Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bolingreen Health And Rehabilitation during CMS and state inspections, most recent first.
Surveyors found that dietary staff failed to follow facility policies for food storage, labeling, and hand hygiene. Expired or undated food items, including an opened box of wafers, an unlabeled bag of fish, and a box of chicken past its expiration date, were observed in storage areas. A food service worker, despite prior training, prepared a sandwich and handled fryer foods and trash without proper handwashing, then continued food preparation and poured thickened liquids for a resident without washing her hands. The DM, ADM, and RD acknowledged issues with labeling accuracy and confirmed that the staff member’s handwashing practices were inadequate.
The facility failed to properly date and store bread products, maintain cleanliness of kitchen equipment, and discard expired thickened beverages, potentially risking food-borne illnesses for residents. Bread products were undated and some showed spoilage, while kitchen equipment had accumulated residue. Thickened beverages were stored beyond the recommended period.
The facility failed to maintain a clean environment by storing unwashed mattresses next to clean resident clothing in the laundry and supply rooms. Staff interviews revealed that mattresses were only cleaned when needed for replacement, contrary to policy. The DON and Administrator acknowledged the issue, with plans for staff reeducation.
The facility failed to maintain safe operating conditions for laundry dryers, with significant lint accumulation observed in dryer vent filters and exhaust ducts. The Housekeeping Supervisor admitted that lint filters were not cleaned as required, and the facility could not produce cleaning schedule records. Further inspection revealed thick layers of lint and dust on the dryers and ductwork, with inconsistent maintenance documentation.
The facility failed to securely store OTC medications, as a bottle of acetaminophen was found in a supply cart in the central supply stockroom. The Central Supply Supervisor (CSS) admitted to storing the medication in the cart due to space constraints in the medication rooms. Both the Director of Nursing (DON) and the Administrator acknowledged the improper practice and indicated that all medications should be locked up.
A resident with dysphagia was served cornbread despite a physician's order to exclude it from his diet due to swallowing difficulties. The Dietary Manager confirmed the error, noting the need for dietary staff to adhere more closely to meal tray slips. The resident's condition and dietary restrictions were clearly documented, yet the oversight occurred, posing a potential choking hazard.
Improper Food Storage, Labeling, and Hand Hygiene in Dietary Services
Penalty
Summary
Surveyors identified a deficiency in the facility’s food service operations related to improper food storage, labeling, and dating, as well as noncompliance with hand hygiene and sanitary food-handling practices. Review of the facility’s policies showed requirements that food items be covered, sealed, labeled, and dated appropriately, and that staff follow specific handwashing procedures. During a tour of the dry food and emergency storage areas, surveyors observed an opened box of wafers that was past its expiration date, a five-gallon bag of fish in the reach-in freezer without any expiration or discard date, and a large box of chicken in the walk-in refrigerator with an expiration date that had already passed. The Dietary Manager (DM) acknowledged seeing the chicken earlier, and the Assistant Dietary Manager (ADM) later stated that the team was adapting to a new labeling system that might be confusing, while the Registered Dietitian (RD) stated that the food items were not expired but were inaccurately labeled and emphasized the importance of correct labeling. During a follow-up kitchen observation, a food service worker entered the kitchen and began preparing a bacon, lettuce, and tomato sandwich without washing her hands, despite prior in-service training on handwashing. After being instructed by the DM to wash her hands, she made three unsuccessful attempts to perform proper handwashing technique. She then assisted with placing shrimp and fries into the fryer, discarded the bag in a dumpster, removed her gloves, touched the top of a trash can with her bare hand, and proceeded to wrap the sandwich without washing her hands. She also checked and adjusted frying food items and later re-entered the kitchen to pour thickened liquid into a cup for a resident without having washed her hands, which she confirmed when questioned by the DM. In an interview, the food service worker attributed her failure to wash her hands to distractions and being in a rush, and acknowledged that her inadequate food handling and hand hygiene could lead to cross-contamination. The RD also reported having seen this staff member earlier that day not washing her hands, which was addressed at that time.
Deficiencies in Food Storage and Kitchen Cleanliness
Penalty
Summary
The facility failed to properly date, label, and cover bread products stored in the kitchen, as well as maintain cleanliness of kitchen equipment and food preparation areas. During an inspection, it was observed that several bread products, including loaves of bread and hamburger buns, were undated and improperly stored, with some showing signs of spoilage such as mold growth. The Dietary Manager confirmed these issues, acknowledging that bread products should be dated when removed from freezer storage and used within fourteen days. Additionally, the kitchen's ovens, manual can opener, and food preparation pans were found to be unclean, with accumulated food residue and moisture, which the Dietary Manager attributed to staffing shortages. Furthermore, the facility failed to discard two opened containers of thickened beverages stored in the resident refrigerator for more than seven days, contrary to the manufacturer's directions. The Regional Nurse Consultant confirmed that the containers of thickened cranberry and apple juice had been stored beyond the recommended period and subsequently discarded them. These deficiencies in food storage and cleanliness practices had the potential to create an environment conducive to food-borne illnesses, affecting all residents consuming food prepared in the facility's kitchen.
