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 Medical Management Health And Rehab Center during CMS and state inspections, most recent first.
Food items were found improperly stored, labeled, and dated, including expired dry goods and prepared foods in the freezer and refrigerator that lacked required use-by or discard dates. During dishwashing, a DA used the same gloves for soiled and clean dishware, and wet nesting was observed on plates and serving domes, creating unsanitary handling conditions.
A cognitively intact resident with psychiatric diagnoses, nicotine dependence, unsteady gait, and wheelchair use had a history of falls and was care planned as a smoker requiring supervision. After a witnessed fall while being pushed up a ramp and leaning over in a wheelchair to reach an ashtray placed away from him, staff documented that he would no longer be a smoker and would instead use chewing tobacco, and his care plan was revised to state he was deemed unsafe to smoke. The resident later reported repeatedly in Resident Council that his smoking privilege had been taken away and that he wanted to smoke again. The DON stated that residents showing unsafe behaviors, including falls, had smoking privileges revoked and confirmed this resident’s smoking rights were revoked after the fall without IDT discussion, while the Administrator stated she had not discussed his smoking status in meetings and that his rights should not have been revoked but that he should have been positioned closer to the ashtray. A staff scheduler/CMA and an LPN described that the resident fell while trying to reach an ashtray at the end or center of an adjacent table, and the LPN stated she assessed him after the fall and determined he was not safe to smoke.
Confidentiality of a resident's medical records was not maintained when an LPN left the med cart with the computer screen open and the resident's medication list and information exposed. The LPN also placed a glucometer on the resident's bedside table without a barrier, left the room to retrieve another test strip, and later returned to the cart before closing the screen. An RN stated nurses are expected to lock or cover the computer screen when walking away from the med cart.
A resident with bipolar disorder, anxiety disorder, schizophrenia, psychotic disorder, and depression did not have a PASARR Level II assessment documented. The PASRR Level I showed schizophrenia and another mental disorder, the MDS did not select Level II, and the clinical record had no Level II documentation. The SSD acknowledged the oversight, and the BOM and Administrator confirmed the resident should have had Level II PASARR.
An LPN failed to follow infection control practices during a blood glucose check for a resident by placing the glucometer directly on the bedside table without a barrier and then placing the wet device directly on the med cart to dry without a barrier. The LPN had no explanation for the lapse, and an RN stated the expectation was to use a barrier between the glucometer and the resident's bedside table during testing.
A facility failed to protect two residents from sexual abuse by another resident with severe cognitive impairment. Despite implementing 15-minute checks, the facility's poor room placement and lack of monitoring led to repeated incidents. Staff interviews revealed missed opportunities to address the situation, including failure to conduct immediate assessments and notify law enforcement.
The facility failed to report allegations of sexual abuse involving two residents to the State Survey Agency within the required timeframes and did not notify the residents' responsible parties. The incident was reported 41 days late, and family members were not informed. The charge nurse completed an incident report but failed to notify the necessary personnel until the following day. The residents involved had severe cognitive impairments, and the facility's protocols were not followed, impacting the ability to evaluate and intervene appropriately.
The facility failed to update care plans for three residents following incidents of sexual abuse, lacking interventions for inappropriate behaviors, increased supervision, and room placement considerations. Staff interviews revealed communication and assessment failures, contributing to the deficiency.
Food Storage and Dishwashing Sanitation Deficiencies
Penalty
Summary
Food items were not properly discarded, labeled, or dated in accordance with the facility’s Food Storage Guideline. During the kitchen tour with the Administrator, surveyors observed five 46-ounce nectar-consistency items in the dry storage area with an expiration date of 01/27/2026, one open 10-count package of hamburger buns without proper storage, labeling, or dating, a two-gallon bag of pre-packaged beef patties in the reach-in freezer that had been prepared on 04/15/2026 but did not have an expiration or discard date, and a one-gallon bag containing a cut onion in the walk-in refrigerator that had a preparation date but no expiration or discard date. A two-gallon bag of pre-packaged ham was also observed with a date that was difficult to read because moisture had blurred the label. During observation of dishwashing operations, dirty dishes were passed through a wall opening to the dishwashing area, and wet nesting was observed on plates and serving domes as they moved from the washer to the drying area. A Dietary Aide used the same gloves to handle dirty dishes, scrape and spray them, run them through the dishwasher, remove them, and stack clean dishes to dry, and he stated that he did not have a drying rack or any method to allow dishes to air-dry properly. The Dietary Manager confirmed the observation and stated that all dietary staff had been in-serviced on labeling and dating requirements and the dishwasher procedure, while also acknowledging that the food items in the refrigerator and freezer had preparation dates but lacked required use-by dates.
