Average — CMS composite of the measures below.
The next survey window likely opens around December 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 Heart Of Georgia Nursing Home during CMS and state inspections, most recent first.
Food Storage and Sanitizing Process Deficiencies: Surveyors found multiple food items in dry storage, coolers, freezers, and a resident pantry that were unlabeled, undated, or past use-by dates, including beverages, thickener, pasta, crackers, salad mix, slaw mix, vegetables, and thawed juices. A Dietary employee also failed to keep puree blender parts in sanitizing solution for the required time in the 3-compartment sink, and the CFM and RN Supervisor confirmed the improper dating and storage conditions.
Missing Stop Dates for PRN Psychotropic Medications: A resident with vascular dementia and severe agitation had PRN psychotropic orders for Ativan and Haldol entered without end dates. The consultant pharmacist had notified the physician that PRN antipsychotics require a hard 14-day stop unless the order is rewritten after a physical assessment, but the orders remained without stop dates. The MDS Coordinator, DON, LPN, RN, and physician all confirmed the missing end dates, and staff stated the medications were part of a hospice comfort pack.
A resident with neurologic deficits and unsteadiness had an inaccurate MDS 5-day assessment that showed no falls during the assessment period, even though the care plan documented falls and the MDS Coordinator confirmed the falls occurred and should have been coded.
Fall Prevention Care Plan Not Followed: A resident with CVA-related hemiplegia, poor coordination, and unsteadiness had a care plan that included a fall mat after repeated falls and attempts to roll out of bed at night. Staff observations found the mat placed at the head of the bed between the bed and the wall instead of beside the bed, and a CNA was unaware of the resident’s falls or the fall mat use. The MDS showed no falls, and the Kardex did not list the fall mat as an intervention.
Two residents received midodrine for hypotension without clear prescriber hold parameters being followed as ordered. For one resident, an LPN held the medication many times without a physician order or specific BP threshold and did not notify the physician. For another resident, staff used supplemental MAR parameters to give midodrine when SBP was above 110, even though that hold instruction was not on the original order. The DON stated medications should be given as ordered and physicians notified if a hold is needed.
Respiratory Masks Left Uncovered and Unbagged: The facility failed to keep respiratory equipment clean and properly stored for three residents receiving CPAP and nebulizer treatments. Observations showed CPAP masks and a nebulizer mask left uncovered on bedside tables or in a bed and not placed in labeled bags when not in use. An LPN confirmed the CPAP mask was uncovered and not bagged, and the DON and ICP stated respiratory masks were expected to be cleaned and stored properly when not in use.
A resident with moderate cognitive impairment experienced untreated oral pain due to the facility's failure to provide timely dental care and annual oral screenings. Despite being prescribed antibiotics for a tooth infection, the resident reported severe pain, and a dental appointment was delayed due to difficulties in finding a Medicaid-accepting dentist. The facility lacked a formal system for ensuring annual oral screenings for Medicaid residents.
Food Storage and Sanitizing Process Deficiencies
Penalty
Summary
The facility failed to ensure food items were labeled, dated, and used by the expiration date, and it also failed to maintain sanitary conditions when using a three-compartment sink. Review of facility policies showed requirements for ingredient bins, refrigerated and frozen foods, and dry goods to be labeled, dated, and used by a specified date. The sanitizer signage above the three-compartment sink directed that all surfaces of equipment, ware, or utensils be exposed to sanitizing solution for not less than one minute and then air dried. During the initial kitchen tour, surveyors observed three plastic pitchers with beverages that were not labeled or dated, a container of thickener without an open date or use by date, a container labeled for cornmeal and ketchup that contained brown sugar with one opened bag lacking an open date, and a container of pasta without an open date or use by date. Additional observations included saltine crackers without a use by date, garlic Texas toast and individual orange juice containers in the walk-in cooler without use by dates, four bags of salad mix with a best by date of 12/25/2025 and lettuce turning brown with watery liquid in the bag, two bags of slaw mix without an in date or use by date, and bags of vegetables in the freezers without in dates or use by dates. The Certified Food Manager confirmed the items were not reflecting required dates and acknowledged the lettuce was beyond its use by date and the slaw bags lacked required dating. During the puree process, a Dietary employee washed the puree blender bowl, top, and blade in the three-compartment sink and then submerged and removed them from the sanitizing water in less than one minute on three separate observations. The employee initially stated the items should be in the sanitizing sink for at least 10 seconds, while the poster above the sink stated no less than one minute. In the resident food pantry, surveyors found thawed orange juice and cranberry juice without use by or expiration dates, pickles without a use by date, strawberry rice treats removed from their original container without an expiration date, and a bag of hamburgers in the freezer that was not labeled or dated. The RN Supervisor confirmed the unlabeled burgers and the juices and treats were stored without expiration dates and left available for resident consumption.
