Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Anderson Mill Center For Nursing And Healing Llc during CMS and state inspections, most recent first.
The facility failed to provide written transfer/discharge notices with appeal rights to six residents and their RRs after emergency hospital transfers. Records showed residents were sent to the hospital for changes in condition or acute symptoms, including one resident with intact cognition and others with diagnoses such as UTI, malnutrition, diabetes, PVD, heart failure, COPD, and acute respiratory failure. RN 1 stated only an e-interact form was given to EMTs, and the DON was unaware of a separate transfer/discharge form for residents or RRs.
A resident’s admission MDS was inaccurate because it did not include a PTSD diagnosis, even though the resident confirmed the diagnosis and the psychiatrist had ordered Mirtazapine for PTSD and depression. The MDSC said she reviewed hospital records, consulted the NP, and checked physician orders, but the facility was not notified of the new PTSD diagnosis.
A resident admitted with PTSD and depression had a psychiatrist order for Mirtazapine and a BIMS score showing intact cognition, but the care plan did not include PTSD-related goals or interventions. The resident confirmed the PTSD diagnosis, an LPN/unit manager said the diagnosis was included in the original order, and the SSD stated she was not aware of the diagnosis despite reviewing the psychiatrist’s notes.
Failure to Complete Ordered Weekly Weights: A resident admitted with stroke and acute kidney failure had a nutritional care plan and an order for weekly weights for the first 4 weeks, but the first weight was delayed and the record did not show the ordered weekly weights were completed. The resident was cognitively intact, able to feed himself with his left hand, and later showed weight loss on a subsequent nutritional assessment. The RD stated newly admitted high-risk residents were to be weighed weekly for the first 4 weeks.
Qualified Infection Preventionist training was not documented for multiple Staff Development Coordinators who also served as the facility IP. Facility records showed that IPs were hired for the role, but the facility provided no evidence of specialized IPC training, and some records did not show when the IPs were no longer employed. The facility policy required specialized IPC training and documentation before assuming the IP role.
A resident with cognitive impairment had prior PCV13 and PPSV23 immunizations documented, but the record showed no evidence that the resident or representative was offered the current CDC-recommended PCV20 or PCV21. The DON and IP confirmed the resident should have been offered the vaccine based on CDC guidance, and the facility policy required pneumococcal immunization to be offered in accordance with current CDC guidelines.
A resident with multiple fractures, osteoporosis, repeated falls, and severe cognitive impairment had a care plan that continued to require two-person assistance for transfers and ADLs even after PT documentation showed improvement to one-person moderate assistance. Facility policy required that assessments accurately reflect current status and that assessment data be used to develop and revise the care plan. PT notes documented the change in functional status, and direct care staff and the Rehab Director confirmed that only one-person assistance was currently used, but the written care plan was never updated. MDS staff reported they were not informed that the care plan should be revised, and interviews confirmed that nursing staff had the ability to update the care plan but did not do so, leaving the care plan inaccurate.
Failure to Provide Written Transfer/Discharge Notices With Appeal Rights
Penalty
Summary
The facility failed to ensure that six of 41 sampled residents, including residents transferred to the hospital for emergency care, and their resident representatives were provided with a written transfer/discharge notice that included the appeal process. The residents reviewed were R3, R7, R149, R4, R15, and R72. Record review showed that R149 was admitted on 03/06/2026 and later transported to the hospital after a change in condition, but there was no evidence that the resident or resident representative received a written emergency transfer notice with appeal rights. Similar record review for R3, R7, R15, and R72 showed each resident was sent to the hospital, but their electronic medical records contained no evidence that written notification was sent to the responsible party. R4 was admitted with diagnoses including morbid obesity, COPD, depression, acute kidney failure, and acute respiratory failure with hypoxia. A quarterly MDS showed a BIMS score of 14 out of 15, indicating intact cognition. A progress note documented that R4 was diaphoretic with increased confusion and altered mental status, and the resident was transferred to the hospital, but the record contained no evidence that R4 or the resident representative received a written emergency transfer notice with appeal rights. During interviews, RN 1 stated that a transfer/discharge notice was sent with residents when they were transferred to the hospital and that the e-interact form was provided to EMT staff, but no other forms were provided to the resident or representative regarding appeal rights or the reason for transfer. The DON stated she was not aware of a separate transfer/discharge form that should be provided to the resident and/or resident representative. The facility policy titled Transfer and Discharge (including AMA) stated that for emergency transfers to acute care, the facility should provide a notice of transfer and the facility's bed hold notice policy to the resident and resident representative as indicated.
