Macon Rehabilitation And Healthcare
MACON REHABILITATION AND HEALTHCARE in MACON, GA — inspection on August 21, 2025.
Found 4 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
Federal health inspectors cited MACON REHABILITATION AND HEALTHCARE in MACON, GA for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-08-21.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, 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 4 deficiencies cited during this inspection of MACON REHABILITATION AND HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-05.
Federal health inspectors cited MACON REHABILITATION AND HEALTHCARE in MACON, GA for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2025-08-21.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Scope/Severity Level D: isolated, 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 4 deficiencies cited during this inspection of MACON REHABILITATION AND HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-05.
Federal health inspectors cited MACON REHABILITATION AND HEALTHCARE in MACON, GA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-21.
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 4 deficiencies cited during this inspection of MACON REHABILITATION AND HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-05.
Based on observations, staff interviews, record review, and review of facility policy titled Infection Prevention and Control Program, the facility failed to follow infection control procedures for one resident (R) R68 on Enhanced Barrier Precautions (EBP).
This deficient practice had the potential to increase the risk of the spread of infection in the facility.
The census was 94.
Findings include:
Review of the facility policy titled Infection Prevention and Control Program, dated June 2025, revealed the Policy Statement section included, To have a comprehensive program that addresses detection, prevention, and control of infections among residents and staff.
This facility's infection prevention and control policies/practices are intended to facilitate in maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections.
The Precaution Guidelines section included, All staff should wear appropriate personal protective equipment (PPE) as necessary to prevent exposure to spills or splashes of blood or body fluids or other potentially infectious materials.
Review of the electronic medical record (EMR) for R68 revealed diagnoses including, but not limited to, pressure ulcer of sacral region, stage 3, encounter for orthopedic aftercare following surgical amputation, and acquired absence of left leg above the knee.
Review of the Quarterly Minimum Data Set (MDS) assessment, dated 6/20/2025, for R68 revealed that Section GG (Physical Abilities and Goals) documented the resident required substantial to maximal assistance with toileting hygiene.
Section H (Bowel and Bladder) documented the resident was always incontinent of bowel and bladder.
Section M (Skin Condition) documented the resident had one unhealed stage 3 pressure ulcer.
Review of the Order Summary Report for R68 revealed an order dated 7/2/2025 for Enhanced Barrier Precautions related to a wound. In a concurrent observation and interview on 8/20/2025 at 11:20 am, Certified Nursing Aide (CNA) FF was observed providing incontinent care to R68.
Observation revealed CNA FF did not have a protective gown on while providing incontinent care.
Interview with CNA FF confirmed she did not wear a protective gown while providing incontinent care to R68. CNA FF stated she should have worn a gown during the care. In an interview on 8/21/2025 at 12:30 pm, the Director of Nursing (DON) revealed her expectation was for staff to wear gowns and gloves while providing incontinent care to residents who were on EBP.
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
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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 MACON, 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 MACON REHABILITATION AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.