Rockdale Healthcare Center: Resident Rights Violations - GA
The Interim Director of Nursing at Rockdale Healthcare Center accidentally entered a do-not-resuscitate order for a resident who had actually signed paperwork requesting full resuscitation efforts. The error meant emergency staff would see "DNR" in the system and let the resident die instead of attempting to save their life.
The resident, identified as R71 in inspection records, had signed a "Full Code" advance directive requesting all life-saving measures during emergencies. But the nursing director mistakenly put a DNR order in the electronic medical records system instead.
"She inadvertently discontinued the wrong Advance Directive," according to the inspection report. The director told inspectors "it was a human error" and that she should have entered the Full Code directive instead of DNR.
The mistake created a deadly contradiction in the resident's file. While the correct Full Code paperwork existed, staff responding to emergencies would first check the computer system's dashboard, where they would see the wrong DNR status.
The Unit Manager of the 200 Hall confirmed that emergency staff "would first look in the EMR system for a resident's Advance Directive" and check "the order in the banner/dashboard." With the incorrect DNR showing up, "the staff would not attempt to resuscitate R71" during a medical crisis.
Both the nursing director and unit manager acknowledged that seeing the wrong DNR order could lead to "a negative outcome" where staff would refuse to provide life-saving care the resident actually wanted.
The inspection found the error affected the computer system's header, orders section, and main dashboard that staff rely on during emergencies.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rockdale Healthcare Center from 2026-01-29 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 20, 2026 · Our methodology
Rockdale Healthcare Center in CONYERS, GA was cited for violations during a health inspection on January 29, 2026.
The error meant emergency staff would see "DNR" in the system and let the resident die instead of attempting to save their life.
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.