Buckhead Center For Nursing And Healing
Inspection Findings
F-Tag F0550
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-09-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
F-Tag F0553
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2025-09-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
verified with Licensed Practical Nurse (LPN)4 in Resident R99's room, when Resident R99 was asked to reach and press the call pad, the resident's face looked confused and could not speak due to the tracheostomy. Resident R99 shook his head to express he could not. When Resident R99 was asked to raise any of his arms, he did not and shook his head to communicate he could not. LPN4 said she should put the call pad under Resident R99's head or body.On 9/25/2025 at 3:05 PM, the Director of Nursing (DON) stated that Resident R99 could not press the call pad by hand, and the staff should attach the call pad to his head to function properly.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Buckhead Center for Nursing and Healing
54 Peachtree Park Drive N.E.
Atlanta, GA 30309
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
Based on observations, resident, resident responsible party, and staff interviews, and record review, the facility failed to provide adequate Activities of Daily Living (ADL) care for one (Resident R128) out of 33 sampled residents. This failure had the potential to negatively affect Resident R128.Findings include:Review of the facility's policy titled, Abuse, Neglect and Exploitation, dated April 2024 indicated, Policy: It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent.neglect.Definitions.Neglect means failure of the facility, its employees, or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. Policy Explanation and Compliance Guidelines:The facility will develop and implement written policies and procedures that: a. Prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property; b. Establish policies and procedures to investigate any such allegations; and c. lnclude training for new and existing staff
on activities that constitute.neglect.reporting procedures, and dementia management and resident abuse prevention.Review of the facility's policy titled, Activities of Daily Living undated indicated, Policy Based on
the comprehensive assessment of a patient and consistent with the patient's needs and choices, the Center must provide the necessary care and services to ensure that a patient's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable. Activities of daily living (ADL's) include: Hygiene - bathing,.grooming.ADL care is documented every shift by the nursing assistant on an ADL flow record or in PointClickCare (PCC).Review of Resident (R) 128's Face Sheet located under the Profile tab of the electronic medical
record (EMR) revealed Resident R128 was admitted to the facility with the diagnoses of but not limited to hemiparesis and hemiplegia, major depressive disorder, low vision in left eye, and dementia.Review of Resident R128's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 6/24/2025 (quarterly), located under the RAI tab indicated Resident R10 was supervision for eating; substantial/maximum assistance for bed mobility; dependent for oral hygiene; dressing, toileting hygiene, and bathing. The MDS indicated a Brief Interview for Mental Status (BIMS) score of 11 out of 15, indicated Resident R128 was moderately cognitively impaired. Review of Resident R128's EMR under the Progress Notes tab dated 9/9/2025 indicated, SSA (Social Service Assistant) conducted care plan meeting with resident's daughter (RP128).Daughter voiced concerns and she was informed that SS (Social Services) will follow up as needed on resident's hygiene and feeding concerns. SS will continue to follow up as needed. During an observation on 9/22/2025 at 1:40 PM with Resident R128, it was observed Resident R128 had a dark brown substance under his fingernails. During an
observation on 9/25/2025 at 11:55 AM with Resident R128, it was observed Resident R128's fingernails had a dark brown substance under them. During an interview on 9/22/2025 at 1:40 PM with Resident R128, stated he received bed baths on a regular basis. During an interview on 9/24/2025 at 8:20 AM with Complainant/Responsible Party (RP) 128 stated the staff did not bathe Resident R128. RP128 said she had witnessed a dirt build up around Resident R128's neck and his fingernails being dirty. During an interview on 9/25/2025 at 9:25 AM with Nurse Manager (NM) 3, stated she expected that a resident's fingernails would be cleaned thoroughly during their shower/bath (scheduled for two times a week) and as needed in between. During an interview on 9/25/2025 at 12:19 PM with Licensed Practical Nurse (LPN) 5 upon visualizing Resident R128's fingernails LPN5 stated, They need to be cleaned.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Buckhead Center for Nursing and Healing
54 Peachtree Park Drive N.E.
Atlanta, GA 30309
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0692
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
F-Tag F0760
F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
as follows:- 3/7/2025 due at 9:00 PM not administrated until 11:42 PM.- 3/8/2025 due at 9:00 PM not administrated until 3/9/2025 12:04 PM.- 3/9/2025 due at 9:00 PM not administrated until 10:02 PM.3/12/2025 due at 9:00 PM not administrated until 10:05PM.- 3/13/2025 due at 9:00 PM not administrated until 10:05 PM.- 3/15/2025 due at 9:00 PM not administrated until 3/16/2025 1:16 AM- 3/16/2025 due at 9:00 PM not administrated until 10:39 PMPhysician's order for insulin Lispro, injection subcutaneously 5 units before meals for three times a day for type two diabetes mellitus, start 3/7/2025, discontinued 3/17/2025. Scheduled for 6:30 AM, 12:00 PM and 5:00 PM. Three of 29 administrations were given late, some examples included as follows:- 3/8/2025 due at 12:00 PM not administrated until 4:07 PM.- 3/8/2025 due at 5:00 PM not administrated until 6:36 PM.- 3/16/2025 due at 12:00 PM not administrated until 1:39 PM.Review of Resident R152's record revealed no documentation from the staff notifying the provider that insulin was administered early or too late. There was no documentation that Resident R152 was being monitored for hyperglycemia or hypoglycemia.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0806
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0806 during a standard health inspection conducted on 2025-09-25.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
F-Tag F0812
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-25.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
F-Tag F0880
Federal health inspectors cited BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-25.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BUCKHEAD CENTER FOR NURSING AND HEALING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-09.
BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ATLANTA, GA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BUCKHEAD CENTER FOR NURSING AND HEALING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.