Improper Storage of Unwashed Mattresses Next to Clean Clothing
Penalty
Summary
The facility failed to maintain a clean environment by improperly storing unwashed and unsanitized mattresses next to racks of clean resident clothing in the shared clean laundry room and central supply room. This was observed during a survey, where four unwashed mattresses were found leaning against a rack of lost and found clothes. The Housekeeping Supervisor confirmed that the mattresses were stored unwashed and in contact with clean clothes, which is against the facility's policy for cleaning and disinfection of resident-care items and equipment. Interviews with staff revealed a lack of adherence to proper cleaning protocols. The Housekeeping Supervisor mentioned that lost and found clothes should be covered to keep them clean, and that mattresses are only cleaned when needed for replacement. The Central Supply Supervisor acknowledged that mattresses should be cleaned before storage, not just before use. The Director of Nursing and the Administrator both recognized the issue, with the DON stating that staff would be reeducated, and the Administrator expressing immediate concern and intent to address the situation.
Failure to Maintain Safe Operating Conditions for Laundry Dryers
Penalty
Summary
The facility failed to maintain the laundry dryers in safe operating conditions, as evidenced by significant lint accumulation in the dryer vent filters and exhaust ducts. Observations revealed multiple layers of lint buildup on the dryer vent filters, with some lint hanging loose, and a substantial amount of lint inside the bottom compartments of the dryers. The Housekeeping Supervisor acknowledged that the lint filters should have been cleaned after every two dryer loads and at the end of each shift, but this was not done. Additionally, the facility could not produce the cleaning schedule check-off sheets to verify when the filters were last cleaned. Further inspection showed that the back of the dryers and the floor were covered with a thick layer of lint and dust, and the dryer ductwork had a significant lint buildup. The Maintenance Director stated that the back of the dryers was cleaned every three months, but no records were kept to confirm this. The Regional Maintenance Supervisor mentioned that the dryer duct on the rooftop was last cleaned in November 2024, but could not provide documentation. The facility's Dryer Filter Log Binder only contained records for eight days in November 2024, and there were discrepancies between the log binder and the Dryer Lint Removal Sign Off sheets, indicating a lack of consistent maintenance and documentation practices.
Failure to Securely Store OTC Medications
Penalty
Summary
The facility failed to ensure that over-the-counter (OTC) medications were securely stored, as required by their policy. During an observation and interview with the Central Supply Supervisor (CSS), it was revealed that a 100-tablet count unopened bottle of acetaminophen 500 mg was found in a supply cart within the central supply stockroom. The CSS acknowledged the presence of the medication in the cart and explained that due to a lack of space in the medication rooms, the acetaminophen was temporarily stored in the cart along with other supplies such as briefs, wipes, and personal protective equipment (PPE). The CSS mentioned that the cart was used to deliver supplies to the halls and that any extras were left in the cart until they could be returned to central supply. The Director of Nursing (DON) and the Administrator both confirmed that the practice of storing medications in the supply cart was not acceptable and acknowledged that all medications, including overstock and OTC drugs, should be locked up. The DON stated that the CSS would be re-educated on the proper storage procedures. The Administrator expressed immediate concern and indicated an intention to address the issue promptly. The report highlights a lapse in adherence to the facility's medication storage policy, which could potentially allow unauthorized access to medications.
Failure to Adhere to Therapeutic Diet Order for Resident with Dysphagia
Penalty
Summary
The facility failed to provide a therapeutic diet as ordered for a resident diagnosed with dysphagia, flaccid hemiplegia, and aphasia following a cerebral infarction. The resident, who had severely impaired cognitive skills and memory problems, was observed eating a lunch meal that included cornbread, despite a physician's order specifying a regular diet with no cornbread. This order was in place due to the resident's difficulty swallowing cornbread, as noted by the Speech Therapist (ST) who had observed the resident coughing and taking several minutes to recover after eating cornbread during a previous meal. The Dietary Manager confirmed that the resident was incorrectly served cornbread and acknowledged that dietary staff needed to read meal tray slips more closely to ensure compliance with dietary restrictions. The resident's meal tray slip clearly indicated the restriction, yet the oversight occurred, potentially creating a choking or swallowing hazard for the resident. The ST had been working with the resident to assess the possibility of upgrading his diet, but the resident was still not to receive cornbread, highlighting a lapse in adherence to prescribed dietary orders.
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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 Macon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Zebulon Park Health And Rehabilitation | 3.8 mi | ★★★★★ | 3 | 0 |
| Carlyle Place | 4.5 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Peake | 5.1 mi | ★★★★★ | 4 | 0 |
| Pruitthealth - Macon | 9.5 mi | ★★★★★ | 0 | 0 |
| Medical Management Health And Rehab Center | 9.6 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 July 2026) and official state health department websites.