Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Emanuel County Nursing Home during CMS and state inspections, most recent first.
The facility's water management program was found to be inadequate and not in compliance with ASHRAE guidelines, lacking detailed descriptions and control measures to prevent Legionella growth. Interviews revealed that while the Maintenance Director conducted some testing, there was no formal water management plan in place, as confirmed by the DON.
The facility failed to monitor antipsychotic medications for three residents, leading to a deficiency in medication management. Despite policies requiring documentation of behaviors, side effects, and efficacy, the facility did not adhere to these guidelines. Residents were prescribed psychiatric medications, but specific behavior monitoring and adverse reaction documentation were lacking. Interviews with staff confirmed the absence of precise monitoring practices.
A facility failed to ensure medications administered to a resident with COPD and heart failure were not expired. During a medication pass, a nurse identified expired fluticasone propionate spray and Refresh Tears, contrary to facility policies requiring expiration checks. The DON acknowledged the risk of infection from expired medications.
A facility failed to offer a resident the opportunity to receive updated pneumococcal vaccinations in line with CDC guidelines. The resident's records showed previous vaccinations, but there was no indication of being offered the newer PCV20 or PCV21 vaccines. The facility's reliance on a state system lacking updated CDC guidance contributed to this oversight, as acknowledged by the DON and Administrator.
Inadequate Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to implement an adequate water management program, which is essential for preventing the growth and spread of Legionella bacteria, a serious health risk in healthcare settings. The facility's water management program was found to be incomplete and not aligned with the current ASHRAE guidelines. Specifically, the program did not include a detailed description or flow diagrams of the building's water systems, which are necessary to identify potential areas where Legionella could grow and spread. Additionally, the program lacked control measures and monitoring procedures to ensure the effectiveness of the water management plan. During interviews, the Maintenance Director mentioned that the facility conducted Legionella testing and risk assessments, and monitored water temperatures in resident rooms weekly. However, the Director of Nursing acknowledged the absence of a formal water management plan and expressed an expectation to follow CDC guidance. The deficiency was identified through observations, staff interviews, and a review of relevant guidelines and facility documents, highlighting the potential risk of Legionella exposure to residents.
Failure to Monitor Antipsychotic Medications
Penalty
Summary
The facility failed to ensure proper monitoring of antipsychotic medications for three residents, R17, R21, and R40, leading to a deficiency in medication management. The facility's policy required that each resident's medication administration record (MAR) include documentation of behaviors, side effects, and efficacy of antipsychotic medications. However, the facility did not adhere to this policy, as evidenced by the lack of specific targeted behavior monitoring and side effect documentation for these residents. Resident R17, who was severely cognitively impaired, was prescribed Zyprexa for depression. Despite the care plan indicating the need to monitor for adverse side effects and efficacy, there was no evidence of specific behavior monitoring related to the use of Zyprexa. Similarly, Resident R21, who was cognitively intact, was prescribed multiple psychiatric medications, including Geodon for schizophrenia. The facility monitored general behaviors but failed to document specific behaviors or adverse reactions related to each medication. Resident R40, also severely cognitively impaired, was prescribed several antidepressants. The facility's monitoring was not specific to the medications ordered, and there was no documentation of adverse effects or efficacy. Interviews with the Director of Nursing and the Pharmacist confirmed the lack of precise monitoring for behaviors, side effects, and efficacy specific to the medications. The Registered Nurse also indicated uncertainty about where to document such observations, highlighting a systemic issue in the facility's medication monitoring practices.
Expired Medications Found During Medication Pass
Penalty
Summary
The facility failed to ensure that medications administered to a resident were not expired, as observed during a medication pass. Specifically, two medications for a resident with chronic obstructive pulmonary disease (COPD) and unspecified systolic heart failure were found to be expired. The medications included fluticasone propionate spray, which was dispensed and began use without an open date or expiration date, and Refresh Tears, which was dispensed on a specific date and expired shortly thereafter. This oversight was confirmed by a registered nurse during the medication pass. The facility's policies, revised and approved in April 2024, require nurses to check medication labels for expiration dates during each medication pass and to remove any expired drugs from the medication chart. However, these procedures were not followed, as evidenced by the expired medications found on the medication cart. The Director of Nursing acknowledged that expired nasal and ophthalmic drops could increase the risk of infections, indicating a failure to adhere to the facility's medication management policies.
Failure to Offer Updated Pneumococcal Vaccinations
Penalty
Summary
The facility failed to offer a resident, identified as R28, the opportunity to receive flu and pneumonia vaccinations in accordance with nationally recognized standards. The facility's policy on immunizations, dated May 22, 2024, was not updated to reflect the current CDC recommendations. The CDC guidelines indicated that adults of a certain age have the option to receive Prevnar 20 (PCV20) or PCV21, or to not receive additional pneumococcal vaccines, depending on their vaccination history. However, R28's electronic medical record did not show any indication of being offered the PCV20 or PCV21 vaccine after receiving previous pneumococcal vaccinations, specifically Pneumovax 23 in 2010 and PCV13 in 2015. Interviews with the Director of Nursing (DON) and the Administrator revealed that the facility relied on a state online system for immunization records, which did not have updated CDC guidance. The DON acknowledged the importance of following CDC recommendations, while the Administrator admitted that the facility failed to identify and apply the current CDC recommendations to their policy. This oversight had the potential to place R28 at risk of contracting pneumonia and other residents at risk of not being offered immunizations based on current guidelines.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 57 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Swainsboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Swainsboro | 7.7 mi | ★★★★★ | 6 | 0 |
| Twin City Trails Of Journey Llc | 10.8 mi | ★★★★★ | 9 | 0 |
| Scott Health & Rehabilitation | 14.6 mi | ★★★★★ | 5 | 0 |
| Comfort Creek Nursing And Rehabilitation Center | 18.9 mi | ★★★★★ | 10 | 0 |
| Treutlen County Health And Rehabilitation | 20.1 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.