Health Inspection

Woods At Sparta Of Journey Llc, The

August 11, 2024 · Sparta, GA · 60 Providence Street

Citations 2

CMS Rating 1/5

Beds 71

Provider ID 115397

Healthcare Facility

Woods At Sparta Of Journey Llc, The

Sparta, GA · View full profile →

Inspection Summary

Woods at Sparta of Journey LLC, The in SPARTA, GA — inspection on August 11, 2024.

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

FF689

Minimal harm or Few Based on observations, staff interviews, and a review of the facility policies titled Maintenance Inspection and affected

115397

FF695

Minimal harm or Few Based on record review, staff interviews, and review of the facility policy titled Comprehensive Care Plans, affected

During an interview with the MDS Coordinator on [DATE] at 3:15 pm, she acknowledged that R3 was care planned for Full Code status.

She indicated the care plan should have been revised to reflect a DNR.

The MDS coordinator stated the failure to revise the care plan was an oversight.

During an interview with the Director of Nursing (DON) on [DATE] at 3:15 pm, she explained that the Social Service Director (SSD) was the person who handled code status changes and reported them to the MDS Coordinator.

The DON stated it was her expectation for the MDS Coordinator to revise the care plan when a resident had a change in code status.

115397

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 115397 B.

Wing 08/11/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Providence of Sparta Health and Rehab 60 Providence Street Sparta, GA 31087

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 SPARTA, 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 Woods at Sparta of Journey LLC, The or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Woods At Sparta Of Journey Llc, The

Inspection Findings

Frequently Asked Questions

More Reports