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Health Inspection

Thomasville Vistas Of Journey Llc

August 11, 2024 · Thomasville, GA · 120 Skyline Drive
Citations 1
CMS Rating 2/5
Beds 52
Provider ID 115427
Healthcare Facility
Thomasville Vistas Of Journey Llc
Thomasville, GA  ·  View full profile →
Inspection Summary

Thomasville Vistas of Journey LLC in THOMASVILLE, GA — inspection on August 11, 2024.

Found 1 citation. 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

FF698
Minimal harm or Few Based on observation, staff interviews, record review, and the facility policy titled, Oxygen Concentrator, the affected

Observation on 8/9/2024 at 9:33 am pm revealed an unsecured oxygen cylinder sitting on the floor of R20's room in front of an adjoining bathroom door. If the bathroom door was open the oxygen cylinder tank could have easily been tipped over. At the time of the observation, R20 was observed lying in bed in his room and receiving oxygen via a nasal cannula.

Record review of R20's medical record revealed the following diagnoses but not limited to acute hypoxemic respiratory failure.

Record review of R20's Physician Order Form (POF) revealed an order dated 7/14/2024 which stated 02 via N/C (oxygen by nasal cannula) Simple Mask @ 2-4 LPM PRN (at 2-4 liter per minute as needed) for 02 Sat < than 90% or SOB (less than 90 percent short of breathe) every 2 hours as needed.

Interview with Housekeeper Supervisor on 8/9/2024 at 9:33 am, she reported entering the resident room to clean the room and observing the oxygen cylinder tank on the floor.HK Supervisor reported not considering free standing oxygen as a risk.

Interview at the time of observation on 8/9/2024 at 9:34 am with Licensed Practical Nurse (LPN), LPN II confirmed that the oxygen cylinder was sitting on the floor.

She removed the cylinder from the room immediately. LPN II confirmed that this is considered a hazardous situation, because if tipped over (referring to the oxygen cylinder) it could result in an explosion injuring residents and others.

She reported that oxygen cylinder was placed in the resident's room on Monday by the Hospice Nurse, due to expected inclement weather from an upcoming storm in the area.

She reported entering the resident's room earlier this morning with the nightshift nurse at the change of shift. LPN II reported that she did not observe the cylinder in the room at that time.

Interview on 8/9/2024 at 9:36 am, Certified Nursing Assistant (CNA) FF reported feeding the resident breakfast and providing Activities of Daily Living Care (ADL) to R20.

She reported observing the O2 tank sitting in the room.

She reported being unaware of the danger of not having the oxygen cylinder tank freely standing and not in a cylinder holder.

115427

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 115427 B.

Wing 08/11/2024

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

Thomasville Care Center LLC 120 Skyline Drive Thomasville, GA 31757

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 THOMASVILLE, 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 Thomasville Vistas of Journey LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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