Place At Martinez: Safe Environment Failures - GA
Federal inspectors found the facility had no record of offering or refusing pneumococcal vaccines to residents 25 and 63 during a November complaint investigation. One resident should have received a follow-up shot years ago.
Resident 25, a diabetic patient admitted with multiple health conditions, received his initial Pneumovax 23 vaccination on May 21, 2022. CDC guidelines require a second pneumonia vaccine at least one year after the first shot for adults his age.
Three years later, inspectors found no documentation that staff ever offered him the required follow-up vaccination.
"There was no documentation of R25 receiving or refusing any pneumococcal vaccinations that were recommended a year after the initial Pneumovax vaccine was given," the inspection report stated.
For Resident 63, the facility had no immunization records at all. The patient's electronic medical record showed "no documentation to reflect that R63 was offered or refused the Pneumovax vaccination."
The Centers for Disease Control recommends pneumococcal vaccination for all adults 65 and older. The shots protect against pneumonia, which hospitalized more than 150,000 seniors in 2019 alone.
When confronted with the missing documentation on November 21, the facility's infection preventionist said she "did not keep up with vaccinations" and that Licensed Practical Nurse 4 handled immunizations instead.
LPN4 acknowledged the missing records when inspectors showed her the gaps. She promised to "gather this information and bring it to the surveyor" but never provided the documentation before inspectors completed their investigation.
The Director of Nursing told inspectors the facility had protocols in place. "Upon admission, we review with the resident their immunizations," she said. "Our expectation is to check and see if the resident is in the GRITS system."
GRITS refers to Georgia's Registry of Immunization Transactions Services, the state's vaccination database.
The nursing director said staff "started consents for flu vaccines in September" and "revisited the residents' Pneumovax vaccines" at that time. But she offered no explanation for why two residents still lacked proper documentation months later.
Federal regulations require nursing homes to offer vaccinations according to CDC guidelines and document residents' responses. The missing records represent a breakdown in basic infection control protocols designed to protect vulnerable elderly patients.
Pneumonia poses particular risks for nursing home residents, who often have compromised immune systems and underlying health conditions. Diabetic patients like Resident 25 face even higher complication rates if they contract the disease.
The facility's vaccination tracking failures occurred despite clear federal requirements. Nursing homes must maintain detailed immunization records and ensure residents receive medically appropriate vaccines unless they specifically refuse them.
The inspection found "minimal harm or potential for actual harm" from the documentation gaps, but noted the failures "had the potential to put these residents at increased risk of developing pneumonia."
Neither the infection preventionist nor the licensed practical nurse provided the missing vaccination records to inspectors, despite promises to produce the documentation during their November interviews.
The Place at Martinez operates as a skilled nursing facility serving elderly residents with complex medical needs. The vaccination documentation failures suggest broader problems with the facility's infection control procedures and medical record keeping.
Inspectors classified the violation as affecting "few" residents out of their sample, but the systematic failure to maintain basic immunization records raises questions about how many other residents may lack proper vaccination documentation.
The facility had no further response before inspectors concluded their investigation.
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: June 21, 2026 · Our methodology
PLACE AT MARTINEZ, THE in AUGUSTA, GA was cited for violations during a health inspection on November 21, 2025.
One resident should have received a follow-up shot years ago.
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.