East Cobb Center for Nursing and Healing LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observations, resident and staff interviews, and review of the facility's policies titled, Food Receiving and Storage, Refrigerators and Freezers, and Food Brought by Family/Visitors, the facility failed to remove expired food items from the refrigerator and dry storage, failed to label and date an opened package of frozen food, failed to maintain cleanliness of the kitchen's ice machine, failed to remove expired items from a resident's personal refrigerator, failed to maintain cleanliness of a resident's personal refrigerator, and failed to serve cold and hot food at an appropriate temperature. The deficient practices had the potential to cause foodborne illness and to affect 107 residents who received food from the kitchen. […]

• No harm, potential for more than minimal, isolatedF554Aug 21, 2025

  Based on observations, resident and staff interviews, record review, and review of the facility's policy titled, Resident Self-Administration of Medication, the facility failed to adequately assess two of 59 sampled Residents (R) (R60, R75) for self-administration of medication. The deficient practice had the potential to allow access to medications otherwise not prescribed by a physician to other residents.Findings include:Review of the facility's policy titled Resident Self-Administration of Medication with a review date of March 2024 documented under the section Policy Explanation and Compliance Guidelines: .3. When determining if self-administration is clinically appropriate for a resident, the interdisciplinary team (IDT) should at a minimum consider the following: a. […]

• No harm, potential for more than minimal, isolatedF558Aug 21, 2025

  Based on observations, resident and staff interviews, and record review, the facility failed to provide oxygen (O2) tubing extensions for one of 15 residents (R) (R68) who received O2 therapy. The deficient practice had the potential to cause issues with mobility and independence.Findings Include:Review of the electronic medical record for R68 revealed admission to the facility with diagnoses of coronavirus disease (Covid-19), chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and shortness of breath (SOB).Review of the quarterly Minimum Data Set (MDS) dated [DATE] documented that R68 had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident had intact cognition. […]

• No harm, potential for more than minimal, isolatedF684Aug 21, 2025

  Based on observation, staff interviews, and record review, the facility failed to ensure safe medication administration practices for one of nine residents (R) (R3) receiving insulin. Specifically, the facility failed to ensure R3 did not receive Humalog insulin from a vial that was not intended for R3.Findings include:Review of the Electronic Medical Record (EMR) for R3 revealed that she was admitted to the with diagnoses that included but not limited to acute kidney failure, and type 2 diabetes mellitus.Review of the Modification of Significant Change Minimum Data Set (MDS) dated [DATE] revealed in Section C (Cognitive Patterns) R3 had a Brief Interview for Mental Status (BIMS) score of 15, indicating little to no cognitive impairment.Review of the EMR care plan section for R3 revealed… […]

• No harm, potential for more than minimal, isolatedF880Aug 21, 2025

  Based on observations, staff interviews, and record reviews, the facility failed to ensure the incentive spirometer (device to improve lung function) was properly stored in a manner to prevent contamination for one of 14 residents (R) (R60) using respiratory equipment. The deficient practice had the potential to increase the risk of respiratory infection for R60.Findings include: Review of the electronic medical record (EMR) revealed R60 was admitted to the facility with diagnosis of but not limited to chronic obstructive pulmonary disease (COPD) unspecified. Review of R60's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12, indicating moderate cognitive impairment. […]