Deficiency Index

Powder Springs Center for Nursing & Healing

Powder Springs, Georgia · CCN 115538

22 surveys since 2009. The first finding at harm level was recorded in 2018.

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

Citations on record
71
Surveys
22
Harm or worse
5
Immediate jeopardyall corrected before survey
5
The record, 2009–2026
’09’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file18/22

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

The facility

Certified beds
208
Ownership
For profit - Limited Liability company
Chain
EMPIRE CARE CENTERS
County
Cobb
Medicare-certified since
1993

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 70 for-profit facilities with 128 or more beds in Georgia.

Last survey on record

Jan 9, 2026

304 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 day3.193.38
Registered-nurse hours per resident day0.44—
Annual nurse turnover22.9%51.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$16,802 across 3 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ28.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1041.7%E416.7%F729.2%
No harm, potential for minimalA—B—C14.2%
CMS’s current file: 24 of the 71 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8122×

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

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

In the surveyor’s words

From the most serious findings on record at Powder Springs Center for Nursing & Healing, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF690Apr 15, 2024

    Based on record review, interviews, and review of the facility policy titled Urinary Tract Infections/Bacteriuria-Clinical Protocol, the facility failed to provide appropriate treatment and services to prevent a catheter associated urinary tract infection from worsening for one of 57 sampled residents (R) (R10). The failure caused R10 to be sent to an acute care hospital with the diagnosis of shock, sepsis, and metabolic crisis (including acute kidney injury and acute renal failure). R10 expired in the hospital on [DATE]. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF770Apr 15, 2024

    Based on record review, interviews, and review of the facility's policy titled Laboratory Services and Reporting, the facility failed to provide critical laboratory tests for one of 57 sampled residents (R) (R10). The Nurse Practitioner ordered urine culture sensitivity (UA and CS) tests on [DATE]. The failure caused R10 to be sent to an acute care hospital with the diagnosis of shock, sepsis, and metabolic crisis (including acute kidney injury and acute renal failure). R10 expired in the hospital on [DATE]. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • No harm, potential for more than minimal, widespreadF812Jan 9, 2026

    Based on observations, staff interviews, record review, and review of the facility's policies titled, Food Receiving and Storage and Appendix 14: Emergency Water Supply, the facility failed to ensure emergency drinking water was stored in safe and sanitary manner for residents in the facility. This deficient practice had the potential to cause contamination and compromise all facility resident's safety. The facility census was 195 residents. Findings include:Review of the facility's policy titled Food Receiving and Storage revised 4/1/2024 section; 1.150 revealed foods shall be received and stored in manner that complies with safe food handling practices.Review of the facility's policy titled Appendix 14: Emergency Water Supply dated/ revised 8/17/2022, further review of Emergency… […]

  • No harm, potential for more than minimal, widespreadF812Apr 15, 2024

    Based on observation, interviews, and review of the facility's policy titled, Food Receiving and Storage, the facility failed to ensure the vents directly over the steam table were free from dirt and debris, a fan used in the kitchen area was clean, the frozen food items are kept off the freezer floor, and that hair nets were worn in the kitchen. The census was 178 residents. Findings included: A review of the undated facility's policy titled, Food Receiving and Storage documented that the refrigerated foods will be stored in such a way that promotes adequate air circulation around food storage containers. Refrigerators/walk-ins will not be overcrowded. During an observation on 3/18/2024 at 6:41 pm, the Dietary Manager was observed in the kitchen and was not wearing a hair net. […]

  • No harm, potential for more than minimal, widespreadF814Apr 15, 2024

    Based on observation, interviews, and review of the facility policy titled, Food-Related Garbage and Rubbish Disposal, the facility failed to ensure that the facility's outside garbage disposal area was free from trash and debris. The census was 178 residents. Findings included: A review of the undated facility's policy titled Food-Related Garbage and Rubbish Disposal, documented that all garbage and rubbish containing food waste should be kept in containers; all garbage and rubbish containers shall be provided with tight-fitting lids or covers and must be kept covered when stored or not in continuous use; and outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. […]

Read 23 findings in full →The most serious and the most recent: 23 of 71 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 9, 2026Standard and complaint3 findings
  • Jun 27, 2024Standard1 finding
  • Apr 15, 2024Complaint15 findings · 2 harm
  • Apr 22, 2022Standard and complaint7 findings
  • Sep 30, 2021Complaint3 findings
  • Jan 20, 2021Complaint1 finding
  • Oct 9, 2019Complaint4 findings
  • Aug 10, 2018Complaint3 findings · 3 harm
Show the 14 earlier surveys
  • Jan 25, 2018Standard2 findings
  • Aug 22, 2017Complaint2 findings
  • Jan 27, 2017Standard1 finding
  • Sep 7, 2016Complaint4 findings
  • Jan 25, 2016Complaint1 finding
  • Apr 23, 2015Standard5 findings
  • Jul 24, 2013—1 finding
  • Mar 26, 2013—1 finding
  • Oct 16, 2012—1 finding
  • Sep 25, 2012—1 finding
  • May 3, 2012—1 finding
  • Feb 8, 2011—3 findings
  • Sep 17, 2010—3 findings
  • Jun 17, 2009—8 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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