Marietta Center for Nursing: Infection Control Failures - GA
The inspection, conducted September 24, 2025, at Marietta Center for Nursing and Healing, caught the failures in real time. The surveyor didn't read about them in a report or hear about them from a complaint. They watched them happen.
The patient, identified in records as R2, had a Stage 4 pressure ulcer, a circular wound measuring 5 centimeters by 3 centimeters with pocketing and healthy pink flesh visible. Stage 4 is the deepest category of pressure wound, reaching through skin and tissue to muscle or bone. R2 was on enhanced barrier precautions, a heightened level of infection control requiring staff to wear protective equipment before entering the room.
LPN CC removed the existing dressing and soiled gloves, then reached for clean gloves without sanitizing her hands first. The surveyor stopped her. LPN CC had to leave the room entirely to retrieve her hand sanitizer, which was locked in the treatment cart in the hallway. The box of gloves on the treatment table was empty, so she brought a new box back with her.
While LPN CC was out of the room, the surveyor asked CNA BB why she wasn't wearing any personal protective equipment. CNA BB said she wasn't sure whether the patient required it. The surveyor pointed to the signs on the door. "Oh, yes," CNA BB said. "I should have PPE on."
When asked why hand hygiene matters, CNA BB answered: "To stop the spread of germs."
LPN CC returned, sanitized her hands, and put on gloves. She removed the old dressing. There was no date written on it. No odor, no discolored discharge. She discarded the soiled gauze, removed her gloves, and sanitized her hands. Then she reached into her pants pocket looking for a pen to date the new gauze.
She put on clean gloves.
The surveyor stopped her a second time. She had not sanitized her hands after reaching into her pocket before donning new gloves. LPN CC sanitized again and re-gloved before packing the wound and applying a fresh dressing, dated 9/24/2025.
The procedure wasn't finished. While LPN CC and CNA BB were repositioning R2 and adjusting pillows, a cup fell from the bedside table to the floor. CNA BB picked it up, then removed her soiled gloves. She reached into her scrub pocket for new gloves and put them on without washing or sanitizing her hands first. She repositioned the bedside table within R2's reach, then removed the gloves and washed her hands with soap and water in the resident's bathroom.
Three separate lapses. Two staff members. One wound care visit.
The unit manager, RN AA, was interviewed that same day. She acknowledged that LPN CC and CNA BB had not followed infection control protocols or enhanced barrier precautions during the observation. She said staff had already been trained on hand hygiene and enhanced barrier precautions. She said she was surprised.
"They would in-service nursing staff again," RN AA said.
The federal citation was tagged at the lowest level of harm, meaning inspectors found minimal harm or potential for actual harm rather than documented injury. But the patient at the center of it had an open Stage 4 wound, the kind that takes months to heal and is acutely vulnerable to infection introduced by contaminated hands or equipment. The dressing that came off had no date on it. Nobody in the room knew how long it had been there.
The surveyor who stopped LPN CC twice never left. The one who caught CNA BB reaching barehanded into a pocket between glove changes was standing right there. What happens during the wound care visits when no one is watching is a question the inspection report cannot answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marietta Center For Nursing and Healing from 2025-09-29 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: June 26, 2026 · Our methodology
MARIETTA CENTER FOR NURSING AND HEALING in MARIETTA, GA was cited for violations during a health inspection on September 29, 2025.
The inspection, conducted September 24, 2025, at Marietta Center for Nursing and Healing, caught the failures in real time.
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.