Resident Rights Violation Related to Revocation of Smoking Privileges After Fall
Penalty
Summary
Surveyors identified a deficiency related to resident rights and smoking when a cognitively intact resident with schizophrenia, anxiety disorder, nicotine dependence, major depressive disorder, antisocial personality disorder, unsteadiness on feet, and gait abnormalities had smoking privileges revoked after a fall. The resident’s MDS showed a BIMS score of 13, indicating he was alert and oriented, with lower-extremity impairment and use of a wheelchair, and his care plan documented a history of falls and tobacco use with an intervention that he required supervision while smoking. A witness fall report from early April documented that the resident fell while being pushed up a ramp, leaning over in his wheelchair holding a smoke box, and staff reeducated him on body positioning. A subsequent progress note by an LPN documented that the resident fell while being pushed up a ramp and leaning over, and that staff reeducated him on proper body positioning. Following this fall, the facility documented in the witness fall report that the resident would “no longer be a smoker” and would instead be allowed chewing tobacco, and a revised care plan focus stated the resident was deemed unsafe to smoke and required supervision while smoking. During a Resident Council meeting, the resident stated multiple times that his smoking privilege had been taken away and that he wanted to smoke again. The DON reported that residents who displayed unsafe behaviors, such as not sitting upright or experiencing falls, would have their smoking privileges revoked, and confirmed that this resident’s smoking rights were revoked after the fall without prior discussion by the IDT. The Administrator stated she had not discussed the resident’s smoking privileges in team meetings, acknowledged that a smoking assessment and addressing violations were expected, and stated that the resident’s smoking rights should not have been revoked but that he should have been positioned closer to the ashtray. A staff scheduler/CMA and the LPN involved described that the resident fell while attempting to reach an ashtray located away from him, and the LPN stated she assessed him after the fall and determined he was not safe to smoke.
Confidentiality of Resident Medical Records Not Maintained
Penalty
Summary
Keep residents' personal and medical records private and confidential was not maintained when an LPN left the medication cart with the computer screen open and R67's medication list and information exposed. During observation, the LPN locked the medication cart and walked away, leaving the screen visible. The LPN then entered R67's room and placed the glucometer on the bedside table without a barrier, dropped a test strip on the floor, left the room to get another strip, returned to the medication cart, unlocked it to retrieve a strip, and again walked away from the cart before turning back to close the computer screen. In interview, the LPN stated she should have locked the computer screen before walking away and that when she returned it was too late. An RN stated her expectation was that nurses lock or cover the computer screen when they leave the medication cart.
Missing PASARR Level II Assessment for Resident with Mental Health Diagnoses
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not completed for one sampled resident who had diagnoses including bipolar disorder, anxiety disorder, schizophrenia, psychotic disorder, and depression. The resident’s medication list included Ativan, Haloperidol, Depakote, and Olanzapine. Review of the PASRR Level I application showed schizophrenia and another mental disorder, but no date was documented. The resident’s quarterly MDS also did not indicate a PASARR Level II assessment, and the clinical record contained no PASRR Level II documentation. Facility interviews showed the Social Services Director was responsible for PASRR tracking and acknowledged the omission. She stated she realized the resident did not have a Level II PASRR only after the issue was identified during the mock survey, and she had not yet submitted for Level II because another DMA-6 was needed. The Business Office Manager and Administrator both confirmed the resident should have had a Level II PASARR, and the Administrator stated there was no excuse for the missing Level II assessment.
Infection Control Lapse During Blood Glucose Testing
Penalty
Summary
The facility failed to provide effective infection control practices related to fingerstick blood sugar checks for one resident. During medication administration, an LPN removed the glucometer from the medication cart, sanitized her hands, cleaned the glucometer, and placed it in her gloved hand before entering the resident's room. She then placed the glucometer directly on the resident's bedside table without a barrier, wiped the resident's right index finger with an alcohol pad, and performed the blood glucose fingerstick. After the procedure, she cleaned the glucometer with a disinfectant wipe and placed the wet glucometer directly on top of the medication cart to dry without a barrier. The LPN stated she had no explanation for not placing a barrier between the glucometer and the resident's bedside table, and an RN stated her expectation was for nurses to use a barrier between the glucometer and the resident's bedside table during blood glucose testing.
