Heart of Georgia Nursing Home

In the surveyor’s words

From the most serious findings on record at Heart of Georgia Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 11, 2026

  Based on observations, interviews, and review of facility policies titled Ingredient Bins, Food Storage-Refrigerators & Freezers, Food Storage Dry Goods, and Frozen Food Storage, the facility failed to ensure food items were labeled, dated, and used by the expiration date. In addition, the facility failed to maintain sanitary conditions when utilizing a three-compartment sink. These deficient practices had the potential to affect 85 of 89 residents receiving oral diets.Findings include: Review of facility Policies and Procedures revealed: Ingredient Bins revised 4/5/2024 1.Tracking sheets are to be used on ingredient bins. It is taped on the cover. 2. […]

• No harm, potential for more than minimal, isolatedF605Jan 11, 2026

  Based on observations, interviews, and review of medical records, the facility failed to ensure a stop date was provided on as needed (PRN) psychotropic medications for one resident (R) (R6) of five residents reviewed for unnecessary medications. The deficient practice created the potential for residents to receive unnecessary medications. Findings include:Review of the electronic medical record (EMR) for R6 revealed diagnoses that included but were not limited to vascular dementia, severe with agitation.Further review of the EMR revealed an order for Ativan oral tablet 0.5 milligrams (mg) with a start date of 12/22/2025. […]

• No harm, potential for more than minimal, isolatedF641Jan 11, 2026

  Based on observations, interviews, and review of medical records, the facility failed to ensure the accuracy of assessments for one resident (R)(R6) of 38 sampled residents. The deficient practice had the potential for inaccurate and/or omitted care planning. Findings include:Review of the electronic medical record (EMR) for R6 revealed diagnoses that included but were not limited to hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, unspecified sequelae of cerebral infarction, other lack of coordination, and unsteadiness on feet. […]

• No harm, potential for more than minimal, isolatedF656Jan 11, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure the care plan for fall prevention was followed for one resident (R)(R6) of 38 sampled residents. The deficient practice had the potential to place R6 at risk of injury and diminished quality of life. Findings include:Review of the electronic medical record (EMR) for R6 revealed diagnoses that included but were not limited to hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, unspecified sequelae of cerebral infarction, other lack of coordination, and unsteadiness on feet.Review of the Minimum Data Set (MDS) dated [DATE] Section J: Health Conditions, documented no falls for R6.Review of the care plan for R6 that was initiated on 7/21/2025 and revised on 8/20/2025… […]

• No harm, potential for more than minimal, isolatedF684Jan 11, 2026

  Based on record review, staff interview, and review of facility policy titled Administering Medications, the facility failed to ensure a medication for hypotension was given as ordered and not held without a physician's order or physician ordered parameters for two residents (R) (R72 and R9) of 38 sampled residents. The deficient practice increased the potential risk of adverse clinical outcomes.Findings include:1.Record review revealed R72 was admitted to the facility 11/5/2024. R72 had a diagnosis of orthostatic hypotension since 2/6/2025. Review of the Physician's Order dated 10/25/2025 documented midodrine HCl (hydrochloride) (Medication used to increase blood pressure) give 1 tablet by mouth three times a day for hypotension. […]