Brown Health And Rehabilitation
Brown Health and Rehabilitation in ROYSTON, GA — inspection on September 11, 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
authorities.
the facility failed to protect residents from sexual abuse by another resident by not reporting to the
abuse and neglect.
The deficient practice had the potential of future unreported abuse.Findings include:
Review of the facility policy titled Abuse Prohibition review date 4/7/2025 revealed under Policy: It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse or misappropriation of patient property. We believe that each patient has the right to be free from verbal, sexual, physical and mental abuse, corporal punishment, and involuntary seclusion.
The purpose of these identified procedures is to assure that we are doing all that is withing our control to create a standard of intolerance and to prevent any occurrences of any form of mistreatment, neglect, abuse or misappropriation of any patient and, or their property.
The procedures herein establish standards of practice for protection of patients and for identification and prevention of abuse.
Under Identification of coverage and responsibility: Any person observing abuse, neglect, or exploitation as previously defined, should immediately report it to the Administrator or the direct supervisor (i.e.
Charge Nurse, Director of Nursing, Departmental Leaders) present at the time of the incident.
Review of the Five-Day follow-up dated 4/28/2025 summarized the details of the incident:Certified Medication Aide (CMA) JJ approached Administrator during a resident care meeting and states she observed male resident inappropriately touch R85 several months ago. CMA JJ stated she doesn't remember exactly when, but she told the nurse who said they would report. CMA JJ could not remember who she told about incident.
She heard R85 giggling and turned to see male resident reaching across and grabbing R85's breast. CMA JJ told male resident to stop immediately and moved R85 away.
Further review revealed that CMA JJ received 1:1 (one to one) education regarding immediately reporting to the Administrator as Abuse Coordinator.Interview with the Administrator on 9/11/2025 at 10:00 am revealed that CMA JJ was no longer employed by the facility.
The incident took place before the current Administrator accepted their position.
The Administrator confirmed that staff received regular in-services related to abuse and abuse reporting.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
115090 09/11/2025
Brown Health and Rehabilitation 545 Cook Street Royston, GA 30662
Observation and subsequent interview on 9/10/25 at 8:44 am revealed CMA BB administering medications to R78 with a paper towel taped to the medication cart surface as a barrier. CMA BB completed the medication pass for R78 and proceeded to the next room without changing the barrier, creating cross contamination. CMA BB confirmed the barrier was not changed between residents.
Interview on 9/10/2025 at 9:26 am with the Director of Nursing (DON) confirmed the nursing staff were expected to change barriers between residents during medication administration to prevent cross contamination.
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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.