Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Park Place Nursing Facility during CMS and state inspections, most recent first.
A resident with MS, muscle wasting and atrophy, and acute and chronic respiratory failure with hypoxia had a care plan requiring two staff for bed mobility, based on MDS findings of bilateral UE/LE impairment and dependence for rolling and hygiene. A CNA provided linen care alone despite the two-person assist requirement, and the resident rolled off the bed, sustaining a forehead laceration, right ankle sprain, and abdominal wall contusion; the CNA said she was unaware of the requirement, and the LPN and DON confirmed the care plan was not followed.
A resident with MS, muscle wasting, and respiratory failure required 2-person assistance for bed mobility and personal care, but a CNA changed his linens alone during incontinent care. The resident rolled off the bed, struck his head, and was sent to the ER with a forehead laceration, right ankle sprain, abdominal wall contusion, and head injury.
Improper Handling and Transport of Laundry Items: Staff failed to follow infection control practices for laundry handling and transport. A Laundry Aide and Laundry Supervisor placed clean towels that had fallen onto the floor into the dryer, and a Laundry Aide was observed pushing a bin of soiled linens through a hallway with the top flap open and the soiled items exposed. The DON and Administrator stated the bin lid should be closed while moving through the hall.
A resident with dementia, agitation, and Parkinson's disease had a Discharge MDS that documented no behavioral symptoms and intact cognitive status, even though the record showed severe aggression, including choking staff, attempting to strike staff with a cup, barricading a door, and requiring police, EMS, and NP involvement before transfer to the hospital. The SSD, SSA, DON, and Administrator confirmed the MDS Section E was coded incorrectly and should have reflected the resident's current condition.
Failure to Follow Two-Person Assist Care Plan During Bed Mobility
Penalty
Summary
The facility failed to implement R14’s care plan when staff provided ADL care with one-person assistance even though the resident’s care plan required two staff for bed mobility. R14 had diagnoses including multiple sclerosis, muscle wasting and atrophy, and acute and chronic respiratory failure with hypoxia. The Significant Change MDS dated 02/05/2026 documented bilateral upper and lower extremity impairment and dependence for toileting hygiene, personal hygiene, and rolling left and right in bed, with dependent defined as requiring the assistance of two or more helpers. The care plan for the resident’s ADL self-care performance deficit included an intervention that the resident required assistance by two staff to turn and reposition in bed, revised on 02/11/2026. On 05/07/2026, while a CNA was changing the resident’s linen after an incontinent episode, the resident rolled off the bed and hit his head on the side of the bed. The nurse found the resident lying on the floor next to the bed with the CNA applying pressure to a bleeding forehead. The resident sustained a laceration to the right side of the forehead, a right ankle sprain, and an abdominal wall contusion, and was sent to the ER where a laceration repair was completed. The CNA stated she changed the resident’s bed linen by herself and was unaware that the resident required two-person assistance with bed mobility. The LPN stated the resident’s care plan indicated two persons were required for bed mobility, and the DON stated the CNA provided care unassisted and did not follow the care plan.
Failure to Provide Required Two-Person Assistance During Bed Care
Penalty
Summary
The facility failed to ensure that ADL care was provided by the appropriate number of staff to prevent accidents for a resident with multiple sclerosis, muscle wasting and atrophy, and acute and chronic respiratory failure with hypoxia. The resident’s MDS documented bilateral upper and lower extremity impairment and dependence for toileting hygiene, personal hygiene, and rolling left and right in bed, with dependent meaning assistance of two or more helpers was required. The resident was also documented as always incontinent of bladder and bowel, and a progress note the day before the incident stated that he was not able to assist with repositioning in bed. During incontinent care, a CNA changed the resident’s linens by herself even though the resident required two-person assistance. The CNA reported she was unaware of the two-person assist requirement and was unable to keep the resident on the bed, causing him to roll off and strike his head on the side of the bed. The resident was found lying on the floor with a bleeding forehead and was sent to the ER, where he was diagnosed with a fall from bed, laceration of the forehead, right ankle sprain, abdominal wall contusion, and head injury, and the forehead laceration was repaired with sutures.
Improper Handling and Transport of Laundry Items
Penalty
Summary
The facility failed to follow infection control practices related to the handling and transporting of soiled items in the laundry area and throughout the facility. Review of the facility policies titled Infection Prevention and Control Program and Laundry showed that laundry and direct care staff were required to handle, store, process, and transport linens to prevent the spread of infection, and that clean linen was to be separated from soiled linen at all times. During observation and joint interview in the laundry room, the Laundry Aide and Laundry Supervisor were removing clean towels from the washing machine and placing them into a wheeled wire bin to move them to the dryer. Three clean towels fell from the bin onto the floor, and both staff members picked them up and placed them in the dryer. When questioned, the Laundry Supervisor stated the towels should not have been placed in the dryer and should have been returned to the washing machine after landing on the floor. In a separate observation, a Laundry Aide was seen pushing a bin labeled soiled linens through C Hall with the top flap open and the soiled items exposed. The aide closed the flap after being asked about it. The DON and Administrator both stated that soiled laundry bins should not be pushed through the hallways with the lids open and that the lid should be closed when going through the hall.
Incorrect MDS Coding for Resident With Severe Behavioral Disturbance
Penalty
Summary
The facility failed to ensure that one resident's Discharge MDS assessment accurately reflected the resident's status at the time of assessment. R208 was admitted with diagnoses including unspecified dementia with agitation, unspecified dementia with mood disturbance, and Parkinson's disease without dyskinesia with fluctuations. The resident was discharged from the facility with a 1013 Form related to behaviors. The Discharge MDS dated 01/10/2026 documented in Section A that the discharge was unplanned to a short-term general hospital. However, Section C recorded that the resident's short-term memory was okay, that he was independent in making decisions regarding daily tasks, and that there were no signs of delirium, disorganized thinking, or inattention. Section E also documented no hallucinations or delusions and no physical, verbal, or other behavioral symptoms directed toward others or not directed toward others. Facility records showed that on 01/10/2026 the resident exhibited aggressive and violent behavior, including grabbing staff by the neck, attempting to strike staff with a glass cup, refusing redirection, and barricading the door so staff could not exit. Additional notes stated the resident physically assaulted the nurse by grabbing her around the neck and choking her, forcefully bending her hand backward, and attempting to strike her, and that police, EMS, and the NP were contacted before the resident was transferred out due to escalating violent and aggressive behavior. In interviews, the SSD, SSA, DON, and Administrator confirmed that Section E of the MDS was coded incorrectly and that the MDS should reflect the resident's current condition.
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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 Monroe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Social Circle Nsg & Rehab Ctr | 9.4 mi | ★★★★★ | 0 | 0 |
| Winder Center For Nursing And Healing | 12.5 mi | ★★★★★ | 18 | 0 |
| High Shoals Health And Rehabilitation | 13.8 mi | ★★★★★ | 2 | 0 |
| Riverside Health Care Center | 16.2 mi | ★★★★★ | 10 | 0 |
| Pruitthealth - Covington | 16.9 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 August 2026) and official state health department websites.