Zebulon Park Health and Rehab: Investigation Failures - GA
No written statements. Three days of pain records that simply did not exist.
The inspection, completed September 4, 2025, focused on how the facility investigated and documented an incident involving a resident identified in the report as R4. A practitioner had been in the building, saw R4, and ordered X-rays. R4 was sent to the hospital. What happened next, in terms of the facility's internal response, is where the record becomes thin.
The administrator told inspectors she had interviewed staff who were assigned to R4 on June 13. She did not dispute that no written statements were collected. Her explanation: written statements were very lengthy. So she conducted verbal interviews instead, and left it there.
Nobody wrote anything down.
The Director of Nursing told inspectors during a follow-up interview on September 3 that the facility had contacted LPN1 on June 16, three days after the incident, to ask whether R4 had experienced any pain over the weekend. LPN1 said there had been no increase in pain during her shifts.
That was the extent of the follow-up. The DON acknowledged she had not reached out to any other staff members about R4's pain during those three days. Her position was that pain is tracked through medication administration records.
A review of R4's electronic medical record told a different story. There was no pain documentation for R4 from June 13 through June 16, 2025. Three days. Nothing recorded.
The gap matters because pain documentation is not a formality. When a resident has just had X-rays ordered and has been sent to the hospital, the days immediately following are exactly when a clinical record needs to show what staff observed, what the resident reported, and whether anything changed. A medication administration record only captures whether a drug was given. It does not capture whether staff asked, whether the resident answered, or what the answer was.
The DON's explanation collapsed the two things into one. They are not the same.
Inspectors tagged the deficiency under F0610, which covers a facility's obligation to investigate and report allegations and incidents. The level of harm was cited as minimal harm or potential for actual harm, and the number of residents affected was listed as few. On the federal scale of nursing home violations, this citation sits below the most serious categories. It does not carry the weight of an immediate jeopardy finding.
But the pattern the inspection exposed is its own kind of problem. The administrator chose not to document interviews because doing so was time-consuming. The DON checked in with one nurse three days later and considered the matter followed up. The medical record for those three days was blank.
At no point did anyone appear to ask whether the absence of documentation was itself a problem.
When inspectors pressed the administrator on why no written statements existed, she did not argue that verbal interviews were equally thorough. She said written statements were very lengthy. That is a reason to avoid paperwork, not a clinical or investigative rationale. The distinction is the kind of thing that tends to surface when something goes wrong a second time and a facility needs to show what it learned from the first.
R4's condition after the hospital visit, the results of the X-rays, and what the practitioner found when examining the resident are not detailed in the portion of the inspection report made available. What is detailed is what the facility did afterward, which was to ask one staff member one question, collect nothing in writing, and leave three days of a resident's pain history unrecorded.
The inspection report does not say whether R4 was in pain during those three days. It says there is no documentation either way.
That is the problem the facility has not answered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Zebulon Park Health and Rehabilitation from 2025-09-04 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 24, 2026 · Our methodology
ZEBULON PARK HEALTH AND REHABILITATION in MACON, GA was cited for violations during a health inspection on September 4, 2025.
Three days of pain records that simply did not exist.
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.