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 Etowah Landing during CMS and state inspections, most recent first.
The facility failed to follow infection control practices for a resident with a catheter and a resident with a trach, and failed to keep clean and soiled equipment properly separated. A catheter bag was observed resting on the floor, a trach O2 water bottle was empty and on the floor, and the clean/soiled utility room contained mixed dirty equipment with no clear way to identify what was clean or contaminated.
A facility failed to maintain a clean, comfortable, and homelike environment on two units. Surveyors observed dusty PTAC units, dirty and malodorous rooms, a broken bathroom tissue holder, and residents lying on beds with improper linens, including bare mattresses, missing fitted sheets, and a pillow without a pillowcase. Staff interviews showed conflicting accounts about linen availability and room cleaning, and the MDS/maintenance records did not document PTAC filter cleaning or replacement.
Unlocked Medication and Treatment Carts: Springs Medication Cart #1, Springs Medication Cart #2, and Meadows Treatment Cart #1 were observed unlocked and unattended during survey observations. An LPN confirmed the treatment cart had been left open, and the facility policy required drug and biological storage compartments to be locked when not in use.
Failure to provide fingernail care for two residents. One resident with dementia, anxiety, and depression was observed with long nails and heavy debris under the nail beds, despite care plan directions for staff to check, clean, and trim nails. Another resident with dementia, diabetes, and pneumonia was observed with long, jagged, dirty nails, including nails digging into a contracted palm. MDS assessments showed both residents depended on staff for personal hygiene, bathing, and grooming, and records did not show refusals of nail care.
Failure to provide ordered restorative ROM and hand splinting for a resident with contractures. The resident, who had dementia and was dependent on staff for personal care, was observed with both hands contracted and no splints or rolled washcloths in use. The EMR showed no documentation that restorative splinting was provided for 13 of 13 days reviewed, and staff, including CNAs and the DON, confirmed the splints and ROM were not being done as ordered.
A resident with heart disease, dementia, and hypertension did not receive prescribed diltiazem for 10 days due to a DON entering an incorrect start date for the new order in the EMR, resulting in a lapse in administration and an increase in blood pressure during this period.
The facility did not provide written notification of hospital transfers to three residents or their representatives, as required by policy. Instead, transfer forms were sent with emergency personnel, and families were notified by phone, but no written notices were documented in the medical records. The residents involved had complex medical conditions and were transferred for issues such as falls, altered mental status, and chest pain.
Infection Control Failures With Resident Equipment and Utility Room Separation
Penalty
Summary
The facility failed to implement infection prevention and control practices for two sampled residents, including a resident with a catheter and a resident with a tracheostomy, and failed to ensure proper cleaning, disinfection, and separation of reusable resident care equipment in the clean and soiled utility rooms. The facility policy titled Cleaning and Disinfection of Resident-Care Items and Equipment stated that resident-care equipment, including reusable items and durable medical equipment, would be cleaned and disinfected according to CDC recommendations and the OSHA Bloodborne Pathogens Standard. For one resident, a catheter bag was observed hanging on the bed rail and resting on the floor while the resident was in bed with the bed in the lowest position. An LPN confirmed the catheter bag was on the floor and moved it so it was not resting there. On a later observation, the catheter bag was again observed hanging on the bed rail and resting on the floor, and a CNA confirmed it was on the floor and stated she had not yet gotten to the room to provide care that day. For another resident with a trach, an oxygen concentrator was observed actively on with an empty water bottle on the floor outside the room. The Staffing Coordinator confirmed the resident had a trach and that the bottle should not be empty or on the floor. The resident stated he had not had a water bottle in a couple of weeks and had asked for it to be replaced. The RT later removed the old bottle and replaced it with a full bottle, confirming the bottle should not have been on the floor, should be changed daily, and had no date or label showing when it was last changed. In addition, the clean and soiled utility room contained used and dirty equipment on both sides, including oxygen concentrators, pulse oximeters, suction machines, folding chairs, IV poles, and vital sign machines, with no way to tell what was clean or dirty and no cleaning supplies or PPE present. The weekend supervisor and RT both confirmed the equipment was mixed together and that there was no indication of what was clean or contaminated. Dirty oxygen concentrators and visibly soiled recliners and wedges were also observed in the hallway, and the weekend supervisor confirmed they were dirty and belonged in the soiled utility room.