Missing Stop Dates for PRN Psychotropic Medications
Penalty
Summary
The facility failed to ensure a stop date was provided on PRN psychotropic medications for one resident with diagnoses including vascular dementia, severe with agitation. Review of the EMR showed an order for Ativan oral tablet 0.5 mg with a start date of 12/22/2025 and an order for Haloperidol Lactate oral concentrate 2 mg/ml to be given every 6 hours as needed for agitation, nausea, or vomiting with the same start date. The consultant pharmacist had previously notified the physician that PRN antipsychotics are limited to a hard 14-day stop unless the physician completes a physical assessment and rewrites the order, and the physician agreed and continued the Haldol order for 14 days. During interviews, the MDS Coordinator confirmed the Haldol PRN order had no end date and stated the hospice provider sends a list of medications that hospice residents will take and the facility writes the order as received from hospice. The DON stated she reviewed the pharmacy report for recommendations to add stop dates and confirmed Haldol requires a 14-day automatic stop date, while nursing staff had been educated about stop dates for PRN psychotropic medications. An LPN and an RN both reviewed the orders and confirmed that Haldol and Ativan had no end date, and the RN stated Ativan, Morphine, and Haldol were part of a comfort pack for hospice residents. The physician stated it was his understanding that pharmacy sends an automatic stop date for PRN psychotropic medications.
Inaccurate MDS Fall Assessment for a Resident
Penalty
Summary
R6, a resident with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, unspecified sequelae of cerebral infarction, other lack of coordination, and unsteadiness on feet, had an inaccurate MDS 5-day assessment. The MDS Section J: Health Conditions indicated no falls during the assessment reference period, but the care plan initiated on 7/21/2025 and revised on 8/20/2025 documented falls on 7/26/2025 and 8/20/2025. During interview, the MDS Coordinator confirmed that R6 had fallen on both dates and that the falls occurred within the assessment reference period and should have been captured on the MDS.
Fall Prevention Care Plan Not Followed
Penalty
Summary
The facility failed to ensure the fall prevention care plan was followed for one resident with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, unspecified sequelae of cerebral infarction, other lack of coordination, and unsteadiness on feet. The resident’s care plan, initiated on 7/21/2025 and revised on 8/20/2025, documented falls on 7/26/2025 and 8/20/2025, including being found lying on a fall mat beside the bed and, on one occasion, with a lower lip bleeding. The care plan also noted that the resident frequently attempted to roll out of bed during the night, and one intervention added on 7/25/2025 was a fall mat placed by the bed. Observations on 1/10/2026 and 1/11/2026 showed the resident in a low bed with the fall mat positioned at the head of the bed between the bed and the wall rather than beside the bed. A housekeeper confirmed the mat was not at the bedside, and a CNA stated she was not aware of any falls for the resident and was not aware of a fall mat being used, though she confirmed the mat was between the head of the bed and the wall when in the room. The MDS dated [DATE] documented no falls for the resident, while the MDS coordinator confirmed the resident had falls on 7/26/2025 and 8/20/2025. Review of the Kardex showed the fall mat was not listed as an intervention, and the LPN stated CNAs can access the Kardex for resident needs and that the hall nurse should verbally remind CNAs of resident needs.