Inaccurate MDS Assessment for Resident with PTSD
Penalty
Summary
The facility failed to ensure that one of two residents reviewed, Resident 31, had an accurate MDS assessment. R31 was admitted on 03/24/2026, and the admission MDS with an ARD of 03/29/2026 showed a BIMS score of 14 out of 15, indicating the resident was cognitively intact. However, the assessment did not indicate that the resident had a diagnosis of PTSD. Record review showed that on 03/29/2026 the psychiatrist ordered Mirtazapine 15 mg at bedtime to treat R31’s PTSD and depression. During interview, R31 confirmed having a diagnosis of PTSD. The MDS Coordinator stated that when completing the MDS she reviewed the hospital records, consulted with the Nurse Practitioner, and looked through physician orders, but the facility was not notified by the psychiatrist of R31’s new PTSD diagnosis. The RAI Manual states that information used for the assessment should cover the same observation period and be validated for accuracy by the interdisciplinary team completing the assessment.
Missing PTSD Care Plan Goals and Interventions
Penalty
Summary
The facility failed to develop a person-centered comprehensive plan of care with measurable goals and interventions for one resident who was admitted on 03/24/2026 and later had a psychiatrist order for Mirtazapine 15 mg at bedtime to treat PTSD and depression. The resident’s admission MDS showed a BIMS score of 14 out of 15, indicating the resident was cognitively intact. Review of the care plan showed no evidence that the resident’s PTSD diagnosis had corresponding goals and interventions. During interviews, the resident confirmed having a PTSD diagnosis. An LPN/unit manager stated that the psychiatrist had placed the PTSD diagnosis in the original order for the resident and the antidepressant was being used for that diagnosis. The SSD stated she had read the psychiatrist’s notes and would discuss the resident in the morning clinical meeting, and confirmed she was not aware of the resident’s diagnosis. The facility policy titled Comprehensive Care Plans stated that each resident should have a comprehensive person-centered care plan with measurable objectives and timeframes to meet medical, nursing, mental health, and psychosocial needs.
Failure to Complete Ordered Weekly Weights
Penalty
Summary
The facility failed to ensure weekly weights were implemented for one resident who was reviewed for nutrition. The resident was admitted with diagnoses including stroke and acute kidney failure, and the care plan identified a nutritional problem related to the resident's right-sided stroke. A physician order dated 04/04/2026 directed that the resident be weighed once a week for four weeks and then monthly after, but the first documented weight was not obtained until 04/07/2026, four days after admission, and the record did not show weekly weights after that initial weight. The resident's admission MDS with an ARD of 04/09/2026 indicated a BIMS score of 15 out of 15 and no weight loss or gain during the assessment period, with a recorded weight of 221 pounds. A later nutritional assessment showed the resident's weight had decreased to 216.4 pounds. During observation, the resident was able to feed himself with his left hand and stated the food was good, and he acknowledged losing some weight while in the hospital and not being able to eat well at that time. The RD stated residents were to be weighed weekly for the first four weeks because they were considered high-risk after coming from the hospital, and also stated the facility had identified the lack of initial admission weights and weekly weights for the first four weeks as an issue.
