Average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Harborview Health Systems Thomaston during CMS and state inspections, most recent first.
Staff did not label or date opened food items and failed to discard expired foods in the kitchen's walk-in refrigerator and freezer, as confirmed by dietary management and in violation of facility policy. This affected food provided to 101 residents receiving oral diets.
Surveyors found that open containers of glucometer strips on two medication carts were missing open dates, and an expired albuterol sulfate inhaler was present on one cart. Staff interviews confirmed that open dates were not being recorded and expired medications were not consistently removed, contrary to facility policy and manufacturer instructions.
A resident with multiple medical conditions and moderate cognitive impairment was unable to get out of bed and participate in activities due to the facility's lack of a bariatric geriatric chair. Staff confirmed that only one such chair was available and already in use by another resident, while the resident's regular wheelchair caused discomfort. The DON acknowledged the equipment shortage, and the Administrator could not confirm how many residents required or had access to bariatric geriatric chairs.
The facility failed to maintain a clean environment in Units 400, 500, and 600, where a strong urine odor was observed in hallways, rooms, and bathrooms. Housekeeping staff reported frequent urination on floors by male residents, leading to persistent odors and stains. The Environmental Services Manager acknowledged the issue, noting that not all cleaning carts had the necessary urine remover, and housekeepers were observed cleaning without carts.
A resident's medications were not administered according to physician orders and professional standards. An LPN administered eight medications scheduled for the morning at 12:24 pm, outside the allowed time frame. The delay was due to the LPN attending to other duties. The Unit Manager confirmed the timing error, and the Nurse Practitioner was contacted to reevaluate the resident.
A resident with diabetes and morbid obesity, requiring substantial assistance for personal hygiene, was not provided adequate incontinent care. Despite being always incontinent, the resident's brief was changed only once per day, contrary to the care plan. Staff interviews revealed routine brief changes only once per shift, and there were conflicting reports about the resident refusing care. This deficiency risked the resident's quality of life.
A resident with bipolar disorder and insomnia exhibited behavioral issues, including profanity towards staff and interference with other residents' care. Despite multiple warnings, the facility failed to provide necessary psychological services due to payor source issues, and no interventions were documented in the care plans to address these behaviors. The resident was not seen by psychological services until months after the initial issues were noted.
Failure to Date and Discard Expired Food Items in Kitchen Storage
Penalty
Summary
Staff failed to ensure that opened food items in the walk-in refrigerator and freezer were properly dated and labeled, and did not discard food items that were past their best if used by date. During an observation, several food items, including pies, French toast, bread products, hashbrowns, and bananas, were found without open or use-by dates, and some were expired. Additionally, a box of bananas was observed with some bananas peeled and flies present. Interviews with the Dietary Manager, National Director of Dining, and Certified Dietitian confirmed that all food items should have been labeled with open and use-by dates, as required by the facility's Food Receiving and Storage policy. The failure to follow these procedures was directly observed and acknowledged by staff, affecting the food provided to 101 residents receiving oral diets from the kitchen.
Failure to Label Glucometer Strips and Remove Expired Medication
Penalty
Summary
Surveyors observed that the facility failed to properly label and store medications in accordance with professional standards and facility policy. Specifically, on two separate medication carts (100 and 300 Hall), open containers of glucometer strips were found without open dates, despite manufacturer instructions requiring use within six months of opening. Additionally, an expired albuterol sulfate inhaler was found on the 100 Hall medication cart. The facility's policies require medications to be labeled with expiration dates and for expired medications to be removed, but these procedures were not followed. Interviews with staff, including an LPN and the DON, confirmed that open dates were not being placed on glucometer strip containers and that expired medications were present on the carts. Staff acknowledged that without open dates, it would be unclear when the strips should be discarded, and that expired medications should not be available for use. The DON also noted uncertainty regarding the ownership of the expired inhaler and stated that medications sometimes arrive without proper labeling.
Failure to Provide Appropriate Equipment for Resident Mobility
Penalty
Summary
The facility failed to accommodate the needs of one resident by not providing appropriate equipment to assist her in getting out of bed, despite her expressed interest in participating in activities. The resident, who had multiple diagnoses including heart failure, hypertension, morbid obesity, and osteoarthritis, was assessed as having moderate cognitive impairment and required assistance with transfers and mobility. She reported to staff that she wanted to get out of bed and participate in activities, but staff were unable to assist her due to the lack of a bariatric geriatric chair that could accommodate her size. Staff interviews confirmed that only one bariatric geriatric chair was available on the floor, which was already in use by another resident, and that the resident's regular wheelchair caused her discomfort. The DON acknowledged that three residents required such a chair, but the facility only had one available. The Administrator was unable to confirm the number of residents needing bariatric geriatric chairs or the number available in the facility. This lack of appropriate equipment resulted in the resident remaining bedbound and unable to participate in desired activities.
