Treutlen County Health And Rehabilitation
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
during assessment, there was enough evidence, and the facility substantiated that CNA CC physically abused Resident R1.Review of the 5-day follow-up report dated 5/27/2025 revealed CNA CC had been terminated.
CNA CC had also been arrested and charged with Elder Abuse. Follow-up Social Service note dated 6/25/2025 documented Resident R1 was wandering throughout the facility as desired. Resident R1 reported she felt safe in
the environment, appetite was good, sleeping well, no delusions, no anxiety, no change in sleep patterns or physical aggression was noted.Review of the Quarterly Minimum Date Set (MDS) assessment dated [DATE REDACTED] revealed Section C-Cognitive Patterns, there was no BIMS (Brief Interview for Mental Status) score reported because Resident R1 was rarely/never understood, had short and long-term memory problem, and severely impaired cognitive skills for daily decision-making, indicating Resident R1 never/rarely made decisions. Section D -Mood was not completed, Resident R1 declined to respond to questions.Section G Functional Status revealed Resident R1 was independent to limited assist. Resident R1 did not have any impairment to her upper extremities or her lower extremities on either side. Review of the care plan, revised date 5/27/2025 revealed that Resident R1 had potential for trauma due to (d/t) experience with healthcare worker dated 5/27/2025 related to history of trauma experience by healthcare worker, history of abuse/neglect. An observation and interview were attempted on 12/22/2025 at 8:39 am with Resident R1, who was very confused and did not respond appropriately, if at all, to questions. Additional observations during the survey revealed Resident R1 ambulating aimlessly throughout the facility. Resident R1 never spoke or answered any simple, short questions.An interview on 12/22/2025 at 8:10 am
during a brief entrance conference with the Assistant Director of Nursing (ADON) confirmed that the allegation that Resident R1 was struck was substantiated. The ADON stated the facility reported it to the State Agency and the police.Interview on 12/22/2025 at 9:42 am with the Administrator confirmed that the abuse of Resident R1 by CNA CC was investigated and substantiated that it occurred. She submitted a self-reported incident report and provided it for review. The Administrator stated that CNA CC reported she only tapped Resident R1 on the forehead because Resident R1 hit CNA CC in the mouth, but it doesn't matter what a resident does. Her expectation was that staff should never put their hands on a resident or touch them inappropriately.Past noncompliance as evidenced by:1.5/25/2025 - Resident R1 was kept safe and monitored closely after the incident.2. 5/25/2025 - CNA CC was kept at the nurses' station under watch until police arrived.3. 5/25/2025 - The physician, family, and police were notified. 4. 5/25/2025 - Staff gave written statements. 5. 5/25/2025 Police interviews and escorted CNA CC to her vehicle, and she left the premises.6. 5/25/2025 - The door code was changed, and CNA CC is not allowed back into the facility.6. 5/25/2025 - CNA CC was suspended during investigation. 7. 5/27/2025 - CNA CC was terminated. 8. 5/27/2025 - Police arrested CNA CC, and she was charged with Elder abuse.9. 5/25/2025 - 5/27/2025 All residents in the facility were assessed, and interviewable residents were interviewed and asked if they felt afraid of anyone or if they felt safe. 10. 5/26/2025 - The incident was included in QAPI for discussion, review, and monitoring.11.
Beginning 5/25/2025 -Weekly audits were conducted for four weeks, and an interview with the Administrator revealed they would have gone longer if they felt it was needed.12. Beginning 5/25/2025 Weekly interviews and assessments were conducted to all residents.13. 5/27/2025 - Letters were sent out to families. 14. 5/25/2025 -At the time of the complaint visit, staff monitored Resident R1 closely and assisted as needed.15. 5/25/2025 and 5/26/2026 - Staff education and training. Staff were instructed on how to work with Resident R1 as well as all residents with dementia/Alzheimer's/mental disease, Abuse and neglect.
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TREUTLEN COUNTY HEALTH AND REHABILITATION in SOPERTON, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SOPERTON, 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 TREUTLEN COUNTY HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.