Unclean rooms, improper linens, and poor maintenance of resident areas
Penalty
Summary
The facility failed to ensure a clean and homelike environment on the Meadows Unit and the Springs Unit. During observations, the Packaged Terminal Air Conditioners in the Meadows Dining Room had a thick buildup of dust. In one room, the floor was dirty with food particles and sticky throughout the walking area, the wall behind the B bed was splattered with a brown substance, there was a strong urine odor in the room and bathroom, and the tissue holder in the bathroom was broken and/or missing a cover. Several residents were observed with improper bed linens in place. One resident was lying in bed with the flat sheet bunched up under the lower body and not visible under the upper body. Another resident was sleeping on a mattress without a fitted sheet or standard linens, and a blue striped pillow was on the bed without a pillowcase. In another room, the upper and lower mattresses were exposed and the flat sheet had slid to the middle of the mattress and was bunched up under the resident. A different resident was observed lying halfway on a bare mattress, with a top sheet being used as a fitted sheet so that the mattress was exposed at the top and bottom. Interviews and record review showed staff awareness of the linen and housekeeping issues. A CNA stated there were plenty of sheets for standard beds but that the sheets did not fit larger or oversized beds, and that residents ended up sleeping on bare mattresses. The resident in the bariatric bed stated the facility did not have fitted sheets for the bed and that housekeeping did not clean the room every day. Other staff stated the facility had plenty of linen and that regular mattresses should have fitted sheets, while the Housekeeping Supervisor confirmed the room was not clean and the Maintenance Director confirmed the broken tissue holder. The Maintenance Director also stated PTAC filters were to be washed monthly and replaced quarterly, but the maintenance report did not document which PTAC unit filters were cleaned or replaced.
Unlocked Medication and Treatment Carts
Penalty
Summary
The facility failed to ensure that three of seven medication and treatment carts were locked and secure when not in use. During entry into the facility, Springs Medication Cart #1 and Springs Medication Cart #2 were observed unlocked and unattended while two staff members were seated behind the Springs Nursing Station. During the initial tour, Meadows Treatment Cart #1 was also observed unlocked and unattended, and an LPN confirmed that the treatment cart had been left open, stating that the wound care nurse must have left it open the day before. A review of the facility’s Medication Cart/Storage document identified five medication carts and two treatment carts, and the Medication Storage Policy stated that drugs and biologicals must be stored in a safe, secure, and orderly manner and that compartments containing drugs and biologicals must be locked when not in use and not left unattended if open.
Failure to Provide Fingernail Care
Penalty
Summary
The facility failed to provide ADL care for two sampled residents, R2 and R9, related to fingernail care. R9, who had diagnoses including unspecified dementia, anxiety, and depression, was observed on two occasions with long fingernails and a heavy accumulation of brown debris under the nail beds. The quarterly MDS showed R9 was dependent on staff for personal hygiene and required maximum assistance with bathing. The care plan revised 02/26/2026 directed staff to check nail length, trim and clean nails on bath day and as necessary, and report changes to the nurse, but the care record, progress notes, and Kardex did not show documentation that R9 refused fingernail care. R2, who had diagnoses including non-Alzheimer's dementia, diabetes, and pneumonia, was observed with long, jagged, green, dirty fingernails, and later the wound care nurse demonstrated that R2's right hand was contracted with fingernails digging into the palm. Both hands had long nails with rough edges and debris under the nails and on the fingers. R2 stated her fingernails needed to be trimmed because of how her hands were. The MDS showed R2 was dependent on staff for personal hygiene, bathing, and grooming, and the care record, progress notes, and Kardex did not show documentation that R2 refused fingernail care. Staff interviews confirmed that CNA staff should provide nail care with bathing, refusals should be documented, and the DON stated there was no documentation over the past couple of weeks showing refusals for R2 or R9.
