Marietta Heights Post Acute

In the surveyor’s words

From the most serious findings on record at Marietta Heights Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880May 15, 2026

  Based on observation, medical record review, infection control log review, review of local health department guidance, Center for Disease Control information review, review of text message communication, nursing staff schedule review, facility policy review and interview, the facility failed to develop and implement a comprehensive infection control program that included prevention, identification, investigation and reporting of communicable disease including Respiratory Syncytial Virus (RSV) infection. […]

• Immediate jeopardy, widespreadF880Mar 9, 2026

  Based on record review, review of the facility's water management program, observation, interview, and policy review the facility failed to ensure enhanced barrier precautions were implemented per orders/care plan for three residents (Resident #11, #22 and #28) and the water management program was implemented per the facility's protocol. This affected three residents (Resident #11, #33 and #28) of three residents observed for enhanced barrier precautions but had the potential to affect all 38 residents residing in the facility related to the water management program. Findings include: 1. […]

• Immediate jeopardy, widespreadF835Apr 18, 2024

  Based on observation, record review, review of facility billing/financial information, review of the facility assessment, review of the Administrator and Director of Nursing Job Description, and interviews, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident resulting in Immediate Jeopardy and actual harm or the potential for serious harm, injury and/or death to all facility residents. The facility administration failed to take appropriate action resulting in substandard quality of care deficiencies identified under Freedom from Abuse, Neglect, and Exploitation and Quality of Care. […]

• Immediate jeopardy, patternF744Oct 11, 2024

  Based on observation, review of the facility assessment, review of facility marketing material, medical record review, policy reviews, review of staffing schedules August 2024 through October 2024, and interviews, the facility failed to develop and implement comprehensive and individualized treatment and services to ensure residents, who displayed behaviors and/or were diagnosed with dementia received the appropriate treatment and services to attain or maintain their highest practicable physical, mental and psychosocial well-being. […]

• Immediate jeopardy, isolatedF684Apr 18, 2024

  Based on medical record review, staff, certified nurse practitioner and physician interviews, hospital record review, review of literature from Centers for Disease Control (CDC), National Health Institute, and American Heart Association, and facility policy review, the facility failed to ensure Resident #80's blood pressure was adequately monitored to prevent incidents of hypotension (low blood pressure) and failed to notify the physician of the resident's hypotension resulting in a delay in care and treatment. […]