Deficiency Index

Georgia Regional Atlanta LTC

Decatur, Georgia · CCN 11A186

7 surveys since 2011, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
25
Surveys
7
Harm or worse
6
Immediate jeopardy
5
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file4/7

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
66
Ownership
Government - State
Chain
Independent
County
De Kalb
Medicare-certified since
1974

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=10, floor 20).

Last survey on record

Feb 13, 2026

269 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.154.42
Registered-nurse hours per resident day1.77—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG110.0%H—I—
No harm, potential for more than minimalD440.0%E—F550.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 25 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6861×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8381×

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

In the surveyor’s words

From the most serious findings on record at Georgia Regional Atlanta LTC, in the surveyor’s own words.

  • Actual harm, isolatedF689Feb 13, 2026

    Based on record review and staff interviews, the facility failed to follow the plan of care, resulting in an accident for one of nine sampled residents (R)(R1) related to transferring with a mechanical lift. Harm was identified to have occurred on 2/6/2026, when two staff members were transferring the resident with the mechanical lift, and the resident fell, requiring transfer to an acute care hospital. The resident sustained a closed nondisplaced fracture of the sixth cervical vertebra from the fall. […]

  • No harm, potential for more than minimal, widespreadF838Mar 17, 2024

    Based on staff interviews, record reviews, and review of the facility's documents titled, [name of facility] Skilled Unit Facility Assessment and (LPN) Licensed Practical Nurse: the facility failed to evaluate its resident population and identify the resources needed to provide the necessary care and services to meet the needs of one out of 10 sampled Residents (R) (R16) requiring wound care. In addition, the facility failed to update the Facility Assessment to accurately reflect all required components of an infection control plan. The facility had a census of 19 residents. Findings include: Review of the facility- provided [name of facility] Skilled Unit Facility assessment dated [DATE], revealed the facility provided pressure ulcers services to residents residing in the facility. […]

  • No harm, potential for more than minimal, widespreadF851Mar 17, 2024

    Based on staff interview, record review, and review of the PBJ (Payroll Based Journal) [NAME] Report for First Quarter (Q1) of Fiscal Year 2024, the facility failed to submit direct care staffing data to the Centers for Medicare and Medicaid (CMS). The facility census was 19 residents. Findings include: Review of the PBJ Data Staffing Report CASPER Report for Q1 2024, October 1 through December 31, revealed the facility failed to submit data for the quarter. During an interview on 3/16/2024 at 11:00 am with the Director of Nursing (DON) revealed, the facility did send the PBJ information into CMS and that he would look for proof. During an interview on 3/16/2024 at 11:30 am with the Administrator revealed that he had submitted the PBJ information to CMS each quarter. […]

  • No harm, potential for more than minimal, widespreadF880Mar 17, 2024

    Based on staff interview, record review, and review of the facility's policies titled Infection Prevention And Control and Infection Control Policy Surveillance and Reporting Infections the facility failed to provide evidence that infection control surveillance data was collected for 20 out of 20 months (June 2022 through February 2024) reviewed. The facility had a census of 19 residents. Findings include: Review of the policy titled Infection Prevention And Control dated 9/30/2023 under the section titled POLICY revealed, [Facility name] maintain comprehensive Infection Prevention and Control (IPC) programs that protect hospitalized individuals, visitors, staff, and others from Healthcare Associated Infections (HAIs). Under the section titled, Infection Surveillance revealed, 1. […]

  • No harm, potential for more than minimal, widespreadF881Mar 17, 2024

    Based on staff interviews, record review, and review of the facility's policies titled Infection Prevention And Control the facility failed to provide evidence of a monitoring system to track and trend antibiotic use for 20 out of 20 months (June 2022 through February 2023) of the infection control data reviewed. The facility had a census of 19 residents. Findings include: Review of the policy titled Infection Prevention And Control dated 9/30/2023 under the section titled POLICY revealed, [Facility name] maintain comprehensive Infection Prevention and Control (IPC) programs that protect hospitalized individuals, visitors, staff, and others from Healthcare Associated Infections (HAIs). Under the section titled, Infection Surveillance revealed, 1. […]

Read 20 findings in full →The most serious and the most recent: 20 of 25 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 13, 2026Complaint1 finding · 1 harm
  • Sep 18, 2025Standard2 findings
  • Mar 17, 2024Standard7 findings
  • Sep 11, 2014Standard3 findings
  • Aug 7, 2014Complaint5 findings · 5 harm
  • Dec 13, 2012—2 findings
  • Jul 20, 2011—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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