Midodrine Held or Given Without Clear Prescriber Parameters
Penalty
Summary
The facility failed to provide midodrine for hypotension according to prescriber orders for two residents, R72 and R9. For R72, the physician order dated 10/25/2025 directed midodrine HCl 1 tablet by mouth three times a day for hypotension, but the order did not include a blood pressure parameter for holding the medication. An LPN stated there were no ordered blood pressure parameters and that the medication was held when blood pressure was elevated, but she could not state a specific number and did not contact the physician when holding the medication. The MAR showed midodrine was held 49 times between 11/5/2025 and 1/10/2026 without a physician order to hold it. For R9, the physician order dated 9/23/2025 directed midodrine HCl 5 mg by mouth three times a day for hypotension, but the order also did not specify a hold parameter. During observation and interview, an LPN stated the medication was given based on parameters shown in supplemental MAR documentation, which indicated to hold the medication if systolic blood pressure was greater than 110. The MAR showed midodrine was administered 106 times when systolic blood pressure was greater than 110. The DON stated she was unsure how the hold parameter of SBP greater than 110 was implemented and noted it appeared in supplemental documentation rather than the original order; she also stated her expectation was that staff give medications as ordered and notify the physician if there was a need to hold the medication. The facility policy titled Administering Medications stated medications are administered in accordance with prescriber orders.
Respiratory Masks Left Uncovered and Unbagged
Penalty
Summary
The facility failed to maintain the cleanliness of respiratory equipment for three residents receiving respiratory treatments. Review of the facility policy titled Nursing Standards of Practice: Respiratory Equipment, Care & Handling stated that respiratory equipment should be available for immediate use and kept in clean working condition, and that nebulizers should be emptied after each use, rinsed with water, air dried on a clean paper towel, and placed in a plastic bag after cleaning. R64 had diagnoses including COPD, cardiomegaly, interstitial pulmonary disease, and influenza with pneumonia, and had a physician order for CPAP at bedtime for OSA. Observations on 1/9/2026 and 1/10/2026 showed R64's CPAP machine not in use with the mask lying uncovered on the bedside table and later in the bed next to the resident, not bagged. During interview, an LPN confirmed the mask was uncovered and not bagged, stated she was responsible for ensuring respiratory masks were covered with a labeled and dated bag, and acknowledged she forgot to make sure it was done. R7 had diagnoses including COPD, chronic diastolic heart failure, dependence on supplemental oxygen, chronic atrial fibrillation, and OSA, with orders for CPAP at bedtime and oxygen as needed for shortness of breath. Observations on 1/9/2026 and 1/10/2026 showed R7's CPAP mask lying uncovered on the bedside table and not bagged. R92 had diagnoses including acute respiratory failure with hypoxia and COPD with exacerbation, with orders for oxygen, nebulizer treatments, and Trelegy Ellipta with instructions to rinse and spit after each dose. An observation on 1/9/2026 showed R92's nebulizer mask lying uncovered on the bedside table and not bagged. The DON and ICP nurse both stated their expectations were that respiratory masks be properly stored, covered, cleaned after use, and bagged when not in use.
Failure to Provide Timely Dental Care for Resident
Penalty
Summary
The facility failed to provide timely dental care and annual oral screenings for a resident, identified as R66, who experienced untreated oral pain. R66, who was moderately cognitively impaired, was documented to have an oral abscess and was prescribed Amoxicillin for a tooth infection. Despite the prescription, there was no follow-up to address the resident's ongoing oral pain, and the resident reported severe pain, rating it as 10 out of 10. The facility's comprehensive care plan for R66 included consulting with an oral surgeon and coordinating dental care, but these interventions were not effectively implemented. Interviews with the Social Services Director (SSD) and Business Office Manager (BOM) revealed that R66 was scheduled for a dental appointment several months later, in January 2025, due to difficulties in finding a dentist who accepted Medicaid. The SSD did not document attempts to locate a dentist in R66's electronic medical record. Additionally, the facility lacked a formal system to ensure Medicaid residents received annual oral screenings, affecting 70 residents. The Administrator and Director of Nursing acknowledged the expectation for prompt dental care when residents express tooth pain, but the issue was not addressed in a timely manner for R66.
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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 Eastman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eastman Trails Of Journey Llc | 2.1 mi | ★★★★★ | 11 | 0 |
| Abbeville Crossing Of Journey Llc | 15.3 mi | ★★★★★ | 0 | 0 |
| Bryant Health And Rehabilitation Center | 17.7 mi | ★★★★★ | 0 | 0 |
| Mcrae Manor Nursing Home | 18.4 mi | ★★★★★ | 11 | 0 |
| Pinewood Healthcare Center | 19.2 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.