Sandy Springs Center For Nursing And Healing Llc
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm
During an interview on 12/18/2025 at 9:59 am with the Director of Nursing (DON) revealed that he was aware that there were a number of sanitary issues that needed addressing and they were currently working
on those issues.
Residents Affected - Some
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
12/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sandy Springs Center for Nursing and Healing LLC
1500 S Johnson Ferry Road Atlanta, GA 30319
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 F0761
F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Based on observations, interviews, and record review, the facility failed to ensure medications were secured, one of three medication carts on the East wing was left unlocked and unattended. The deficient practice had the potential to cause harm to residents located on the East Wing Unit by allowing unauthorized access to medications.Findings include:Per the Facility's Medication Storage Policy, dated October 1, 2025, all drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, and medication rooms). Only authorized personnel will have access to the keys to locked compartments. During medication pass, medications must be under the direct observation of
the person administering medications or locked in the medication storage area/cart.Observation on 12/18/2025 at 8:38 am, during a tour of the East Wing Unit, a medication cart (Middle Cart) positioned to
the left of the East Wing Nursing Station was left unlocked. There were no licensed nurses or other authorized staff present in the hallway. The cart contained multiple medications (i.e. oral medications in blister packs, PRN (as needed medications), topical treatments and controlled (locked) substances. This cart remained unattended for approximately 15 minutes before staff returned.On 12/18/2025 at 8:53 am,
the Assistant Director of Nursing observed and confirmed that the medication cart ( Middle Cart) positioned to the left of the East Wing Nursing Station was unlocked and unattended.On 12/18/2025 at 8:55 am, the Unit Manager observed that the medication cart (Middle Cart) positioned to the left of the East Wing Nursing Station was unlocked and unattended.On 12/18/2025 at 9:15 am, the Director of Nursing (DON) confirmed that leaving the medication cart unlocked and unattended was deficient practice. The DON stated that the expectation was that medication carts remain locked at all times when not in the direct possession of a licensed nurse.
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
12/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sandy Springs Center for Nursing and Healing LLC
1500 S Johnson Ferry Road Atlanta, GA 30319
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 F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
Based on observations, staff interviews, and record review, the facility failed to ensure one of two facility ice machines located in the service hallway of the East Wing Unit was free from visible dirt and debris. This deficient practice had the potential to affect all residents who received ice from this ice machine.Findings include:On 12/16/2025 at 2:38 pm, during an inspection of the ice machine on the East Wing of the Facility, visible brown/black residue was present along the interior chute. Slime-like buildup was observed on the underside of the ice shield. Loose particulate debris was present in the ice collection bin. The ice machine was actively producing ice at the time of observation.During an observation/ interview of the ice machine on 12/16/2025 at 2:38 pm on the East unit revealed black substance inside the lid with dust particles around
the front of the machine on the inside. The Director of Maintenance (DM) confirmed that the machine needed to be cleaned and confirmed the observation. The DM denied the Dietary Department being responsible for the cleaning and maintenance of the ice machine.During an interview on 12/16/2025 at 2:38 pm with the DM, it was revealed that cleaning the ice machine was the responsibility of the Housekeeping Department and that he was unaware of the cleaning schedule of the ice machine. The DM revealed that
the machine was down for a few weeks and that he replaced the water filtration system. The DM admitted that it needed cleaning when he replaced the part and stated that he had to empty the machine while it was down for repair.During an interview with the Housekeeping Supervisor on 12/16/2025 at 2:59 pm, it was revealed that her department was not responsible for the cleaning of the ice machine. The Housekeeping Supervisor stated that the DM was responsible for cleaning the ice machine. The Housekeeping Supervisor also stated that she and others did some research after the meeting and was able to confirm that it was the DM's responsibility to clean the ice machines. Additionally, the Housekeeping Supervisor stated that the DM had been made aware that it was the Maintenance Department's responsibility to clean the ice machines. The Housekeeping Supervisor confirmed that neither the Housekeeping Department nor the Facility Maintenance Department had been cleaning the ice machines due to each one thinking that it was
the other one's responsibility for the task.Review of the Ice Machine Cleaning Log for the past 90 days showed no documented cleaning. Per the Corporate Risk Manager, there was no formal policy that spoke to whose responsibility it was to clean the ice machines.
Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
SANDY SPRINGS CENTER FOR NURSING AND HEALING LLC 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 SANDY SPRINGS CENTER FOR NURSING AND HEALING LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.