Eatonton Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 28, 2024

  Based on observations and staff interviews the facility failed to remove ice build-up from cases of food items in the stand-up freezer to prevent contamination. This deficient practice had the potential to affect 51 of 53 residents receiving an oral diet. Findings include: Observation on 1/27/2024 at 8:30 am of the two-door stand-up freezer located by the back exterior entrance of the kitchen revealed ice build-up on three cases of food products with extension to the top of a case of a nutritional supplement. Observation on 1/28/2024 at 9:15 am of the two-door stand-up freezer near the back exterior entrance revealed the ice on the three cases of food product remained. […]

• No harm, potential for more than minimal, widespreadF881Jan 28, 2024

  Based on staff interviews, record review, and review of the facility policy titled Antibiotic Stewardship, the facility failed to identify trends in antibiotic use, maintain documentation for clinical indication of use for antibiotics, implement systematic protocols to monitor, decrease use, and measure the effectiveness of antibiotics, and failed to create an action plan to lower the use of antibiotics that did not meet criteria for one of 28 sampled residents (R) (R28). Findings include: A review of the policy titled Antibiotic Stewardship reviewed 12/20/2022, indicated the main components of the facility's antimicrobial stewardship program (ASP) include: Formulary restriction. Prospective audit and feedback by pharmacy and feedback to physicians. Staff and physician education. […]

• No harm, potential for more than minimal, patternF761Jun 26, 2025

  Based on observations, staff interviews, record review, and review of the facility's policies titled Medication Storage in the Care Center, the facility failed to ensure that medications were properly stored in one of one medication storage rooms. This deficient practice had the potential to increase the risk of residents receiving medications with altered effectiveness. Findings include: Review of the facility policy titled Medication Storage in the Care Center, provided by the facility and dated 2023 stated, .Medications requiring 'refrigeration' or 'temperatures between 2°C (36°) and 8° (46°F) are kept in a refrigerator with a thermometer to allow temperature monitoring . […]

• No harm, potential for more than minimal, patternF880Jan 28, 2024

  Based on observations, staff interviews, a review of the facility document titled Personal Items, and a review of the facility policy titled Laundry Services, the facility failed to ensure resident personal care items and 12 clean mop heads were stored in a manner to prevent cross-contamination. These failures had the potential to expose residents to infections due to cross-contamination. Findings include: 1. A review of an undated facility document titled Personal Items, revealed the following: Patient personal items should be labeled with room number. Washbasins should be discarded after patient use. If the patient uses it daily, then should be changed out weekly. Items should be stored in such a way to prevent cross-contamination. Washbasins and bedpans must be stored clean and dry. […]

• No harm, potential for more than minimal, isolatedF554Jun 26, 2025

  Based on observation, resident and staff interviews, record review, and review of the facility's policy titled Self-Administration of Drugs, the facility failed to ensure two of 17 sampled residents (R) (R29 and R48) were assessed for medication self-administration before allowing unsecured medications to be kept at the bedside. This deficient practice had the potential to place R29 and R48 at risk of unauthorized use of medication, inaccurate medication dosing, and a diminished quality of life. Findings include: Review of the facility's policy titled Self-Administration of Drugs reviewed 12/27/2024, indicated, Intent- It is the intent to promote safe medication practices for patients that choose to self-administer medication. […]