Green Acres Health and Rehab: Bathing Care Failures - GA
The resident, identified in inspection records only as R55, lives at Green Acres Health and Rehabilitation on Allen Memorial Drive. He was admitted with Alzheimer's disease with early onset, unspecified disorientation, cognitive communication deficit, and major depressive disorder. A formal assessment from May 2025 placed his cognitive score at a 4 on the Brief Interview for Mental Status scale, indicating severe impairment. He depends entirely on staff for bathing, oral hygiene, toileting, and personal hygiene.
His care plan called for staff to assist him with those daily needs. His bath schedule called for showers on Tuesdays, Thursdays, and Saturdays.
Between July 14 and August 14, 2025, that added up to fourteen shower opportunities. Records showed he received six.
The dates he was bathed: July 19, July 26, July 31, August 2, August 9, and August 14. Nothing in his electronic medical record indicated he had refused a shower on any of the eight occasions it didn't happen.
When inspectors sat down with CNA AA on the afternoon of August 14, the aide confirmed the numbers directly. Fourteen opportunities, six showers documented. Then came the part that mattered: CNA AA said that if a shower was not documented, the shower did not happen.
CNA BB, interviewed fifteen minutes later, said he was not sure why showers for R55 were not documented.
That was the full explanation on offer.
The director of nursing was interviewed at 4:20 that afternoon. She said she expected showers to be completed as scheduled, and that documentation needed to be consistent and reflect the care actually provided. Then she said she was unable to determine whether the showers had been given during the identified period, and confirmed that without documentation, she would have to assume they were not.
The facility's own care plan for R55 had been reviewed and continued just two days before inspectors arrived, on August 12. The goal listed was for R55 to accept assistance with activities of daily living, with needs to be met during the next review period. The intervention listed was assistance with those activities as needed.
The plan was current. The showers were not.
Federal inspectors tagged the deficiency under F0677, which covers a facility's obligation to provide basic personal hygiene and grooming services. The level of harm was assessed as minimal harm or potential for actual harm, affecting a small number of residents.
For R55, a man who cannot bathe himself, cannot reliably communicate his needs, and scores at the lowest end of cognitive function assessments, the question of whether staff showed up with soap and water on a Tuesday or a Thursday is not abstract. He has no way to ask why they didn't come. He has no way to tell anyone what those days felt like.
His care plan was signed off on two days before the inspection. His bath schedule was on file. Eight times in a month, neither one was enough.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Green Acres Health and Rehabilitation from 2025-08-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
GREEN ACRES HEALTH AND REHABILITATION in MILLEDGEVILLE, GA was cited for violations during a health inspection on August 14, 2025.
The resident, identified in inspection records only as R55, lives at Green Acres Health and Rehabilitation on Allen Memorial Drive.
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.