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Complaint Investigation

Harmony Health And Rehabilitation

October 30, 2025 · Fitzgerald, GA · 176 Lincoln Ave
Citations 2
CMS Rating 1/5
Beds 167
Provider ID 115654
Healthcare Facility
Harmony Health And Rehabilitation
Fitzgerald, GA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Actual Harm

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:

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 FITZGERALD, 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 Harmony Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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