Treutlen County Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Treutlen County Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 20, 2023

  Based on observations, staff interviews, and review of the policy titled Skilled Inpatient Services - Storage Areas, the facility failed to ensure that items were discarded after the use by/best buy/expiration date, that food on the steam table remained in safe temperature range during serving, items were placed in a clean container with a tight fitting lid when remove from the original packaging, chipped paint, and the kitchen was clean as evidenced by buildup on the back of stove, light covers, and a wall and door near a trashcan. This deficient practice impacted 40 of 42 residents who received oral diets. […]

• No harm, potential for more than minimal, patternF880Mar 22, 2026

  Based on observations, staff interviews, and review of the facility policies Hand Hygiene and Infection Control at a Glance, the facility failed to follow infection control practices by not covering clean linen during transport and distribution, creating a risk of cross contamination for the census of 50 residents. In addition, the facility failed to perform hand hygiene during wound care for one of two sampled residents (R9).Findings include: 1.Review of the facility's policy titled Infection Control at a Glance undated, documented Goal: To have a comprehensive program that addresses detection, prevention, and control of infections among patients and associates. Purpose: Decrease the risk of infection to patients and associates. […]

• No harm, potential for more than minimal, isolatedF658Mar 22, 2026

  Based on observations, staff interviews, record reviews, and review of the facility's policy titled Medication Administration - General, the facility failed to follow accepted standards of practice for one of 20 sampled residents (R44). This deficient practice created a risk of infection and the potential to negatively affect R44's medical condition. Findings include:Review of the facility's policy titled Medication Administration - General, reviewed 04/15/2025, documented: INTENT: To facilitate that medications are administered as prescribed, in accordance with good nursing principles. […]

• No harm, potential for more than minimal, isolatedF600Dec 22, 2025

  Based on staff interviews, record review, and a review of the facility's policy titled Abuse Prohibition, the facility failed to protect the resident's right to be free from physical abuse by facility staff for one of three residents (R) (R1) reviewed for abuse. The abuse had the potential to affect all residents residing in the facility at that time. Findings included:Review of the facility's policy titled, Abuse Prohibition with review date 4/7/2025 revealed, It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse or misappropriation of patient property. We believe that each patient has the right to be free from verbal, sexual, physical and mental abuse, corporal punishment, and involuntary seclusion. […]

• No harm, potential for more than minimal, isolatedF609Feb 10, 2022

  Based on staff interviews, record review, and facility policy titled Reporting and Investigating Abuse, the facility failed to reported abuse timely related to a resident-to-resident incident (R#6 and R#290) for one of four facility reported incidents reviewed. Findings include: Review of abuse police titled, Reporting and Investigating Abuse (2020), revealed: Procedural Guidelines - Reporting d. Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse, including injuries of unknown source and/or misappropriation of patient property and is reported to the Administrator, the incident will be immediately reported (within 2 hours) to the State. R#6 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]