Dawson Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Dawson Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Feb 6, 2025

  Based on documentation review, record review, interviews, and policy review, the facility failed to ensure one of three residents (Resident (R) 23) reviewed for abuse out of a total sample of 19 residents was not physically abused by Certified Nursing Assistant (CNA) 1 while CNA2, CNA3, and CNA4 witnessed the abuse, did not intervene to stop the abuse, and did not report the abuse to the Administrator or Director of Nursing (DON) until 30 minutes after the abuse was witnessed. This resulted in the continued abuse of Resident (R) 23 and put 55 residents in the facility at risk of abuse while CNA1 continued to work for 30 minutes after the abuse was witnessed. […]

• Immediate jeopardy, widespreadF700Feb 6, 2025

  Based on observation, interview, record review, and review of the manufacturer's manual, the facility failed to ensure residents' bedframes were equipped with the correct mattress dimensions per the manufacturer's manual to reduce the risk of entrapment; and failed to ensure consent for the use of bedrails was obtained prior to the resident's use of bedrails for one of one resident reviewed for bedrails (Resident (R) 155) out of a total sample of 19 residents. R155 was discovered unresponsive in his bed with his upper left extremity in between the bedrail and the mattress. […]

• Immediate jeopardy, widespreadF835Feb 6, 2025

  Based on record review and review of the facility's Administrator's Job Description, the facility failed to be administered in a manner that 1. ensured mattresses were the correct size for 47 out of 55 beds and the safe use of bed rails for resident (Resident (R) 155) and 2. ensured staff did not abuse resident (R23) and additional staff protected the resident from further abuse. Findings include: Review of the Skilled Inpatient Services Job Description, revised ,d+[DATE] revealed Job Title: Administrator for Inpatient Services .Responsible for directing the day-to-day functions of the Nursing Center in accordance with current federal, states, and local regulations that govern long-term care centers, and as may be directed by the Regional [NAME] President, to provide appropriate care for… […]

• No harm, potential for more than minimal, widespreadF563Jul 22, 2021

  Based on observations, interviews, policy review titled, Skilled Inpatient Services: Covid-19 Visitation Guidelines, Resident Rights, and review of the Centers for Medicare and Medicaid Services (CMS) QSO-20-39-NH Nursing Home Visitation-COVID 19, the facility failed to ensure that residents were allowed to receive indoor visitation for two residents (R) (R A and R B). The census was 51 Residents. Findings include: Review of the facility policy titled, Skilled Inpatient Services: Covid-19 Visitation Guidelines revised July 2021, revealed the intent is to provide guidance on how to conduct visitation as outlined by guidance from Georgia Department of Public Health and Centers for Medicare and Medicaid Services. Guidelines 1. […]

• No harm, potential for more than minimal, widespreadF801Jul 22, 2021

  Based on record review and staff interviews the facility failed to ensure that staff designated as the Dietary Manager was a Certified Dietary/Food Service Manager or had a similar food service management certification or degree. There were 46 of 51 Residents receiving an oral diet. Findings include: Review of document titled JOB TITLE: FOOD SERVICE MANAGER (with a revision date of 4/12) revealed the start date of 12/3/2019 for the Dietary Manager (DM). Further review of the document revealed should become a Certified Dietary Manager through completion of both a Dietary Managers Training Course and Certification Exam within five (5) years of employment. […]