Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Nhc Healthcare Ft Oglethorpe during CMS and state inspections, most recent first.
Missing Oxygen Orders and Current Skin Documentation: The facility failed to ensure medical records contained active physician orders for respiratory care and current pressure ulcer status for two residents reviewed by surveyors. One resident with emphysema and other diagnoses was observed on oxygen at 3 LPM, but the EMR had no specific or standing order identifying the required LPM, and staff stated they rely on the EMR for oxygen administration. The record review and staff interviews also identified incomplete pressure ulcer documentation for another resident.
An LPN failed to perform hand hygiene or don gloves before and between administering medications to three residents during a med pass, and catheter drainage bags for residents with indwelling catheters were observed touching or lying on the floor. One resident had a recent UTI history and another resident with urinary retention and moderate cognitive impairment was repeatedly observed with catheter tubing dragging on the floor; the DON and staff confirmed the bags should have been kept off the floor.
The facility failed to implement pressure injury interventions, including daily skin checks for a resident with a walking boot, leading to the development of unstageable pressure ulcers. Despite a physician's order, staff only removed the boot three times per week, resulting in avoidable pressure ulcers on the resident's right foot, heel, and calf.
A resident with severe cognitive impairment and a history of falls required extensive assistance with transfers, including the use of a Hoyer lift and two staff members. However, the resident was assisted by only one CNA in the shower room, leading to a fall and resulting in fractures to her right foot, tibia, and fibula. The facility's investigation identified the lack of proper assistance as the root cause of the fall.
Missing Oxygen Orders and Current Skin Documentation
Penalty
Summary
The facility failed to ensure that medical records reflected active physician orders for respiratory care and current pressure ulcer status for residents reviewed during the survey. For one resident with diagnoses including malignant neoplasm of the ampulla of [NAME], centrilobular emphysema, and peripheral vascular disease, the EMR showed intermittent oxygen therapy on the MDS, but there was no specific physician order or standing physician order identifying the required liters per minute of oxygen. The resident was observed using an oxygen concentrator at 3 LPM on two occasions, and staff stated that a standing order for 2 to 4 LPM should have been added to the EMR on admission. Staff also stated they rely on the EMR during medication administration and refer to physician orders to determine the appropriate oxygen flow rate. For another resident reviewed for pressure ulcers, the facility did not ensure the record reflected the current pressure ulcer status. Facility policy stated that weekly skin assessments are completed by a licensed nurse and documented in Weekly Skin Observations, and that medications and treatments are administered and documented based on provider orders. The deficiency was identified through staff interviews, record review, and review of facility policy, and the report states that the deficient practice had the potential for residents to not receive appropriate care and services to meet their needs for oxygen usage and wound care treatment.
Catheter Bags on Floor and Hand Hygiene Lapses During Medication Pass
Penalty
Summary
The facility failed to ensure catheter drainage bags were kept off the floor for residents with indwelling urinary catheters. Resident R55 had diagnoses including diabetes with neuropathy, hypertension, and COPD, and the record showed a history of urinary tract infection with an E. coli urinalysis and a completed course of Macrobid. During observation, R55’s catheter drainage bag was found lying directly on the floor, and the LPN confirmed it should not have been on the floor. The DON also stated the bag should be below the level of the resident’s bladder and not lying directly on the floor. The facility also failed to ensure adequate hand hygiene during medication administration for three residents. During medication pass observations, an LPN did not don gloves or perform hand hygiene before pouring and administering medications to R118, and did not perform hand hygiene between R118, R48, and R54. The LPN also did not wash or sanitize hands before administering each resident’s morning medications. When interviewed during the observation, the LPN confirmed she had not washed or sanitized her hands between residents and had not donned gloves or performed hand hygiene before administering the medications. A separate catheter observation involving R58 showed the resident had an indwelling urinary catheter for urinary retention related to benign prostatic hyperplasia and had moderate cognitive impairment based on a BIMS score of 9. R58 was observed seated in a wheelchair with the catheter bag and tubing touching and dragging on the floor on multiple occasions, including in the room and hallway. The IP and an LPN both confirmed the bag should be off the floor, and the resident stated he knew the tubing should not be touching the floor. The DON later stated that catheter bags and tubing should be off the floor.
Failure to Implement Pressure Injury Interventions
Penalty
Summary
The facility failed to implement pressure injury interventions, including the removal of a resident's walking boot to perform daily skin checks, which led to the development of unstageable pressure ulcers for one resident. The resident, who had diagnoses including major depressive disorder, dementia with anxiety, and fractures of her right tibia, fibula, and metatarsals, was admitted to the facility and was at high risk for pressure sores. Despite a physician's order to assess skin integrity when donning and doffing the walking boot, the staff did not perform daily skin checks and only removed the boot three times per week on the resident's bath days. Interviews with staff revealed that the walking boot was not removed daily to check the resident's skin on her right leg and foot. The Director of Nursing confirmed that there was no documentation of daily skin checks in the resident's electronic medical record. The resident's weekly skin observations initially indicated no wounds, but by the following week, new unstageable pressure ulcers were documented on the resident's right foot, heel, and calf. These wounds were attributed to the walking boot and were observed to contain necrotic tissue and eschar. The resident's condition was further complicated by her frailty, poor nutritional status, and dependency on staff for activities of daily living. The facility's treatment nurse and the resident's physician confirmed the presence of the new wounds and noted that the gauze used to pad the foot from the boot had migrated, causing compression and decreased blood supply to the foot. The failure to perform daily skin checks as ordered led to the development of avoidable pressure ulcers, causing harm to the resident.
Failure to Provide Adequate Supervision and Assistance Device Resulting in Resident Fall and Fractures
Penalty
Summary
The facility failed to ensure adequate supervision and the use of appropriate assistance devices to prevent falls for a resident (R172) with severe cognitive impairment and a history of falls. The resident required extensive assistance with transfers, including the use of a Hoyer lift and the assistance of two staff members. However, on the day of the incident, the resident was being assisted by only one CNA in the shower room, which led to the resident sliding down and being lowered to the floor by the CNA. This incident resulted in the resident sustaining fractures to her right foot, right tibia, and right fibula. The resident's care plan clearly indicated the need for two-person assistance and the use of a Hoyer lift for transfers due to her inability to assist with transfers and her unsteadiness. Despite this, the CNA attempted to transfer the resident alone, leading to the fall. The incident was documented by the LPN on duty, who noted that the resident did not exhibit immediate signs of injury but later developed bruising and pain, which led to the discovery of the fractures through an X-ray. Interviews with staff members, including the LPN, CNAs, and the Director of Nursing, confirmed that the resident required total assistance for transfers and that the fall occurred due to inadequate assistance. The facility's investigation and post-fall checklist identified the lack of proper assistance as the root cause of the fall. The resident's family was notified, and the resident was sent to the hospital for further evaluation and treatment of the fractures.
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 71 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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 Fort Oglethorpe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Fort Oglethorpe | 1.1 mi | ★★★★★ | 8 | 0 |
| Center For Advanced Rehab At Parkside, The | 2.2 mi | ★★★★★ | 10 | 0 |
| Life Care Center Of East Ridge | 3.2 mi | ★★★★★ | 6 | 0 |
| Nhc Healthcare Rossville | 4.1 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Chattanooga | 6.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Nhc Healthcare Ft Oglethorpe.
100% money-back within 48 hours.
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.