Average — CMS composite of the measures below.
A standard survey is most likely before around March 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Atrium Health Navicent Baldwin during CMS and state inspections, most recent first.
A resident with osteomyelitis, multiple pressure ulcers, a decubitus ulcer, PVD, and DM2 had a baseline care plan directing staff to assess pain, observe nonverbal pain signs, and give ordered analgesics before wound care. During observed wound treatment, an LPN removed tape from the left heel wound while the resident grimaced and moaned, but did not assess pain or administer PRN acetaminophen before continuing the dressing change; the DON confirmed the baseline care plan was not implemented.
Failure to assess and treat pain during wound care. A resident with multiple wounds and diagnoses including osteomyelitis, pressure ulcers, PVD, and DM2 had a PRN acetaminophen order, but no pain medication was documented as given. During wound care, the resident grimaced and moaned while an LPN removed tape, yet the LPN did not ask about pain or assess for signs of pain before continuing the dressing change. The DON stated nurses were expected to assess pain before wound care and medicate if needed.
Failure to Implement Baseline Pain Plan During Wound Care
Penalty
Summary
The facility failed to implement the baseline care plan for one resident who received wound care and pain management interventions. The resident was admitted with diagnoses including osteomyelitis of the left heel, pressure ulcers at multiple sites, a decubitus ulcer of the ankle, peripheral vascular disease, and type 2 diabetes. The baseline care plan dated 12/3/2025 included a pain problem/goal with interventions to assess pain using an appropriate pain scale, administer analgesics based on pain severity, and evaluate the response. A wound care care plan dated 12/4/2025 directed staff to observe and document nonverbal signs and symptoms of pain and to administer pain medication as ordered. The MAR showed an order for acetaminophen 325 mg every 4 hours PRN for pain level 1-5 or acetaminophen 650 mg every 4 hours PRN for pain level 6-10, but there was no documentation that either dose was given. During observed wound care on 12/8/2025, the LPN began removing tape from the resident’s left heel wound, and the resident grimaced and moaned. The LPN stated, "I know this can't be fun for you," but did not ask about pain, did not stop to assess pain, and proceeded with the dressing change without checking for signs of pain. The LPN later stated she did not know she should have stopped to assess pain when the resident was grimacing and moaning or prior to the wound treatment. The DON confirmed the baseline care plan was not implemented for evaluation and treatment of pain.
Failure to Assess and Treat Pain During Wound Care
Penalty
Summary
Safe, appropriate pain management was not provided for a resident with multiple wounds and significant medical history including osteomyelitis of the left heel, pressure ulcers of multiple sites, a decubitus ulcer of the ankle, peripheral vascular disease, and type 2 diabetes. The resident had an order for acetaminophen 325 mg every four hours as needed for pain level 1-5 or acetaminophen 650 mg every four hours as needed for pain level 6-10, but the medication administration record showed no documentation that either dose had been given. During wound care to the left heel, the LPN began removing tape and the resident grimaced and moaned, but the LPN did not ask about pain or assess for signs of pain before continuing the dressing change. The LPN stated she did not know she should have stopped to assess pain when the resident was grimacing and moaning or prior to wound treatment for pain management. The DON stated her expectation was that nurses ask residents about pain before wound care and medicate if needed, and that if a resident showed signs of pain, the nurse should stop the procedure, offer pain medication, and check effectiveness before continuing wound care.
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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 Milledgeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chaplinwood Nursing Home | 2.3 mi | ★★★★★ | 0 | 0 |
| Green Acres Health And Rehabilitation | 2.3 mi | ★★★★★ | 0 | 0 |
| Bostick Nursing Center | 3.6 mi | ★★★★★ | 2 | 0 |
| Eatonton Health And Rehabilitation | 17.5 mi | ★★★★★ | 0 | 0 |
| Lynn Haven Health And Rehabilitation | 18.3 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.