Failure to Provide Ordered Restorative ROM and Hand Splinting
Penalty
Summary
The facility failed to ensure that one of two sampled residents, R2, received restorative services to maintain range of motion and prevent worsening contractures. R2 was admitted with diagnoses including non-Alzheimer's dementia, diabetes, and pneumonia, and the MDS showed she was dependent on staff for personal hygiene, bathing, and grooming. The record also showed she had contractures and had been discharged from therapy to restorative nursing for continued bilateral upper extremity range of motion and splinting to both hands at night. During observations, R2 was seen in bed with her left hand contracted and flexed, with the fingers tightly drawn together, and no splints were visible in the room. On another observation, the wound care nurse demonstrated that R2's right hand was closed and contracted, with the fingernails digging into the palm, and again no splints or rolled washcloths were in use. The physician order directed staff to clean both hands, apply rolled washcloths daily and as needed, and check the skin under and around the splints every day and night shift. Review of the April 2026 care record failed to show documentation that restorative splinting was provided for 13 of 13 days reviewed. Staff interviews showed the assigned CNAs did not apply the splints or perform the ROM, and several stated they had not been trained on resident-specific splinting or ROM for R2. The DON confirmed no one signed off for splinting the prior night, meaning it was not done, and stated there was no documentation that R2 refused the splints. The MDS Coordinator stated R2 required restorative services to prevent the contractures from worsening.
Failure to Administer Blood Pressure Medication as Ordered
Penalty
Summary
A deficiency occurred when a resident admitted for a 14-day respite stay with diagnoses including heart disease, dementia, and hypertension did not receive their prescribed blood pressure medication, diltiazem, for 10 consecutive days. The physician had changed the order from immediate release diltiazem to a 24-hour extended release formulation, and the DON entered the new order into the electronic medical record. However, the start date for the new medication was incorrectly entered as 10 days later than intended, and the previous order was discontinued on the same day the new order was written. As a result, there was no active order for diltiazem during this period, and the medication was not administered as prescribed. The medication administration record showed no documentation of diltiazem being given during these 10 days, and the resident's blood pressure increased during this time. The DON confirmed the error in the start date and acknowledged that diltiazem is a significant medication that should have been administered daily as ordered.
Failure to Provide Written Notification of Hospital Transfers
Penalty
Summary
The facility failed to provide written notification of hospital transfers to residents and/or their representatives for three residents reviewed. According to the facility's policy, written notice of transfer or discharge should be documented in the medical record and provided to the resident or their legal representative. However, for all three residents, there was no evidence in the electronic medical record (EMR) that such written notification was given. Instead, transfer forms were sent with emergency or transportation personnel to the receiving hospital, but not to the residents or their representatives. Staff interviews confirmed that while phone calls were made to notify families, no written notices were provided. The residents involved had significant medical histories, including diagnoses such as metabolic encephalopathy, Alzheimer's disease, repeated falls, resistance to multiple antimycobacterial drugs, dehydration, atrial fibrillation, dementia, depression, anxiety disorder, hypertension, heart failure, and chronic obstructive pulmonary disease. One resident was transferred after a witnessed fall with head and hip injury, while another was transferred multiple times for altered mental status, fever, and chest pain. Despite these events, there was no documentation of written notification of the transfers to the residents or their representatives, as required by facility policy.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fifth Avenue Health Care | 1.4 mi | ★★★★★ | 9 | 0 |
| Winthrop Health And Rehabilitation | 2.1 mi | ★★★★★ | 4 | 0 |
| Harborview Rome | 3.3 mi | ★★★★★ | 6 | 0 |
| Magnolia Place Nursing And Rehabilitation | 3.4 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Rome | 4.1 mi | ★★★★★ | 7 | 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.