Peachtree Centre

In the surveyor’s words

From the most serious findings on record at Peachtree Centre, in the surveyor’s own words.

• Actual harm, isolatedF656May 11, 2023

  Based on review of facility policy, interview and record review, the facility failed to implement interventions outlined in a care plan for 1 of 4 residents. Specifically, Resident (R)1's Care Plan included an intervention for fall mats. R1 experienced a fall from the bed, with the absence of fall mats, resulting in R1 suffering injuries. Findings include: Review of the undated facility policy titled Care Plans -- Comprehensive revealed, The nurse supervisor uses the care plans to complete the CNA's daily work assignment sheets and/or flow sheets. Review of the undated facility policy titled Fall Prevention Program revealed, Each resident . […]

• Actual harm, isolatedF689May 11, 2023

  Based on review of facility policy, interview and record review, the facility failed to protect 1 of 4 residents from a fall resulting in injury. Specifically, Resident (R)1 fell while receiving incontinence care which resulted in R1 suffering from neck fractures and hospitalization . Findings include: Review of the undated facility policy titled Fall Prevention Program revealed, Each resident . will receive care and services in accordance with the level of risk to minimize the likelihood of falls. Review of R1's Face Sheet revealed, R1 was admitted to the facility on [DATE] with diagnoses including, but not limited to, major depressive disorder, anxiety, and dementia. […]

• No harm, potential for more than minimal, widespreadF803May 1, 2026

  Based on observation, interview, document review and record review, the facility failed to ensure that the planned menu was followed to meet the nutritional needs of five of five residents (R)2, R151, R108, R168, and R37) reviewed for nutrition. Specifically, the Dietary Aide (DA)2 served smaller portions to R2, R151, R108, R168 and R37 than the portion size the menu indicated. In addition, the residents on one of four floors (third floor) were served a different vegetable that what was indicated on the menu.Findings include:Review of the facility's menu titled Optima Solutions Ahava 2026 s/s Menus Week:1 revealed the baked chicken portion size should be three ounces. […]

• No harm, potential for more than minimal, widespreadF880May 1, 2026

  Based on observation, interview, document review and policy review, the facility failed to ensure personal protective equipment (PPE) was available for laundry staff in one of one laundry rooms to use while sorting soiled resident clothing and bed linens. This failure had the potential to infect the staff and/or all residents with pathogens which could potentially lead to the development of infectious diseases.Findings include: Review of an undated document by the American Healthcare Association indicated, . Use Personal Protective Equipment (PPE) when handling linens.To protect all staff including nursing and housekeeping from contaminants during laundry operations, they must use PPE.Wear tear-resistant gloves when handling and laundering soiled linens. […]

• No harm, potential for more than minimal, widespreadF812Dec 29, 2023

  Based on observation, interview, record review, review of the Food Code U.S. Food and Drug Administration, manufacturer's guidance and facility policy review, the facility failed to ensure the kitchen was maintained in a sanitary manner and sanitation practices were in place to prevent the potential spread of food borne illness to 92 out of 93 residents (one resident received nutrition via a feeding tube). Specifically, dietary carts, buckets, garbage can had a heavy accumulation of food or grime; a plastic basin, located under the handwashing sink had an accumulation of dirt and green tinged water within the basin; shelves for the storage of clean pots were rusted; plastic bags of leftovers were in the refrigerator were not labeled with the food item in the bag or the date the food was… […]