Place At Martinez: Dietary Deficiencies Found - GA
The resident, identified in inspection records as Resident 50, was on hospice when a hospice physician ordered Macrobid as a prophylactic. No urine culture was ordered. No urine analysis was performed. The facility's own infection report form, completed at the time, showed that none of the criteria required to document a UTI had been checked. The form itself noted that a diagnosis requires acute symptoms accompanied by at least 1,000,000 colony-forming units per milliliter detected on culture. None of that existed for this resident.
The facility's infection preventionist, who also served as wound care nurse, acknowledged during an interview on November 20 that no urine culture had been ordered because the resident was on hospice and the hospice physician had initiated the antibiotic prophylactically. "Hospice does that a lot," she said. When asked whether she had provided any education to the hospice physician about antibiotic stewardship, she said she wasn't sure.
The Medical Director was more direct about the problem. He told inspectors the hospice physician managed hospice residents independently, that "the hospice takes the patients as their own, they do what they want to do," and that the hospice did not permit facility physicians to oversee care for those residents. He said his own expectation was to order a urine culture before treating with antibiotics, even for hospice patients, except in rare cases where a sample could not be obtained. He said the hospice physician routinely treated with antibiotics without cultures first. "This was the way the hospice physician practiced," he said, "but he did not practice that way, and it was not the way it should be done."
There was no documentation in the resident's chart that the physician was ever notified the criteria for antibiotic use had not been met. There was no documented rationale for continuing the medication. The Medical Director said he did not know whether he had provided any education to hospice staff about the issue.
Resident 50 remained on Macrobid.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Place At Martinez, The from 2025-11-21 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: August 6, 2026 · Our methodology
PLACE AT MARTINEZ, THE in AUGUSTA, GA was cited for violations during a health inspection on November 21, 2025.
The resident, identified in inspection records as Resident 50, was on hospice when a hospice physician ordered Macrobid as a prophylactic.
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.