Rehabilitation Center at Hartsfield Village

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center at Hartsfield Village, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Aug 18, 2025

  Based on observation, record review, and interview, the facility failed to ensure personal care signs were not posted in a resident's room and meals were served timely to each resident's table for 4 of 4 residents reviewed for dignity. (Residents 14, 21, 9, and 107)Findings include:1. During a random observation on 8/13/25 at 9:00 a.m., a sheet of paper listing Resident 14's swallowing guidelines was posted on the wall next to the doorway of the resident's bathroom. On 8/14/25 at 9:20 a.m., the sign remained in the resident's room. The record for Resident 9 was reviewed on 8/14/25 at 9:32 a.m. Diagnoses included, but were not limited to, Alzheimer's and dysphagia (difficulty swallowing). […]

• No harm, potential for more than minimal, patternF761Aug 18, 2025

  Based on observation, record review, and interview, the facility failed to ensure proper medication storage related to insulin pens and multi-dose vials not labeled when opened or expired for 3 of 5 medication carts and 1 of 1 medication rooms reviewed. (D Wing 1st Floor Cart, A Wing 1st Floor Cart, D Wing 2nd Floor Cart, 1st Floor Medication Room)Findings include:1. The 1st Floor Medication Room was observed with RN 2 on [DATE] at 11:01 a.m. Inside the refrigerator was an opened multi-dose vial of Tuberculin (a medication used for tuberculosis testing). The vial was dated as opened [DATE]. The label on the vial indicated to discard after 30 days. 2. The 1st Floor D Wing medication cart was observed with LPN 1 on [DATE] at 11:11 a.m. […]

• No harm, potential for more than minimal, patternF554Jun 3, 2024

  Based on observation, record review, and interview, the facility failed to ensure a self-medication administration assessment was completed for residents with medications at the bedside, for 4 of 4 random observations. (Residents 6, 73, 88, and 82) Findings include: 1. During random observations on 5/28/24 at 3:50 p.m., 5/29/24 at 8:20 a.m., 1:00 p.m., and 3:00 p.m., and on 5/30/24 at 9:32 a.m., Resident 6 was observed in her room. At those times there was a Breo hand held inhaler, antibiotic ointment cream, and healing ointment cream observed on the window sill. The record for Resident 6 was reviewed on 5/29/24 at 1:25 p.m. Diagnoses included, but were not limited to, type 2 diabetes, COPD, heart disease, high blood pressure, anxiety and depression. […]

• No harm, potential for more than minimal, patternF684Jun 3, 2024

  Based on observation, record review, and interview, the facility failed to ensure areas of bruising and skin tears were assessed and monitored for 4 of 6 residents reviewed for skin conditions non-pressure related. (Residents 26, 60, 168, and 6) Findings include: 1. On 5/29/24 at 9:45 a.m., Resident 26 was observed in her room in bed. An area of reddish purple discoloration was observed on top of the resident's right hand and in between her ring and middle finger. During an interview at that time, the resident indicated she hit her hand on the door frame. The record for Resident 26 was reviewed on 5/29/24 at 3:56 p.m. […]

• No harm, potential for more than minimal, patternF636Mar 13, 2023

  Based on record review and interview, the facility failed to ensure the Admission Minimum Data Set (MDS) assessment was completed within 14 days of admission for 6 of 24 MDS assessments reviewed. (Residents 148, 206, 37, 198, 195, & 12) Findings include: 1. The record for Resident 148 was reviewed on 3/9/23 at 2:01 p.m. Diagnoses included, but were not limited to, type 2 diabetes mellitus, hypertensive chronic kidney disease, and orthopedic aftercare following surgical amputation. The resident was admitted to the facility on [DATE]. The Admission Minimum Data Set (MDS) assessment, dated 2/27/23, was still in process. Sections B, E, G, GG, H, I, L, N, O, and P had not been completed. […]