Buckhead Center For Nursing And Healing
BUCKHEAD CENTER FOR NURSING AND HEALING in ATLANTA, GA — inspection on September 25, 2025.
Found 9 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
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.
verified with Licensed Practical Nurse (LPN)4 in R99's room, when R99 was asked to reach and press the call pad, the resident's face looked confused and could not speak due to the tracheostomy. R99 shook his head to express he could not.
When 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 R99's head or body.On 9/25/2025 at 3:05 PM, the Director of Nursing (DON) stated that R99 could not press the call pad by hand, and the staff should attach the call pad to his head to function properly.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Buckhead Center for Nursing and Healing
54 Peachtree Park Drive N.E.
Atlanta, GA 30309
SUMMARY STATEMENT OF DEFICIENCIES
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 (R128) out of 33 sampled residents.
This failure had the potential to negatively affect 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 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 R128's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 6/24/2025 (quarterly), located under the RAI tab indicated 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 R128 was moderately cognitively impaired.
Review of 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 R128, it was observed R128 had a dark brown substance under his fingernails.
During an observation on 9/25/2025 at 11:55 AM with R128, it was observed R128's fingernails had a dark brown substance under them.
During an interview on 9/22/2025 at 1:40 PM with 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 R128. RP128 said she had witnessed a dirt build up around 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 R128's fingernails LPN5 stated, They need to be cleaned.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Buckhead Center for Nursing and Healing
54 Peachtree Park Drive N.E.
Atlanta, GA 30309
SUMMARY STATEMENT OF DEFICIENCIES
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.
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 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 R152 was being monitored for hyperglycemia or hypoglycemia.
Facility ID:
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.
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.
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.