Heritage Inn of Barnesville Health and Rehab

In the surveyor’s words

From the most serious findings on record at Heritage Inn of Barnesville Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 10, 2025

  Based on observations, staff interviews, and review of the facility's policy titled Skilled Nursing Services: Cleaning and Sanitizing, the facility failed to ensure the kitchen workplace and equipment were clean and sanitized to reduce the risk of foodborne illnesses. This deficient practice had the potential to place the residents who received an oral diet from the kitchen at risk of foodborne illness. Findings Include: Review of the facility's policy titled, Skilled Nursing Services: Cleaning and Sanitizing, dated 12/27/2024, revealed the Intent section included, It is the intent of this center to clean and sanitize utensils, dishware, pots and pans, workspace, and equipment to minimize the risk of food-borne illnesses. The Guideline section included, . […]

• No harm, potential for more than minimal, isolatedF568Jul 19, 2026

  Based on resident and staff interviews, record review, and review of the facility policy titled, Patient Trust Fund, the facility failed to ensure written quarterly resident trust fund account statements were provided to two of 35 sampled residents (R) (R81 and R109). This deficient practice had the potential to place R81 and R109 at risk of not being informed of their financial account transactions and balances.Findings include:Review of the facility policy titled, Patient Trust Fund, dated 12/27/2025, documented that the Guideline section included, . Quarterly statements should be provided in writing within thirty (30) days after the end of the quarter. Put the statements in a binder in alphabetical order and have the patient sign his/her statement acknowledging accuracy of statement. 1. […]

• No harm, potential for more than minimal, isolatedF689Jul 19, 2026

  Based on observations, record review, and staff interviews, the facility failed to ensure a hazard-free environment for one of 32 sampled residents (R2) when two disposable razors were observed on the resident's bedside table and were accessible within the resident environment. This deficient practice had the potential to place residents at risk for lacerations or other injuries from unsecured sharp objects. The facility census was 109.Findings include:Review of R2's Electronic Health Record (EHR) revealed he was admitted to the facility on [DATE] with diagnoses including, but not limited to, Hypertensive chronic kidney disease, Type 2 diabetes, Paranoid schizophrenia, Unsteadiness on feet, post-traumatic stress disorder, chronic, and Generalized anxiety disorderReview of R2's Minimum Data… […]

• No harm, potential for more than minimal, isolatedF759Apr 10, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Medication Administration-General, the facility failed to ensure the medication error rate was less than five percent. There were two errors with 26 opportunities for two of five residents (R) (R33 and R28) observed for a medication error rate of 7.69 percent. This deficient practice had the potential to place R33 and R28 at risk of avoidable medical complications due to not receiving medications as prescribed by the physician. Findings Include: Review of the facility's undated policy titled, Medication Administration- General, revealed the Intent section stated, To facilitate that medications are administered as prescribed, in accordance with good nursing principles. 1. […]

• No harm, potential for more than minimal, isolatedF580Feb 15, 2024

  Based on staff interviews, record reviews, and a review of the facility policies titled Change in a Patient's Condition, and Fall Management, the facility failed to notify the physician and family of a change in condition for three residents (R) (R1, R3, and R9) of 11 sampled residents reviewed for notification of a change in condition. Specifically, when R1 refused dialysis treatment, and when R3 and R9 sustained falls. Findings include: Review of the policy titled Change in a Patient's Condition, with a review date of 12/30/2022, indicated the Intent section stated: It is the intent of this center to notify the patient, his/her attending physician, and responsible party/patient representative of changes in the patient's condition and/or status. […]