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Complaint Investigation

Woodstock Center For Nursing And Healing Llc

August 28, 2025 · Woodstock, GA · 105 Arnold Mill Road
Citations 5
CMS Rating 1/5
Beds 171
Provider ID 115421
Healthcare Facility
Woodstock Center For Nursing And Healing Llc
Woodstock, GA  ·  View full profile →
Inspection Summary

Woodstock Center for Nursing and Healing LLC in WOODSTOCK, GA — inspection on August 28, 2025.

Found 5 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

FF0570
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on staff interviews, record review, and review of the facility's policy titled, Resident Personal Funds, the facility failed to purchase a sufficient Surety Bond to assure the security of all funds.

The deficient practice had the potential to affect 56 total accounts of 125 residents managed by facility.

Findings include:In a review of the facility's policy titled, Resident Personal Funds revised on 4/1/2024, revealed under Assurance of Financial Security: 1.

The company will purchase a surety bond or otherwise provide assurance satisfactory to assure the security of all personal funds of the residents deposited with the company.

Review of the facility's last six months banks statements revealed that the facility had a surety bond of $100,000.00 USD (United States Dollars) effective 9/1/2024 through 9/1/2025.

February 2025- The beginning balance was $106,898.12; ending balance was $128, 274,71March 2025 - The beginning balance was $128,274,71; ending balance was $133,677.33April 2025 - The beginning balance was $133,677.33; ending Balance was $133,831.89May 2025 - The beginning balance was $133,831.89; ending balance was $124,002.45June 2025 - The beginning balance was $124,002.45; ending balance was $124,598.44July 2025 - The beginning balance was $124,598.44; ending balance was $72,101.74During an Interview on 8/25/2025 at 10:38 am, The Administrator revealed the facility should have a surety bond that is large enough to cover the balance on the financial statement.In an interview on 8/25/2025 at 11:08 am, the Director of Regulatory Compliance (DRC) revealed the facility may have an additional surety bond.

During a follow-up interview on 8/26/2025 at 3:51 pm, the DRC provided an updated surety bond that went into effect on 5/1/2025.

The amount was increased from 100,000.00 USD to 150,000.00 USD.

The DRC confirmed the updated surety bond did not cover the financial statements prior to 5/1/2025.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Woodstock Center for Nursing and Healing LLC

105 Arnold Mill Road Woodstock, GA 30188

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited Woodstock Center for Nursing and Healing LLC in WOODSTOCK, GA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-28.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Scope/Severity Level E: pattern, 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 5 deficiencies cited during this inspection of Woodstock Center for Nursing and Healing LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

Review of a Grievance dated 6/9/2025 reported by R82’s daughter stated, “had concerns of father being wet and needing a shower and clean linen.” Summary of Actions Taken: Resident will receive showers on his scheduled shower days and as needed. He will receive bed baths on the alternating days that he is not scheduled for showers.

During an interview on 8/21/2025 at 10:11 am with CNA YY, who was taking care of R82 that day, revealed we got him out of bed once he got anxious, we put him in a chair and put him at the nurse’s station so he could be better observed and so he didn’t fall. CNA YY said R82 was incontinent of bladder, and they took him to the bathroom. CNA YY did not mention giving baths or showers.

During an interview on 8/25/2025 at 2:02 pm, the Director of Regulatory Compliance said there were no bath sheets for R82 for May 2025 or June 2025, so there was no documented information that R82 received a shower or bed bath for those months.

During an interview on 8/27/2025 at 9:35 am with CNA RR revealed she filled out the shower sheets right after giving the resident a shower.

During an interview on 8/27/2025 at 10:39 am, CNA SS revealed for showers, we knocked on the door, introduced ourselves, asked the resident if they wanted a shower, and if they answered yes, then we took them to shower. If the resident said yes, we filled out shower sheets for any scratches. If a resident refused a shower, we wrote on the paper that they refused and told the nurse. We wrote down if we gave them a bed bath on the form.

Most bed baths were done by Hospice, but for CNAs, we gave showers.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Woodstock Center for Nursing and Healing LLC

105 Arnold Mill Road Woodstock, GA 30188

SUMMARY STATEMENT OF DEFICIENCIES

themselves.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Woodstock Center for Nursing and Healing LLC

105 Arnold Mill Road Woodstock, GA 30188

SUMMARY STATEMENT OF DEFICIENCIES

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Based on observations, staff interviews, and review of the facility's policy titled, Disposal of Garbage Refuse, the facility failed to ensure areas around the garbage dumpsters were kept free from debris and failed to ensure the sliding doors of two of two garbage dumpsters were kept closed when not in use to prevent pests and rodents.Findings include:A review of the facility's policy titled Disposal of Garbage Refuse revised April 2024 documented under Policy Explanation and Compliance Guidelines: . 7.Containers and dumpsters shall be kept covered when not being loaded.

Surrounding area should be kept clean so that accumulation of debris and insect/rodent attraction are minimized.During an initial tour of the kitchen accompanied by the facility's Administrator on 8/12/2025 at 11:21 am revealed that there were two garbage dumpsters.

One of two garbage dumpsters had a sliding lid left open while not in use.

There were some used gloves and other materials on the ground around the two dumpsters during the tour.

During an interview on 8/12/2025 at 11:22 am, the Administrator stated someone must have just used the dumpster and not closed the door.

The Administrator continued that Housekeeping and Food Service employees were responsible for keeping the dumpster area clean.

Observation on 8/14/2025 at 11:55 am through 12:05 pm revealed that one garbage dumpster door was visibly open from the facility's dining room.During an observation on 8/14/2025 at 12:55 pm, accompanied by the Dietary Manager, revealed two of two garbage dumpsters doors were open while not in use. In an Interview 8/14/2025 at 12:55 pm, the Dietary Manager revealed the staff should have closed the sliding doors to the garbage dumpster after every time they dumped waste.

Facility ID:

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 WOODSTOCK, 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 Woodstock Center for Nursing and Healing LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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