Fayetteville Center: Grievance Rights Failures - GA
The facility failed to notify the family of the July 15 fall as required by federal regulations, according to a November inspection triggered by a complaint. Licensed Practical Nurse III worked the overnight shift when the resident fell but left work without calling the family or properly reporting the incident to the incoming day shift nurse.
The resident, identified as R7 in the inspection report, had been admitted with bilateral rotator cuff injuries, cerebral infarction, and nontraumatic intracerebral hemorrhage. His mental status was not assessed during admission screening in June.
LPN III created a communication form documenting that she notified the family at 6:50 am and the primary care physician at 11:00 am on July 15. But the resident's family member, who serves as his responsible party, told inspectors during an August 27 phone interview that no one from the facility called them about the fall.
The nurse herself contradicted the written record. During a September 3 phone interview, LPN III admitted she never called the family before leaving work that morning. She said she only notified a medical service that handles after-hours calls for the facility.
The deception unraveled when family members visited the facility later that day. Licensed Practical Nurse JJJ had just received shift report from LPN III, but the overnight nurse never mentioned any fall during their handoff conversation.
"The family was visiting and asked if their dad had a fall last night," LPN JJJ told inspectors during a September 23 interview.
LPN JJJ immediately called her colleague to ask about the incident. LPN III initially denied that any fall had occurred.
Only after "having a further conversation" did LPN III finally admit that the resident had indeed fallen during her shift, according to LPN JJJ's account to inspectors.
LPN JJJ then assessed the resident and contacted the nurse practitioner, who ordered x-rays. The family had discovered the fall on their own, hours after it happened, with no notification from staff.
The facility's own policy, reviewed and revised in January 2024, explicitly requires prompt notification of residents, physicians, and family members when accidents occur. The policy states its purpose is "to ensure the facility promptly informs the resident, consults the resident's physician, and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification."
Federal compliance guidelines mandate that nursing homes inform residents and consult with physicians while notifying family members or legal representatives when circumstances require such notification. Accidents are specifically listed as events requiring notification.
The Director of Nursing told inspectors during a September 24 interview that she could not verify whether the physician or medical service had actually been notified of the fall on the morning of July 15, despite what the communication form claimed.
The breakdown in communication left the resident's family unaware of a potentially serious incident involving their loved one. Falls pose significant risks for elderly residents, particularly those with existing injuries like bilateral rotator cuff damage.
LPN III's initial denial when questioned by her colleague suggests an attempt to cover up the missed notification rather than an oversight. The nurse had documented false notification times in the official communication form while admitting to inspectors that she never made the required family call.
The incident occurred during the overnight shift from 8:01 pm on July 14 to 7:24 am on July 15, according to employee punch records. LPN III had nearly 12 hours to make the notification call but left work without doing so.
The family's discovery of the fall during their visit exposed not only the missed notification but also the failure to properly communicate the incident during shift change. LPN JJJ received no information about the fall from LPN III during their morning handoff.
When family members asked about the incident, they triggered a chain of phone calls that revealed the overnight nurse's deception. LPN III's willingness to initially deny the fall suggests a pattern of avoiding accountability rather than acknowledging the missed notification requirement.
The facility's communication form, created at 3:41 am on July 16 - more than 20 hours after the fall - documented notification times that never occurred. This false documentation compounds the original failure to notify the family promptly.
Federal inspectors found that the facility failed to follow its own notification policy and federal requirements for one of seven residents reviewed during the complaint investigation. The violation carried a determination of minimal harm or potential for actual harm affecting few residents.
The resident's family had to discover their loved one's fall through their own inquiry during a visit, rather than receiving the prompt notification required by law and facility policy.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Fayetteville Center For Nursing & Healing LLC from 2025-11-19 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 20, 2026 · Our methodology
FAYETTEVILLE CENTER FOR NURSING & HEALING LLC in FAYETTEVILLE, GA was cited for violations during a health inspection on November 19, 2025.
The facility failed to notify the family of the July 15 fall as required by federal regulations, according to a November inspection triggered by a complaint.
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.