Deficiency Index

Harborview Health Systems Thomaston

Thomaston, Georgia · CCN 115329

13 surveys since 2009, and no finding has been recorded at harm level.

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

Citations on record
53
Surveys
13
Harm or worse
0
Immediate jeopardy
0
The record, 2009–2025
’09’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file9/13

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

The facility

Certified beds
119
Ownership
For profit - Limited Liability company
Chain
Independent
County
Upson · rural
Medicare-certified since
1984

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 96 for-profit facilities of 100–127 beds in Georgia.

Last survey on record

Jul 2, 2025

495 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 day3.193.35
Registered-nurse hours per resident day0.37—
Annual nurse turnover34.6%46.5%

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 harmG—H—I—
No harm, potential for more than minimalD2177.8%E414.8%F27.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 27 of the 53 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F5591×

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Harborview Health Systems Thomaston, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 2, 2025

    Based on observations, staff interviews, and review of the facility's policy titled Food Receiving and Storage, the facility failed to ensure that opened food items were dated and failed to discard food items after the best if used by date in the walk-in refrigerator. This deficient practice had the potential to place the 101 residents receiving an oral diet from the kitchen at risk of foodborne illness.Findings include:Review of the facility's policy titled Food Receiving and Storage revealed the Policy Statement section stated, Food shall be stored in a manner that complies with safe food handling practices. The Policy Interpretation and Implementation section included, 1. Food Services, or other designated staff, will always maintain clean food storage areas. 2. […]

  • No harm, potential for more than minimal, widespreadF812Jul 22, 2022

    Based on observation, interview, manufacturer's guidelines, policy review, and document review, the facility failed to ensure: 1. the trash can was functional at the hand washing sink; 2. that all food items in the coolers or refrigerator were labeled to include the date the item was placed in the cooler; 3. the fan used to dry the floor after it was mopped did not have a dusty fan grate and blowing on the stove where food was being prepared; 4. Mighty Shakes were thawed no more than the manufacturer's recommendations; and 5. employee's lunch box and other food items were not store in the residents' pantry refrigerator and freezers. This deficient practice had the potential to affect 105 of 110 residents receiving an oral diet. […]

  • No harm, potential for more than minimal, patternF761Jul 2, 2025

    Based on observations, record review, staff interviews and review of the facility's policies titled Medication Administration and Medication Storage, the facility failed to place open dates on one container of glucometer strips on each of the 100 and 300 Hall medication carts, and failed to remove one expired inhaler from the 100 Hall medication cart. The facility's census was 105. The facility's census was 105. Findings include: Review of the facility's policy titled Medication Administration, reviewed 6/1/2024, documented Policy: Medications are administered In accordance with professional standards of practice . Policy Explanation and Compliance Guidance: 13. Identify expiration date. […]

  • No harm, potential for more than minimal, patternF921Oct 3, 2024

    Based on observations, staff interviews, and review of the facility's policy titled, Cleaning Cycle, the facility failed to provide a safe, clean, and comfortable environment in three of six units of the facility (Unit 400, Unit 500, and Unit 600). Specifically, the facility failed to maintain an environment free of a strong odor of urine in resident rooms, bathrooms, and unit hallways. This deficient practice had the potential to place residents at risk of living in an unsanitary living environment and a potential for diminished quality of life. Findings include: A review of the facility's policy titled, Cleaning Cycle, dated revised 3/1/2024, stated, The frequency of cleaning and disinfection of the facility environment may vary according to the: a. Type of surface to be cleaned. b. […]

  • No harm, potential for more than minimal, patternF812Sep 1, 2023

    Based on observations, staff interviews, and a review of the facility policy titled, Food Receiving and Storage, and Pot and Pan Washing and Sanitation; Manual Warewashing and Sanitation, revealed the facility failed to ensure opened food was dated, labeled, and sealed, ensure storage was free of dented cans, and drying containers were not stacked wet. This had the potential to affect 105 of 107 residents who resided in the facility and consumed food prepared from the facility's kitchen. Findings include: A review of the facility's undated policy titled Food Receiving and Storage, revealed 2. When food is delivered to the facility it will be inspected for safe transport and quality before being accepted. 7. […]

Read 20 findings in full →The most serious and the most recent: 20 of 53 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 2, 2025Standard and complaint3 findings
  • Oct 3, 2024Complaint4 findings
  • Sep 1, 2023Standard9 findings
  • Jul 22, 2022Standard12 findings
  • Mar 18, 2021Complaint1 finding
  • Dec 3, 2020Complaint3 findings
  • Apr 26, 2019Standard1 finding
  • Jan 2, 2019Complaint2 findings
Show the 5 earlier surveys
  • Sep 17, 2015Standard8 findings
  • Nov 6, 2014Standard1 finding
  • Jan 17, 2013—1 finding
  • Aug 11, 2011—5 findings
  • Oct 8, 2009Complaint3 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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