Colquitt Regional Senior Care & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Colquitt Regional Senior Care & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 30, 2026

  Based on record review, resident interview, and staff interviews, the facility failed to ensure each resident received adequate supervision to prevent accidents for one of three residents (R) (R1), who received electrical stimulation (E-STIM) Therapy. Specifically, the facility failed to adequately monitor R1 during active E-STIM treatment to her lower extremities. The deficient practice resulted in R1 sustaining a burn injury to her lower left extremity.Findings include:Review of the electronic medical record (EMR) revealed R1 was admitted on [DATE], with diagnoses that included, but were not limited to, secondary malignant neoplasm of bone and chronic pain.Review of the Minimum Data Set (MDS) for R1 dated 04/22/2026 documented a Brief Interview for Mental Status score of 15, which… […]

• No harm, potential for more than minimal, widespreadF881Aug 14, 2024

  Based on interview, review of facility documentation, and review of the facility's policy titled, Antibiotic Stewardship, the facility failed to develop an effective Antibiotic Stewardship Program (ASP) to monitor antibiotic use. Specifically, the facility failed to ensure that residents were not prescribed an antibiotic, or were not administered an antibiotic(s), without diagnostic testing that identified an organism and documented symptomology to support the continued use of an antibiotic. This deficient practice has the potential to affect all residents in the facility. […]

• No harm, potential for more than minimal, isolatedF552Jan 8, 2026

  Based on record review, interview, and facility policy, the facility failed to ensure residents were informed of the benefits, risks, and alternatives of treatment prior to initiating or increasing psychotropic medication for two of five residents (R) (R2 and R9) of five residents reviewed for unnecessary medications. This deficient practice had the potential for residents to receive medications without knowing the benefits, risks and treatment options. Findings include:1. Review of R2's admission Record located under the Profile tab of the electronic medical record (EMR), revealed she was admitted to the facility on [DATE] with diagnoses that included but not limited to major depressive disorder and insomnia. […]

• No harm, potential for more than minimal, isolatedF607Jan 8, 2026

  Based on record review, interviews, and facility policy, the facility failed to ensure a Georgia Criminal History Check System (GCHEXS) fingerprint background check was completed for the Food Service Supervisor (FSS). The deficient practice could result in a staff with an unknown criminal background having access to residents. Findings include:Review of employee records for the Food Service Supervisor (FSS) revealed he was hired on 09/07/2022. The required GCHEXS fingerprint background check clearance letter was not located in the file. […]

• No harm, potential for more than minimal, isolatedF658Jan 8, 2026

  Based on record review, interview, and facility policy review, the facility failed to ensure professional standards were followed for one resident (R) (R50) of 17 sampled residents. Specifically, R50 received nonsteroidal anti-inflammatory drugs (NSAIDs) with a physician's order to avoid NSAID use. This deficient practice placed R50 at risk of adverse clinical outcomes. Findings include:Review of R50's admission Record, located in the electronic medical record (EMR) under the Profile'' tab revealed an admission date of 08/05/2024. […]