Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Cumming Operating Company Llc during CMS and state inspections, most recent first.
Unsafe hot water temperatures were found in multiple resident rooms and both shower rooms on the 200 and 300 Halls. A Maintenance Director checked the water and recorded readings as high as 128.5°F, while also stating he knew temperatures should be below 110°F and that he checked them weekly. The Administrator confirmed awareness of the elevated temperatures after being told by the Maintenance Director.
The facility failed to label and date food items in a freezer, did not discard expired snack cookies in two pantries, and did not maintain sanitary conditions for an ice machine. Additionally, expired water bottles were found in the emergency water supply. The Regional Manager acknowledged the oversight in labeling and dating frozen items and was uncertain about who was responsible for checking the pantries.
The facility failed to maintain clean HVAC filters in several resident rooms, as observed during a survey. Thick grayish white dust particles covered the filters, indicating a lapse in maintaining a sanitary environment. Interviews revealed inconsistencies in the cleaning process, with no log or tracker to document maintenance. The Maintenance Director and housekeeping staff confirmed the issue, highlighting a deficiency in adhering to facility policies.
The facility failed to secure a Schedule IV medication under double lock and key in one of the medication storage rooms. An LPN confirmed that the medication room was locked, but the refrigerator inside had no lock, and the emergency box containing Ativan was only secured with a plastic tear-away lock. The facility's policy requires double lock security for such medications, but there was a lack of clarity on what constitutes a double lock.
A facility failed to maintain a resident's dignity during incontinent care. A CNA, on her first day at the facility, provided care without fully closing the privacy curtain and left the room door open, exposing the resident. The CNA was unaware of the open door and incomplete curtain closure. The Nurse Manager confirmed that CNAs are trained on residents' rights and dignity during orientation.
The facility failed to include PICC lines in the care plans for two residents, despite their use for administering prescribed medications. One resident had conditions including diabetes and osteomyelitis, while the other had anemia and an abscess. The omissions were confirmed by the MDS Coordinator.
Unsafe Hot Water Temperatures on 200 and 300 Halls
Penalty
Summary
The facility failed to ensure hot water temperatures remained within safe limits in 10 of 24 rooms on the 200 Hall and 300 Hall, including multiple resident rooms and both hall shower rooms. During observation on 12/2/2025, water in one room was hot to the touch. When the Maintenance Director checked temperatures in the affected areas, readings included 126.0°F, 127.0°F, 125.0°F, 122.7°F, 127.0°F, 127.0°F, 126.0°F, and 128.5°F. The Maintenance Director stated he knew hot water temperatures should be below 110°F and said he checked water temperatures weekly. He also reported that the mixing valve had been changed about three weeks earlier and produced an invoice showing a mixing valve purchased on 10/22/2025 and installed on 11/13/2025. On later rechecks, temperatures in the same areas remained elevated in some locations, including 110.2°F in the 200 Hall shower room and 111°F in two rooms, before subsequent checks showed lower readings in the 89.9°F to 95.2°F range. The Administrator stated that water checks were expected to be done weekly by the Maintenance Director and confirmed awareness of the hot water temperatures on the 200 and 300 Halls after being told by the Maintenance Director on 12/2/2025.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to its policy on date marking for food safety, resulting in unlabeled and undated food items in one of the freezers. Specifically, 34 porkchops, eight chicken breasts, and six hamburger patties were found without labels or dates, which is a violation of the facility's policy that requires food to be clearly marked with the date of opening or preparation and the date by which it should be consumed or discarded. Additionally, the facility did not discard expired snack cookies found in two pantries, with a total of 22 expired cookies identified. The facility's policy mandates that the Head Cook or designee checks the refrigerator daily for expiring items, and the Dietary Manager or designee spot checks weekly, but these procedures were not followed. Furthermore, the facility did not maintain proper sanitary conditions for one of the ice machines, which was found to have a dirt-like substance despite being cleaned the previous day. The emergency water supply was also not properly managed, as 140 expired 240 mL water bottles and four cases of one-gallon water bottles were found. The Regional Manager acknowledged the oversight in labeling and dating frozen items and was uncertain about who was responsible for checking the pantries, indicating a lack of clarity in roles and responsibilities regarding food safety and storage.
