Harmony Health And Rehabilitation
Harmony Health and Rehabilitation in FITZGERALD, GA — inspection on October 30, 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
by staff.
Staff reported that during incontinent care, resident rolled out of bed onto the floor.
Resident was assessed for injury with no visible injuries noted.
Resident was two person assist with use of Hoyer lift off of the floor and back into the bed.
Incontinent care was provided by staff.
Director of Nursing (DON), Administrator, Nurse Practitioner (NP), and RP was notified.
Will continue to observe.Interview on 10/30/2025 at 1:05 pm with the Corporate MDS nurse revealed that the nursing staff do not update the Care Plans for the residents.
She stated that during the Interdisciplinary Team (IDT) meetings they talk about if there needs to be changes/updates to residents' care plans.
She revealed that she was currently working to get all of the care plans corrected.Interview on 10/30/2025 at 2:30 pm with the Administrator revealed that she expects staff to follow the residents' care plan when providing care.
She also revealed that she expect the residents needs be reflected in the care plan interventions and for all staff to follow the care plan. [Cross Reference - F-F689]
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Harmony Health and Rehabilitation
176 Lincoln Ave Fitzgerald, GA 31750
SUMMARY STATEMENT OF DEFICIENCIES
Data Set (MDS) in PCC to verify if a resident was a one person to two persons assist for ADL's. LPN CC also revealed that the CNA's documentation in Kardex indicated if the residents were one person or two persons assist.Interview on 10/30/2025 at 10:02 am with CNA FF revealed that there were three residents on South Hall B that were two person assist but since the incident occurred on 10/2/2025, it had been implemented that all residents receive two person assist with ADL's. CNA advised that it was also documented in PCC if a resident was two persons assist and changes in the residents' care were verbalized during shift change.Interview on 10/30/2025 at 12:42 pm with CNA EE revealed she participated in trainings provided by the facility in reference to transfers, hygiene, resident abuse and two persons assist.
She revealed that since the recent fall incident with R1, it was revealed that the CNA that went in to provide R1 with ADL care left something that she needed in the hall, then went to go get it, and left R1 and on his side and when she came back in the room he was on the floor. So since then, staff have been advised that all residents were to be two persons assisted with ADL's until further notice.
Interview on 10/30/2025 at 2:30 pm with the Administrator revealed that she expects staff to follow the residents care plan when providing care.[Cross Reference - F-F656]
Facility ID:
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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.