Bonterra Transitional Care: Feces Left on Walls - GA
The stains were still there the next morning.
Inspectors first observed the smears in room on the East Wing on March 10, 2025, at 11:25 a.m. The resident, identified in inspection records as R19, described exactly what they were and how they got there. Inspectors returned the following day at 10:02 a.m. Nothing had been cleaned.
The housekeeping aide assigned to that area of the facility, who had worked there for a year, told inspectors she had not paid attention to the brown stains on the wall. That, she said, was why they had not been cleaned.
That explanation sat alongside the facility's own written policies. One required staff to clean walls when they were visibly soiled or contaminated. Another directed housekeeping to spot clean walls daily using a clean rag. The stains on the wall to the left of the entrance were visible to an inspector who walked through the room. They were visible the day after that. By the aide's own account, the problem was not that the policy was unclear or the task was difficult. She had not looked.
The Housekeeping Director, who had been at the facility for about three months at the time of the inspection, told inspectors that aides were expected to clean spots on walls when they found them. He did not address why the stains had gone unaddressed across multiple days, or what supervision existed to catch what individual aides missed.
The facility's administrator told inspectors her expectation was that residents' walls be kept clean and sanitary.
Those expectations, and the policies behind them, describe a facility where feces on a wall should have been cleaned the same day it appeared, or at the latest the morning after. R19 had been living with those stains long enough that he described them to a stranger with the matter-of-fact tone of someone who had stopped expecting them to disappear.
The violation was cited at the lower end of the harm scale, classified as minimal harm or potential for actual harm, affecting few residents. In the language of federal inspection reports, that classification means no one was documented as having suffered a measurable physical injury directly from this specific lapse.
What it does not capture is what it is like to spend your days in a room where feces have dried on the wall, where you have told people and nothing has changed, where the staff member responsible for cleaning that wall looked at it and kept moving.
R19 shared that room with the person who threw the feces. The inspection report does not describe any intervention related to the roommate or any plan to address the underlying situation. It records only what was on the wall, how long it stayed there, and what the people responsible for cleaning it said when asked why they hadn't.
The stains were observed on March 10. They were still there on March 11. The housekeeping aide's interview took place on March 12. The administrator's interview took place on March 19, the final day of the inspection.
The inspection report does not say when the wall was cleaned.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bonterra Transitional Care & Rehabilitation from 2025-03-19 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.
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Last verified: November 4, 2026 · Our methodology
BONTERRA TRANSITIONAL CARE & REHABILITATION in EAST POINT, GA was cited for violations during a health inspection on March 19, 2025.
The stains were still there the next morning.
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.