Haralson Nsg & Rehab Center
HARALSON NSG & REHAB CENTER in BREMEN, GA — inspection on September 11, 2025.
Found 5 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 the Quarterly Minimum Data Set (MDS) assessment for R43, dated 7/7/2025, revealed Section C (Cognitive Patterns) documented a Brief Interview for Mental Status (BIMS) score of 15 (indicating little to no cognitive impairment).
Section GG (Functional Abilities and Goals) documented the resident was independent with eating. 2.
Review of the Quarterly MDS assessment for R53, dated 7/1/2025, revealed Section C (Cognitive Patterns) documented a BIMS score of 9 (indicating moderate cognitive impairment).
Section GG (Functional Abilities and Goals) documented the resident was independent with eating.
Observations on 9/10/2025 at 11:37 am and 5:16 pm revealed that during both lunch and dinner meals in the main dining room, all residents were observed eating directly from serving trays placed on the tables.
Further observations revealed that plate warmers remained under the dishes throughout the entire meal. In an interview on 9/10/2025 at 12:19 pm, R43 revealed that meal serving trays had been used in the dining room for some time and stated she did not care for the tray or plate warmer.
She stated that food gets caught between the plate and the warmer.
She also stated she has never been asked if she prefers the tray.In an interview on 9/10/2025 at 2:02 pm, R53 revealed that she dislikes the serving trays and prefers the food plate to be placed directly on the table.
She stated that she preferred a tray-free dining experience.In an interview on 9/10/2025 at 12:01 pm, Licensed Practical Nurse (LPN) JJ revealed that the serving trays and plate warmers stayed on the table and further stated that was how it had always been done at the facility. In an interview on 9/10/2025 at 12:06 pm, the Activities Assistant revealed that she always leaves the serving trays on the tables and had not been instructed otherwise.In an interview on 9/10/2025 at 12:10 pm, the Activities Director confirmed that serving trays were never removed and acknowledged that she wouldn't consider it home-like.
She stated that it was just how it had always been done.In an interview on 9/10/2025 at 12:18 pm, the Director of Nursing (DON) confirmed that serving trays were always used and was uncertain whether they contributed to a home-like environment.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
115431 09/11/2025
Haralson Nsg & Rehab Center 315 Field Street Bremen, GA 30110
During an interview on 9/10/2025 at 2:27 pm, the Administrator and Director of Nursing (DON) stated that each administration personnel was assigned a room to conduct rounds to ensure hazardous products were not in the resident's room.
The DON stated that if items were found, the residents were educated, and the items were removed.
The Administrator confirmed the identified items should not be in residents' rooms.
115431 09/11/2025
Haralson Nsg & Rehab Center 315 Field Street Bremen, GA 30110
Review of the Physician's Orders for R117 revealed an order dated 9/2/2025 for a reduced concentrated sweets diet, no added salt, pureed texture, and nectar consistency.
Review of the resident's tray card, printed on 9/9/2025, confirmed R117's prescribed diet was pureed texture.
Review of a facility-provided document titled Diet Type Report, dated 9/10/2025, revealed R117 was listed as requiring a pureed diet texture.
Observation on 9/9/2025 at 12:46 pm revealed that R117 was served a regular consistency diet at the lunch meal.
During an interview on 9/9/2025 at 1:21 pm, Certified Nurse Assistant (CNA) VV confirmed she delivered the lunch meal tray to R117, and it was a regular consistency meal and should have been a pureed consistency meal.
During an interview on 9/10/2025 at 1:09 pm, Dietary Aide TT stated her responsibility as the final checker on the tray preparation line was to ensure that the tray and meal ticket corresponded.
Dietary Aide TT acknowledged the error she made and indicated that she was moving too quickly.
During an interview on 9/10/2025 at 1:13 pm, the Food Service Manager (FSM) acknowledged being aware of the error regarding the resident's meal tray and diet order, which consisted of a regular diet instead of a pureed one.
The FSM indicated that the risk associated with R117 meal conflicting with the physician's order could lead to choking.
115431 09/11/2025
Haralson Nsg & Rehab Center 315 Field Street Bremen, GA 30110
Federal health inspectors cited HARALSON NSG & REHAB CENTER in BREMEN, GA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-11.
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 5 deficiencies cited during this inspection of HARALSON NSG & REHAB CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-26.
During an interview on 9/10/2025 at 2:11 pm, the IP/ADON stated the staff received infection control education during orientation and monthly in-services on hand hygiene.
The IP/ADON continued to state that the staff should be aware to perform hand hygiene between trays while delivering meal trays.
During an interview on 9/10/2025 at 2:47 pm, the DON stated the staff should perform hand hygiene between meal tray passes on the halls and in the dining room.
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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.