Failure to Maintain Clean HVAC Filters
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, specifically regarding the HVAC unit vents in several resident rooms. Observations revealed that the filters in rooms 103, 100, 101, 104, 105, and 106 were covered with thick grayish white dust particles. This condition was identified during a survey that included staff interviews, record reviews, and policy reviews. The facility's policies, titled Resident Environmental Quality and Safe and Homelike Environment, outlined the requirement for maintaining a safe, functional, sanitary, and comfortable environment. However, the presence of dust on the HVAC filters indicated a lapse in adherence to these policies. Interviews with the Maintenance Director and housekeeping staff revealed inconsistencies in the cleaning and maintenance process for the HVAC units. The Maintenance Director confirmed the dust buildup and stated that housekeeping was responsible for monitoring and cleaning the filters monthly. However, the housekeeper admitted to checking the vents every couple of weeks and cleaning them monthly, but there was no log or tracker to document which rooms had been serviced. The Housekeeping Supervisor expected staff to clean the filters at least monthly and mentioned having a daily checklist, which was not consistently used. This lack of systematic tracking and adherence to cleaning schedules contributed to the deficiency in maintaining a clean and sanitary environment.
Deficiency in Securing Schedule IV Medication
Penalty
Summary
The facility failed to ensure that a Schedule IV medication was secured under double lock and key in one of the two medication storage rooms. During an observation and interview, it was noted that the medication room on the 400 hall was locked, and the nurse held the key. However, the refrigerator within the room had no lock, and the emergency box inside, which contained Ativan 2mg injectable, was only secured with a plastic tear-away lock. The Licensed Practical Nurse (LPN) present confirmed the presence of Ativan but was unsure if it was properly secured. The facility's undated policy on Medication Storage requires that Schedule II drugs and backup stock of Schedule III, IV, and V medications be stored under double lock and key. An interview with the facility pharmacist indicated that the plastic tear-away lock met the requirement for double lock security for controlled drug storage. However, the Director of Nursing (DON) confirmed that controlled substances should be kept under double lock but did not specify what constitutes a double lock. This discrepancy in understanding and implementation of the policy led to the deficiency.
Failure to Ensure Privacy During Incontinent Care
Penalty
Summary
The facility failed to maintain the dignity and respect of a resident during incontinent care. On 8/13/2024, a Certified Nursing Assistant (CNA) was observed providing care to a resident, R132, without ensuring privacy. The privacy curtain in the resident's room was not fully closed, leaving the resident exposed to anyone entering the room. Additionally, the room door was left open, and the resident was naked from the waist down. The CNA involved was an agency staff member working her first day at the facility. She admitted to being unaware that the door was open and confirmed that she did not close the curtain completely. The Nurse Manager stated that all CNAs are required to know about residents' rights and receive in-service education on treating residents with dignity during orientation.
Failure to Include PICC Line in Care Plans
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for two residents, R8 and R59, that addressed their peripherally inserted central catheter (PICC) lines. For R8, the electronic medical record indicated diagnoses including type 2 diabetes mellitus with foot ulcer, vascular dementia, and other conditions. The physician's orders included Daptomycin for infection treatment, but the care plan did not address the PICC line used for administering the medication. The omission was confirmed by the Minimum Data Set (MDS) Coordinator during an interview. Similarly, for R59, the electronic medical record showed diagnoses such as anemia, colostomy, and chronic pain. The physician's orders included Invanz for treating an abscess, but the care plan also failed to address the PICC line. This oversight was similarly confirmed by the MDS Coordinator, who acknowledged the absence of the PICC line in the care plan.
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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 Cumming
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chestnut Ridge Nsg & Rehab Ctr | 0.9 mi | ★★★★★ | 17 | 0 |
| Pruitthealth - Lanier | 9.7 mi | ★★★★★ | 0 | 0 |
| D Scott Hudgens Center For Skilled Nursing, The | 12.1 mi | ★★★★★ | 2 | 0 |
| Salude - The Art Of Recovery | 12.6 mi | ★★★★★ | 0 | 0 |
| Crossroads Of Flowery Branch Of Journey Llc, The | 13.8 mi | ★★★★★ | 15 | 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.