Bonterra Transitional Care: PASARR Screening Failures - GA
Neither did the director of nursing.
Inspectors visiting Bonterra Transitional Care & Rehabilitation on March 19, 2025 found that a resident identified in records as R76, who carried a PTSD diagnosis, had never received a PASARR Level II evaluation, a federally required screening designed to determine whether nursing home residents with serious mental illness or intellectual disabilities are in the right placement and receiving the right services.
The social worker told inspectors she generally relies on hospitals to complete the Level II screening before a resident arrives. If a resident comes in without one, she said, she would submit the paperwork herself, typically in collaboration with the director of nursing. But she confirmed she had not done so for R76, and said directly that she had not known PTSD was an eligible diagnosis.
The director of nursing, interviewed six days later, said the interdisciplinary team is collectively responsible for identifying who needs the evaluation, then added that the social worker bears sole responsibility for figuring out which residents qualify. She said she expected the social worker to follow facility policy. She also said she was not aware that PTSD was a mental disorder.
The administrator, speaking with inspectors on the final day of the survey, gave a more technically accurate account of how the process is supposed to work. A Level I screening happens before admission. If a resident flags for mental health or intellectual disability, and does not have Alzheimer's or dementia, a Level II evaluation follows. She acknowledged that R76 should have had one. She said the potential consequences of skipping it include the possibility that the facility is not an appropriate placement for the resident, or that the resident is not receiving services that could benefit them.
That last phrase is the one that matters. The entire point of the PASARR process is to catch exactly this situation: a person with a serious psychiatric diagnosis, placed in a long-term care setting, who may need specialized mental health services the facility either cannot or does not provide. Without the evaluation, no one has formally asked whether Bonterra is the right place for R76, or whether R76 is getting what R76 needs.
Inspectors rated the violation as causing minimal harm or potential for actual harm, affecting few residents. The finding did not rise to the level of immediate jeopardy.
What the inspection record leaves is a narrower and more specific concern. A social worker with three decades of experience at a single facility did not know that PTSD, one of the most commonly diagnosed psychiatric conditions in the United States, triggered a screening requirement she was responsible for initiating. The director of nursing, who the social worker said she would normally work with on these submissions, did not know PTSD was a mental disorder at all. The administrator knew the policy correctly but was not the person doing the work.
R76's evaluation still had not been completed by the time inspectors closed out the survey.
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 5, 2026 · Our methodology
BONTERRA TRANSITIONAL CARE & REHABILITATION in EAST POINT, GA was cited for violations during a health inspection on March 19, 2025.
Neither did the director of nursing.
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.