Bhm Carrollton Opco Inc
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, staff interviews, and review of the facility policy titled Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property Policy, the facility failed to protect one of 14 sampled residents (R) (Resident R3) right to be free from sexual abuse from Resident R5. This deficient practice created the potential for Resident R3 and other residents to experience further potential abuse. Findings include:Review of the facility's policy titled Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property Policy, reviewed 9/2024, read, in pertinent part, It is the policy of the facility to prevent abuse.1. Review of Resident R3's admission Record, dated 9/9/2025 and found in the electronic medical record (EMR) under the Profile tab, revealed the resident was admitted to the facility on [DATE REDACTED]. The resident's diagnoses included dementia and type 2 diabetes. Review of Resident R3's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/8/2025 and found in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of four out of 15, which indicated Resident R3 was severely cognitively impaired. Review of Resident R3's Progress Notes, dated 6/24/2025 at 3:34 am, and found in the EMR under the Notes tab, indicated CNA [Certified Nurse Aide] reported to nurse resident from room [ROOM NUMBER]B [Resident R5] got up and went into female resident and was being touched by male resident on her leg and trying to pull her cover down.
CNA redirected resident [Resident R5] back to his room.2. Review of Resident R5's admission Record, dated 9/9/2025 and found in the EMR under the Profile tab, revealed the resident was admitted to the facility on [DATE REDACTED]. The resident's diagnoses included vascular dementia, chronic kidney disease, and type two diabetes. Review of Resident R5's quarterly MDS with an ARD of 6/19/2025 and found in the EMR under the MDS tab, revealed a BIMS score of four out of 15, which indicated Resident R5 was severely cognitively impaired.Review of Resident R5's Progress Notes, dated 6/24/2025 at 3:10 am and found in the EMR under the Notes tab, revealed CNA reported to nurse resident got up and went into room [ROOM NUMBER]A and was touching the female [Resident R3] in bed A
on her leg and trying to pull her cover down. CNA redirected resident [Resident R5] back to his room.Review of the facility's investigation records, provided by the facility, related to the 6/24/2025 incident during which Resident R5 touched Resident R3 inappropriately on her leg and was trying to remove her covers, and revealed that the facility substantiated that Resident R5 was in Resident R3's room and inappropriately touching Resident R3's upper thigh while trying to remove her bed covers. During an interview on 9/8/2025 at 1:20 pm, the Director of Nursing (DON) confirmed that it had been substantiated that Resident R5 went into Resident R3's room and inappropriately touched her on her thigh while trying to remove her covers during the incident on 6/24/2025. During an interview with the Administrator and DON on 9/9/2025, at 1:15 pm, both confirmed their expectation was that residents in the facility would remain free from abuse.
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
BHM Carrollton OpCo Inc in CARROLLTON, 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 CARROLLTON, 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 BHM Carrollton OpCo Inc or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.