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Complaint Investigation

Haralson Nsg & Rehab Center

September 11, 2025 · Bremen, GA · 315 Field Street
Citations 5
CMS Rating 1/5
Beds 120
Provider ID 115431
Healthcare Facility
Haralson Nsg & Rehab Center
Bremen, GA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

were always used and was uncertain whether they contributed to a home-like environment.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Haralson Nsg & Rehab Center

315 Field Street Bremen, GA 30110

SUMMARY STATEMENT OF DEFICIENCIES

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Haralson Nsg & Rehab Center

315 Field Street Bremen, GA 30110

SUMMARY STATEMENT OF DEFICIENCIES

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Haralson Nsg & Rehab Center

315 Field Street Bremen, GA 30110

SUMMARY STATEMENT OF DEFICIENCIES

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.

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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.

Facility ID:

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 BREMEN, 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 HARALSON NSG & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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