Spalding Post Acute LLC
Griffin, Georgia · CCN 115537
16 surveys since 2010. The first finding at harm level was recorded in 2020.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 16
- Harm or worse
- 12
- Immediate jeopardy
- 11
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 148
- Ownership
- For profit - Limited Liability company
- Chain
- ELEVATION HEALTHCARE
- County
- Spalding
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 70 for-profit facilities with 128 or more beds in Georgia.
Last survey on record
Mar 19, 2026
235 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.09 | 3.38 |
| Registered-nurse hours per resident day | 0.29 | — |
| Annual nurse turnover | 56.3% | 51.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2271.0% | E412.9% | F516.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F7613×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6072×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Spalding Post Acute LLC, in the surveyor’s own words.
- Immediate jeopardy, patternF656Feb 10, 2022
Based on record review, interview, and facility policy review, the facility failed to ensure care plan interventions regarding emergency [CONDITION(S)] care were developed for one of five residents (Resident (R) 5) sampled for [CONDITION(S)] care. Additionally, the facility failed to ensure care plan interventions regarding emergency [CONDITION(S)] care were implemented for three of five residents (R23, R27, and R31) sampled for [CONDITION(S)] care. On 2/8/2022, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]
- Immediate jeopardy, patternF695Feb 10, 2022
Based on observation, record review, interview, and review of facility policies titled NSG [CONDITION(S)] Care and [CONDITION(S)] Emergency Bedside Supplies, the facility failed to have emergency [CONDITION(S)] supplies readily available at the bedside for four of five residents (Resident (R) 5, R23, R27, and R31) sampled for [CONDITION(S)] care. On 2/8/2022, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator and Regional Director of Operations were informed of the Immediate Jeopardy (IJ) on 2/8/2022 at 6:46 p.m. […]
- Immediate jeopardy, patternF726Feb 10, 2022
Based on interviews, record review and review of facility's policies, the facility failed to ensure [CONDITION(S)] ([CONDITION(S)]) care management for an artificial airway (cuff inflation, airway cleaning, tube changes, assessments and ongoing monitoring of respiratory functioning) was provided by competent, trained and skilled licensed staff, who were allowed to provide [CONDITION(S)] care for four of five sampled residents (Resident (R) 5, R24 R37 and R31). On 2/8/2022, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]
- Immediate jeopardy, patternF835Feb 10, 2022
Based on observation, record review, interview, and facility policy review, the facility failed to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable level of well-being four of five residents (Resident (R) 5, R23, R27, and R31) sampled for [CONDITION(S)] care. Specifically failing to ensure that competent nursing staff were available and trained to care for residents admitted with special care needs such as care for a [CONDITION(S)]. The facility also failed to ensure staff had adequate supplies in the event of an emergency for residents with tracheostomies. […]
- No harm, potential for more than minimal, widespreadF880Mar 19, 2026
Based on observations, staff interviews, record review and review of the facility's policies titled Handwashing/Hand Hygiene, and Infection Prevention and Control Program, the facility failed to implement infection control protocol for two residents (R) (R34 and R82) of 14 residents observed for infection control. Specifically, nurse did not sanitize hands between glove change and nurse placed a tablet in her bare hand. The deficient practice increased the risk of cross contamination and the spread of infection to residents and staff. Findings include:Review of the facility's policy titled Handwashing/Hand Hygiene undated, documented Policy Statement: This facility considers hand hygiene the primary means to prevent the spread of infections. Policy Interpretation and Implementation: 2. […]
Read 32 findings in full →The most serious and the most recent: 32 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 19, 2026Standard and complaint8 findings
- Feb 17, 2025Standard9 findings
- Dec 11, 2024Complaint4 findings
- Nov 2, 2023Standard10 findings
- Feb 10, 2022Standard and complaint12 findings · 4 harm
- Nov 10, 2020Complaint12 findings · 8 harm
- Sep 2, 2020Infection control2 findings
- Jul 23, 2020Complaint1 finding
Show the 8 earlier surveys
- Nov 29, 2018Standard12 findings
- Dec 8, 2016Standard7 findings
- May 7, 2015Standard3 findings
- Oct 31, 2013—5 findings
- Apr 19, 2012—5 findings
- Apr 4, 2012—1 finding
- Aug 15, 2011—2 findings
- Aug 13, 2010—2 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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