Marietta Center for Nursing: Infection Control Failures - GA
The resident, identified in inspection records only as R2, had a Stage 4 decubitus ulcer, a circular pressure wound measuring 5 centimeters by 3 centimeters with pocketing and scant discharge. Stage 4 is the most severe classification, reaching through skin and tissue to muscle or bone. The wound showed healthy pink flesh and no odor during the September 24 observation, but the risk of infection from contaminated hands during dressing changes is direct.
When the inspector arrived, the nursing aide assisting with the procedure, CNA BB, had no gloves on and no gown, despite signs posted on the resident's own door indicating enhanced barrier precautions were required. Asked why, CNA BB said, "I'm not sure." The inspector pointed to the posted signs. "Oh, yes," CNA BB said. "I should have PPE on."
LPN CC, the nurse performing the wound care, left the room to retrieve hand sanitizer that had been locked in a treatment cart, then had to find a new box of gloves because the box on the treatment table was empty. The inspector stopped LPN CC a first time after she discarded soiled gauze and gloves, then reached into her pants pocket to find a pen before donning clean gloves without sanitizing. The inspector intervened again. LPN CC sanitized, re-gloved, and completed the dressing.
The violations continued after the wound was dressed. While LPN CC steadied R2 in bed, CNA BB picked up a cup that had fallen to the floor, then removed soiled gloves and pulled fresh gloves directly from a scrub pocket, skipping hand sanitizer or handwashing entirely before touching the resident again.
The unit manager, RN AA, told the inspector during a follow-up interview that she was "surprised" her staff hadn't followed infection prevention protocols, and said she would conduct another in-service. Staff had already been trained, she acknowledged. The in-service had already happened.
R2 remained in that room, with that wound, under the care of the same staff.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
MARIETTA CENTER FOR NURSING AND HEALING in MARIETTA, GA was cited for violations during a health inspection on September 29, 2025.
Stage 4 is the most severe classification, reaching through skin and tissue to muscle or bone.
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.