Qualified Infection Preventionist Training Not Documented
Penalty
Summary
The facility failed to ensure that the designated Infection Preventionist (IP) completed specialized training in infection prevention and control. Review of facility documents showed that IP6 was hired as the Staff Development Coordinator and also served as the facility IP, but the facility provided no evidence of specialized infection prevention and control training for IP6. Similar documentation for IP5 showed that she was hired as the Staff Development Coordinator and facility IP, but the facility did not provide evidence of specialized infection prevention and control training for her either, and the document did not indicate when she was no longer employed. Review of the document for IP4 showed that she was hired as the Staff Development Coordinator and facility IP, but the document also failed to indicate when she was no longer employed, and the facility again provided no evidence of specialized infection prevention and control training. Surveyors determined there was no documentation that the facility had a qualified IP from 06/24/2025 through 11/28/2025. During interview, the Director of Regulatory Compliance stated that the facility's process was to have a full-time Staff Development Coordinator/IP in each building and that IP training should be incorporated into each employee file, but it was not. The facility policy titled, Infection Preventionist, stated that the IP must have specialized IPC training beyond initial professional training or education prior to assuming the role and must provide evidence of training through a certificate of completion or equivalent documentation.
Failure to Offer Current Pneumococcal Vaccine
Penalty
Summary
The facility failed to offer one of seven reviewed residents, R74, the opportunity to receive flu/pneumonia vaccinations in accordance with nationally recognized standards. R74 was admitted on 08/14/2022 and had an annual MDS with a BIMS score of 3 out of 15, indicating cognitive impairment. Review of the resident’s immunization record showed prior receipt of Prevnar (PCV13) on 01/08/2018 and Pneumovax (PPSV23) on 01/30/2019. A facility-provided Georgia Registry of Immunization Transactions and Services document dated 05/15/2026 indicated that R74 was up to date on pneumococcal vaccines, but there was no evidence that the resident was offered the current CDC-recommended PCV20 or PCV21 vaccines. During interview, IP1 and the DON confirmed the resident’s vaccination status and stated that, based on CDC recommendations, R74 should have been offered PCV20 or PCV21. The facility policy titled Pneumococcal Vaccine (Series) stated that residents and staff are to be offered immunization against pneumococcal disease in accordance with current CDC guidelines.
Failure to Update Care Plan After Change in Transfer Assistance Needs
Penalty
Summary
The deficiency involves the facility’s failure to update a resident’s care plan to accurately reflect the current level of assistance required for transfers and ADLs, as required by facility policy and regulatory standards. The facility’s nursing assessment policy states that assessments must accurately reflect the patient’s status at the time of assessment, that focused assessments should be completed as triggered, that change-in-condition assessments should be conducted as needed, and that assessment data must be used to develop the care plan. Despite this, the resident’s care plan, initiated after a significant change in condition, continued to indicate a need for two-person assistance with transfers and ADLs even after the resident’s functional status had improved. The resident was admitted with multiple fractures, including a displaced fracture of the posterior wall of the right acetabulum, a displaced fracture of the upper end of the right humerus, a wedge compression fracture of the first lumbar vertebra, polyosteoarthritis, age-related osteoporosis, low back pain, repeated falls, and unspecified dementia without behavioral disturbances. A significant change MDS showed a BIMS score of 2, indicating severe cognitive impairment, and documented impaired lower extremities with no mobility device use, while a later quarterly MDS documented wheelchair use. The care plan dated 12/03/2025 identified mobility and fall risk problems following multiple fractures and specified two-person assistance for transfers, bed mobility, dressing, and toileting, along with fall prevention measures and therapy coordination. PT orders and documentation showed that the resident’s functional status changed over time. PT evaluation and plan of treatment dated 01/19/2026 documented that the resident required substantial to maximal assistance from two staff for transfers. PT progress notes dated 01/27/2026 documented improvement to moderate assistance from one staff member for transfers. However, the care plan was not revised to reflect this change and continued to list two-person assistance. Interviews with a CNA, an LPN, the Unit Manager, the Rehab Director, and MDS staff confirmed that current practice was one-person assistance, that PT documentation showed the change, and that the care plan still indicated two-person assistance. Staff also confirmed that nursing staff could update the care plan and that the change in functional status had not been communicated or incorporated into the care plan, resulting in an inaccurate care plan for this resident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Austell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Austell | 1 mi | ★★★★★ | 10 | 0 |
| Presbyterian Village | 1.2 mi | ★★★★★ | 6 | 0 |
| Powder Springs Center For Nursing & Healing | 2.3 mi | ★★★★★ | 3 | 0 |
| Delmar Gardens Of Smyrna | 5.8 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Marietta | 5.8 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.