Pinewood Healthcare Center: PASARR Screening Failures - GA
Inspectors who visited the 277 Commerce Street facility on March 14, 2025 cited Pinewood for failing to properly complete what are known as PASARR Level II evaluations, a federally required screening process that determines whether residents with serious mental illness or intellectual disabilities are receiving care appropriate to their needs.
PASARR, which stands for Preadmission Screening and Resident Review, exists for a specific reason. Nursing homes are not psychiatric facilities. When a resident has a serious mental illness, the screening process is supposed to ensure the facility can actually meet that person's needs, or that the person is directed somewhere that can. Skipping the process, or failing to complete it correctly, means that determination never gets made.
The inspection report identified the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. Those qualifiers matter less than they might appear to. A screening that isn't completed doesn't produce a finding. The absence of a finding doesn't mean the absence of a problem. It means nobody looked closely enough to know.
The administrator's response to inspectors was straightforward: it was her expectation that the facility's policies and procedures be followed. She did not dispute that they hadn't been. That gap, between what a facility says it requires and what its staff actually does, is where residents fall through.
Pinewood Healthcare Center operates under CMS facility identification number 115586. The March inspection was a standard health survey. The deficiency was recorded on a single page.
What the report does not say is how long the lapses had been occurring, how many residents were affected before inspectors arrived, or whether any of those residents had unmet mental health needs as a result. The report documents what inspectors confirmed. It does not document what they couldn't see.
The Level II component of PASARR is triggered when an initial screening suggests a resident may have a serious mental illness or intellectual disability. At that point, a more detailed evaluation is required, one that looks at the person's specific condition, the care the facility is equipped to provide, and whether placement there is appropriate at all. It is, by design, a safeguard with a person at the center of it.
When that evaluation doesn't happen, the safeguard doesn't exist. The resident is placed, or remains placed, without anyone having formally asked whether this is the right place for them.
The administrator told inspectors the expectation was clear. Policies existed. Procedures were written down. The staff responsible for initiating the PASARR process knew, or should have known, what was required.
Inspectors noted the deficiency, recorded the administrator's statement, and moved on. The report runs one page.
Somewhere in that facility, on the day inspectors arrived, were the few residents the citation references. The report does not name them. It does not describe their conditions, their histories, or what they needed. It records only that the process meant to answer those questions had not been completed as required.
The plan of correction, if one was submitted, is not included in the publicly available inspection record. For information on how Pinewood intended to fix the problem, CMS directs readers to contact the facility or the state survey agency directly.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pinewood Healthcare Center from 2025-03-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 6, 2026 · Our methodology
Pinewood Healthcare Center in HAWKINSVILLE, GA was cited for violations during a health inspection on March 14, 2025.
PASARR, which stands for Preadmission Screening and Resident Review, exists for a specific reason.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.