Persistent Urine Odor in Facility Units
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment in three of its six units, specifically Units 400, 500, and 600. Observations revealed a strong odor of urine in the hallways, resident rooms, and bathrooms of these units. The flooring around the base of the toilets in shared bathrooms was discolored by urine stains, and urine was present around the base of the toilets. Interviews with housekeeping staff indicated that bathrooms should be cleaned every two to three hours, but the presence of male residents who frequently urinate on the floors has led to persistent urine odors and stains. The Director of Maintenance and Housekeeping, who also serves as the Environmental Services Manager, acknowledged awareness of the issue but noted that not all cleaning carts were equipped with the necessary urine remover cleaning agent. Observations showed that housekeepers were cleaning without the use of cleaning carts, which is against the facility's policy. The Ombudsman confirmed the presence of urine odors during a previous visit, and further observations on a subsequent day confirmed the ongoing issue. Housekeeping staff reported efforts to clean the bathrooms multiple times during shifts, but the problem persisted.
Medication Administration Timing Deficiency
Penalty
Summary
The facility failed to administer medications according to physician orders and professional standards for a resident during a medication pass. The policy titled 'Medication Administration' requires medications to be administered by licensed nurses or authorized staff as ordered by the physician, within a specific time frame to prevent contamination or infection. During an observation, an LPN administered eight medications to a resident at 12:24 pm, which were scheduled for the morning. The medications included calcium carbonate, lacosamide, metoprolol tartrate, nifedipine ER, digoxin, Januvia, Zoloft, and Vitamin D3. The LPN confirmed that the medications should have been given in the morning but were delayed due to other duties such as answering phone calls and speaking with a supervisor. The E-MAR indicated that the medications were documented as administered at 1:22 pm, outside the allowed time frame. The Unit Manager confirmed that the medications should have been administered within one hour before or after 9:00 am, as per the facility's policy. This delay in medication administration was acknowledged by the LPN and the Unit Manager, who contacted the Nurse Practitioner to reevaluate the resident due to the delay.
Inadequate Incontinent Care for Resident
Penalty
Summary
The facility failed to provide necessary assistance with incontinent care for a resident, identified as R8, who was unable to perform activities of daily living independently. R8, who had diagnoses including diabetes mellitus type II and morbid obesity, was cognitively intact and required substantial assistance for personal hygiene, toileting, and bathing. The resident was always incontinent of bowel and bladder and wore adult briefs at all times. Despite the care plan interventions that required staff to frequently check and assist R8 with perineal care, the resident reported that his brief was changed only once per day, typically during the overnight shift, and not during the current day shift. Observations and interviews revealed that R8 remained in the same gown and brief throughout the day, indicating a lack of care. Staff interviews confirmed that it was routine to change R8's brief only once during the day shift and once during the overnight shift. There were conflicting reports about whether R8 refused care, with staff suggesting refusals and the resident denying them. Additionally, it was noted that urine from R8's leaking brief sometimes accumulated on the floor, further indicating inadequate care. This deficiency placed R8 at risk for unmet needs and a diminished quality of life.
Failure to Provide Medically-Related Social Services for Behavioral Issues
Penalty
Summary
The facility failed to provide medically-related social services to a resident, identified as R9, who exhibited behavioral issues. The facility's policy required the social worker or social service designee to complete assessments and pursue the provision of needed services, including mental and psychosocial counseling. However, R9, who had diagnoses including bipolar disorder and insomnia, did not receive appropriate psychological services to address his behavioral issues, which included using profanity towards staff and interfering with other residents' care. R9's clinical records showed that he was on medications such as Sertraline and Lamictal for depression and bipolar disorder. Despite receiving multiple warnings for his behavior, there were no documented interventions in his care plans to address these behaviors. The facility's social service progress notes indicated that the social service director did not refer R9 for psychological services due to issues with the resident's payor source, and no further actions were taken to initiate these services. Interviews with facility staff, including the Director of Nursing and the Social Service Director, confirmed that R9 was not seen by psychological services until late September, months after the initial behavioral issues were noted. The delay was attributed to payor source issues, and the social service director did not recall the specific behaviors for which R9 received warnings. This lack of timely intervention and failure to provide necessary social services contributed to the deficiency identified in the report.
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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 Thomaston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverside Health And Rehabilitation | 2.1 mi | ★★★★★ | 5 | 0 |
| Providence Healthcare | 2.5 mi | ★★★★★ | 4 | 0 |
| Heritage Inn Of Barnesville Health And Rehab | 14.6 mi | ★★★★★ | 0 | 0 |
| Roberta Trails Of Journey Llc | 20.4 mi | ★★★★★ | 0 | 0 |
| Warm Springs Medical Center Nursing Home | 22 mi | ★★★★★ | 4 | 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.