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: 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: August 9, 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.