Failure to Protect Residents from Sexual Abuse
Penalty
Summary
The facility failed to protect two residents from sexual abuse by another resident, resulting in a deficiency. The facility's policy on Abuse, Neglect, and Exploitation was not effectively implemented, as evidenced by two incidents involving a resident with severe cognitive impairment and behavioral disturbances. This resident was found in compromising situations with two other residents, both of whom also had severe cognitive impairments and were unable to complete interviews due to their conditions. The first incident occurred when a CNA discovered the resident in another resident's room with both their briefs pulled down. Despite implementing 15-minute checks for 72 hours, the facility did not adequately protect the residents from further abuse. The facility's decision to move the resident closer to the victims' room, without proper monitoring mechanisms, increased the risk of further incidents. This poor judgment in room placement facilitated a second incident, where the resident was found in bed with one of the victims, while the other victim's brief was pulled down. Interviews with facility staff revealed several missed opportunities to address the situation appropriately. The Social Worker was unaware of the incidents, and the Charge Nurse did not follow protocols for handling inappropriate sexual contact. The Administrator acknowledged that necessary actions, such as immediate assessments, obtaining written statements, and notifying law enforcement, were not taken. The Director of Nursing and Medical Director also highlighted the lack of timely assessments and poor decision-making regarding room placement, which contributed to the deficiency.
Failure to Timely Report Allegations of Sexual Abuse
Penalty
Summary
The facility failed to report allegations of sexual abuse involving two residents to the State Survey Agency within the required timeframes and did not notify the residents' responsible parties of the incidents. The facility's policy mandates immediate reporting of such allegations, but the incident involving two residents was reported 41 days late. Interviews revealed that the family members of the involved residents were not informed of the alleged abuse, and the social worker was not notified, affecting her ability to intervene. The charge nurse completed an incident report but failed to notify the Director of Nursing, Assistant Director of Nursing, or the Administrator until the following day. The residents involved had severe cognitive impairments, with one resident having a BIMS score of zero and another unable to complete the interview. The facility's protocols were not followed, as confirmed by the Administrator and Director of Nursing, who stated that immediate notification of administration, physicians, and responsible parties was expected. The Medical Director was also not informed until the day after the incidents, impacting their ability to evaluate the residents and direct appropriate medical interventions. The deficiency highlights a significant lapse in the facility's abuse reporting procedures.
Failure to Update Care Plans After Abuse Incidents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans addressing incidents of sexual abuse, prevention measures, and safety interventions for three residents. The care plans for these residents did not include updates or interventions following incidents of inappropriate sexual behavior. Specifically, the care plans lacked updates for inappropriate sexual behaviors, increased supervision needs, behavioral management strategies, and room placement considerations. Resident 1, with severe cognitive impairment and a history of inappropriate sexual behavior, had no care plan updates addressing these behaviors or interventions for increased supervision. Resident 2, also with severe cognitive impairment, had no care plan modifications after an incident, nor interventions for safety related to room placement or psychological support measures. Resident 3, with severe cognitive impairment and increased vulnerability to abuse, had no care plan updates following alleged sexual abuse incidents, nor interventions addressing increased vulnerability or psychological impact. Interviews with facility staff revealed a lack of communication and assessment, which contributed to the failure to update care plans. The Social Worker was unaware of the incidents and could not modify care plans appropriately. The Charge Nurse did not complete assessments on the affected residents, preventing appropriate care plan updates. The Administrator acknowledged that protocols were not followed, and the Director of Nursing stated that a facility-wide assessment should have been completed. The Medical Director noted limited coordination with psychiatry services and criticized the decision to move Resident 1 to a room opposite Residents 2 and 3 without updating care plans.
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What surveyors actually found near you
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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 Macon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Macon | 1.1 mi | ★★★★★ | 0 | 0 |
| Macon Rehabilitation And Healthcare | 3 mi | ★★★★★ | 8 | 0 |
| Cherry Blossom Health And Rehabilitation | 3 mi | ★★★★★ | 8 | 0 |
| Archway Transitional Care Center | 3.1 mi | ★★★★★ | 5 | 2 |
| Pruitthealth - Eastside | 5.3 mi | ★★★★★ | 5 | 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.