Sandy Springs Center for Nursing and Healing LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656May 7, 2023

  45555 Based on observations, interviews, record review, document review, and facility policy review, the facility failed to develop a comprehensive care plan for two of 57 sampled residents (R#12 and R#120). A review of the care plan for R#12 revealed a care plan was not developed to address the resident's needs related to transferring and the use of a mechanical lift to include the sling size that was needed. During observations of a transfer of R#12 utilizing a mechanical lift on 5/3/24, the resident voiced discomfort and concern that the resident was going to fall during the transfer using the lift. Further observations revealed the resident was not properly placed in the sling and the resident was not properly supported by the sling during the transfer. […]

• Immediate jeopardy, isolatedF689May 7, 2023

  48313 Based on observations, interviews, record review, document review, and facility policy review, the facility failed to ensure two of four sampled residents (R) (R#12 and R#69) for accidents received adequate supervision to prevent accidents. Observations of a mechanical lift transfer of R#12 on 5/3/23 revealed the resident voiced discomfort and concern that they were falling during the transfer and the observation revealed the mechanical lift sling was not positioned properly to support the resident during the transfer. The Certified Nursing Assistants (CNAs), CNA RR and CNA TT, who were performing the transfer failed to appropriately supervise the transfer and intervene to properly position the resident in the sling when the resident verbalized discomfort. […]

• Immediate jeopardy, isolatedF726May 7, 2023

  Based on observations, interviews, record review, document review, and facility policy review, the facility failed to ensure certified nursing assistants (CNAs) demonstrated competency in skills and techniques necessary to care for residents' needs related to transfers using a mechanical lift for two of 15 CNA competency documents that were provided. During observations of a transfer of R#12 by way of a mechanical lift, the resident voiced discomfort and concern of falling during the transfer. Observations revealed the resident was not appropriately positioned in the mechanical lift sling and as a result, after the resident was transferred to the wheelchair, R#12 slid from the wheelchair into the floor because the resident could not be appropriately positioned in the chair. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observations, staff interviews, and policy review, the facility failed to ensure the kitchen was clean, staff washed hands and wore gloves appropriately between task changes, staff wore a beard cover when wearing a beard, and temperatures were recorded for the refrigerator and freezer. These failures had the potential to affect 144 residents who consumed food prepared by the kitchen.Findings include:Review of the facility policy titled, Preventing Foodborne Illness- Employee Hygiene and Sanitary Practice with an issue date of April 2024, Policy: Nutrition Services staff shall follow appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness. Gloves are single use items and must be discarded after completing the task for which they were used. […]

• No harm, potential for more than minimal, widespreadF880Apr 16, 2026

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure appropriate infection control practices were implemented with the onset of a COVID outbreak. The facility failed to ensure the dental hygienist used infection control interventions to ensure the dental cart moving from room to room was cleaned and a Certified Nursing Assistant (CNA) using the same box of wipes room to room, not following infection control practice. As a result of this deficient practice, all facility residents had the potential for illness from a COVID exposure since the facility was already in outbreak on the [NAME] unit. […]