Buckhead Center for Nursing & Healing: Call Button Failure - GA
The patient, identified in inspection records only as Resident 99, has a tracheostomy, the surgical opening in the throat that bypasses normal speech. He cannot talk. When inspectors visited his room on September 25, 2025, they asked him to reach out and press the call pad — the button residents use to summon staff. His face went confused. He shook his head. He could not do it.
When they asked him to raise either arm, he shook his head again.
The call pad was sitting there, useless, positioned in a way the resident had no physical ability to use.
A Licensed Practical Nurse present in the room during the inspection acknowledged the problem out loud. She said she should put the call pad under his head or body — meaning the facility already knew the solution. A head-activated call pad, positioned so a patient can trigger it with movement rather than a hand, is a standard accommodation for residents who lack hand function. The nurse knew it. She said it herself, standing in his room, to a federal inspector.
The Director of Nursing confirmed the same thing at 3:05 that afternoon. Resident 99 could not press the call pad by hand, she said. Staff should attach it to his head so it would function properly.
Neither statement was a discovery. Both were admissions.
What the inspection does not contain is any explanation for why the accommodation had not already been made. There is no note about a recent change in the resident's condition, no suggestion that staff had only just learned about his limitations. The Director of Nursing described what should be done in the present tense, as a correction still waiting to happen, not as something already addressed.
For a patient who cannot speak and cannot press a button, the call system is not a convenience. It is the only independent means of contact with the outside of that room. Without it functioning, getting a nurse's attention depends entirely on someone deciding to walk in.
Federal inspectors tagged the violation as F0558, which covers the right of residents to have reasonable accommodations for their needs and preferences. The level of harm was recorded as minimal harm or potential for actual harm, and the deficiency was noted as affecting few residents.
The inspection was a complaint survey, meaning someone had raised a concern before inspectors arrived. The records do not identify who filed the complaint or what specifically prompted it.
Buckhead Center for Nursing and Healing operates at 54 Peachtree Park Drive N.E. in Atlanta. Its CMS facility identification number is 115110.
What the record leaves behind is a man in a room on Peachtree Park Drive, unable to speak, unable to raise his hand, shaking his head at inspectors who were at least, that afternoon, there to ask.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Buckhead Center For Nursing & Healing from 2025-09-25 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 13, 2026 · Our methodology
Buckhead Center for Nursing & Healing in Atlanta, GA was cited for violations during a health inspection on September 25, 2025.
The patient, identified in inspection records only as Resident 99, has a tracheostomy, the surgical opening in the throat that bypasses normal speech.
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.