Westbury Center Of Conyers For Nursing And Healing
WESTBURY CENTER OF CONYERS FOR NURSING AND HEALING in CONYERS, GA — inspection on August 28, 2025.
Found 3 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
during R7 nighttime tube feeding infusion, and every 30-minute staff checks during the day, until a suitable call device was obtained for R7 to use.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Westbury Center of Conyers for Nursing and Healing
1420 Milstead Road Conyers, GA 30012
SUMMARY STATEMENT OF DEFICIENCIES
provide the residents with a bed hold policy.
She stated that it is not documented anywhere, but it was just known to be provided. In an interview on 8/28/2025 at 2:40 pm, the Administrator revealed that the nurse was responsible for providing the residents with the bed hold policy upon transfer to the hospital, and the business office documented a bed hold in the billing.
The Administrator was unable to locate proof that a written bed hold notice was provided to R4 or the resident representative for the hospital transfers dated 6/5/2025 and 6/30/2025.
She stated that her expectation was for the nursing staff to provide the bed-hold policy to residents upon transfer to the hospital, and for it to be documented in the resident's record.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Westbury Center of Conyers for Nursing and Healing
1420 Milstead Road Conyers, GA 30012
SUMMARY STATEMENT OF DEFICIENCIES
Review of the electronic medical record (EMR) revealed R89 was admitted to the facility on [DATE] and diagnoses included, but were not limited to, hyperkalemia, acute kidney failure, and encephalopathy.
Review of the Quarterly Minimum Data Set (MDS) assessment for R89, dated 6/5/2025, revealed Section K (Swallowing/Nutritional Status) revealed no swallowing disorder.
Review of the Physician's Orders for R89 included an order dated 10/28/2023 for atorvastatin calcium oral tablet (a medication used to lower cholesterol) 40 milligrams (mg) daily.
Further review revealed an order dated 12/5/2023 of May alter medication by crushing, opening capsules, and administering with food/liquid unless contraindicated.Observation of medication administration on 8/27/2025 at 8:12 am with Licensed Practical Nurse (LPN) PP revealed LPN prepared, crushed, and administered atorvastatin calcium oral tablet 40 mg to R89.In an interview on 8/27/2025 at 8:12 am, LPN PP confirmed she crushed the atorvastatin oral tablet and administered it to R89.
She further confirmed the medication should not be crushed. In an interview on 8/27/2025 at 2:54 pm, the Registered Pharmacist (RPh) stated that atorvastatin calcium tablets should not be crushed.In an interview on 8/28/2025 at 9:10 am, the Director of Nursing (DON) confirmed that medications were to be crushed according to policy, and nurses should follow the list on each medication cart for reference. 2.
Review of the EMR revealed R77 was admitted to the facility on [DATE] and diagnoses included, but were not limited to, hemiplegia and hemiparesis following cerebral vascular accident, dysarthria, anarthria, and muscle weakness.Review of the Physician's Orders for R77 revealed an order dated 11/18/2022 for MiraLax powder 17 grams per scoop, one scoop per day for constipation.Observation of medication administration on 8/27/2025 at 8:48 am with LPN AA revealed LPN AA reviewed the physician's orders and prepared and administered the two scoops of polyethylene glycol [generic medication for MiraLax] to R77.In an interview on 8/27/2025 at 9:00 am, LPN AA confirmed R77 should have received one scoop of polyethylene glycol, and he administered two scoops of polyethylene glycol powder because the resident asked for a second scoop.
The LPN confirmed he should have given R77 one polyethylene glycol scoop of powder as ordered. In an interview on 8/28/2025 at 9:00 am, the Director of Nursing (DON) stated that there was no exception for not following the doctor's order.
The DON stated that expectations for medication change require contacting the provider and obtaining approval prior to administering the medication.
Facility ID: