewed for multiple room changes. Findings include: A facility policy titled, Change of Room or Roommate, revised 07/2023, revealed, It is the policy of this facility to conduct changes to room and/or roommate assignments when considered necessary and/or when requested by the resident or resident representative. The policy also revealed, 4. […]