Appling Nursing And Rehabilitation Pavilion
APPLING NURSING AND REHABILITATION PAVILION in BAXLEY, GA — inspection on March 13, 2025.
Found 2 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
Review of a facility reported incident revealed a resident eloped from the facility on 2/2/25.
The investigation concluded that the exit door, which the resident went out of, did not alarm and staff were not notified that the resident left the building unattended, without staff knowledge.
115262
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 115262 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Appling Nursing and Rehabilitation Pavilion 163 East Tollison Street Baxley, GA 31513
Review of the facility's policy titled, Elopement and Wandering Residents, dated 2/27/19, specified, . ensure residents who exhibit wandering behavior and/or are at risk for elopement receive adequate supervision to prevent accidents .PROCEDURE: .c.
Interventions to increase staff awareness of the resident's risk, modify the resident's behavior, or minimize risks associated with hazards will be added to the resident's care plan and communicated to appropriate staff. d.
Adequate supervision will be provided to help prevent accidents or elopements. PROCEDURE POST ELOPMENT: . g.
Documentation in the medical record will include findings from social and nursing service assessments, physician/family notification, care plan discussions, and consultant notes as applicable.
A record review indicated R #34 was admitted to the facility on [DATE] and had diagnoses of Alzheimer's disease, generalized anxiety disorder, other depressive episodes, and generalized weakness.
The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/5/24, revealed R #34 had a Brief Interview for Mental Status (BIMS) score of three, which indicated severe cognitive impairment.
The resident utilized a wheelchair independently for locomotion.
Review of a nursing progress note, dated 5/20/24 at 2:34 a.m., documented that R #34 was found outside, had sustained a small skin tear to the top of the left foot, and was unable to answer questions.
115262
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 115262 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Appling Nursing and Rehabilitation Pavilion 163 East Tollison Street Baxley, GA 31513
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.