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Complaint Investigation

Oak View Home, Inc

September 18, 2025 · Waverly Hall, GA · 119 Oakview Street
Citations 4
CMS Rating 4/5
Beds 100
Provider ID 115576
Healthcare Facility
Oak View Home, Inc
Waverly Hall, GA  ·  View full profile →
Inspection Summary

OAK VIEW HOME, INC in WAVERLY HALL, GA — inspection on September 18, 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.

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Inspection Findings

FF0695
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited OAK VIEW HOME, INC in WAVERLY HALL, GA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when 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 OAK VIEW HOME, INC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-31.

Federal health inspectors cited OAK VIEW HOME, INC in WAVERLY HALL, GA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-18.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

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 OAK VIEW HOME, INC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-31.

Federal health inspectors cited OAK VIEW HOME, INC in WAVERLY HALL, GA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-18.

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 OAK VIEW HOME, INC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-31.

Observation on 9/16/2025 at 12:14 pm revealed that Laundry Aide EE delivered clean clothing to three residents' rooms on Hall B without performing hand hygiene upon entering or exiting any room.In an interview on 9/16/2025 at 12:18 pm, Laundry Aide EE acknowledged that she did not perform hand hygiene when delivering resident clothing on Hall B.

She stated she just forgot.

She further stated that there were signs posted throughout the facility reminding staff to perform hand hygiene.2.

Review of the electronic medical record (EMR) revealed R7 was admitted to the facility on [DATE], and diagnoses included, but were not limited to, pressure ulcer of other site stage 3.

Review of the Physician's Orders for R7 revealed orders dated 7/15/2025 and 8/28/2025 to apply collagen dressing on Tuesday, Thursday, and Saturday once per day.

The procedure included cleaning the right lower leg with normal saline, patting it dry, applying collagen to the open area, applying [treatment] on top, and covering it with a border dressing, related to a stage 3 pressure ulcer.Observation on 9/17/2025 at 10:04 am revealed the Director of Nursing (DON) performed wound care for R7.

During the wound care observation, the DON removed her gloves and put on a new pair without performing hand hygiene between dirty and clean dressing changes. In an interview on 9/17/2025 at 10:25 am, the DON confirmed she didn't perform hand hygiene between glove changes during wound care for R7.In an interview on 9/17/2025 at 6:19 pm, the Wound Care Consultant stated that hand hygiene was required between glove changes.

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.

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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 WAVERLY HALL, 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 OAK VIEW HOME, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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