Below average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Smith Medical Nursing Care Ctr during CMS and state inspections, most recent first.
Grievance information was not posted in visible areas, grievance forms were not available, and several residents were not informed of the grievance process. Three residents with little to no cognitive impairment said they did not know who the Grievance Official was or how to file a grievance, and staff gave conflicting answers about who served in that role. The DON and Administrator both confirmed there were no grievance postings in the facility.
Missing Annual CNA Performance Evaluations: The facility failed to ensure annual performance evaluations were completed for all CNAs reviewed. Record review showed no annual CNA performance review documentation, and staff interviews confirmed that evaluations were mainly verbal or based on observation, with no clear record of formal written reviews or skills check-offs.
Expired medications and medical supplies were found stored in the medication storage room, including syringes, skin prep, bisacodyl, Metamucil, Hibiclens, and intermittent male catheters. The Office Manager confirmed the expired items and said she managed the stock medication and supply room, while the DON stated that only the Office Manager and Administrator had keys to the room and that they retrieved items when floor stock was low.
Uncovered Kitchen Equipment and Dirty Ice Machine: A slicer and an industrial mixer were observed sitting uncovered on prep tables near the hand-washing sink, and an industrial ice machine had red-brown residue on the interior when wiped with a paper towel. The DM confirmed the findings and stated that neither the slicer nor the mixer had ever had covers while she had worked there.
Poor Ventilation in Smoking Area: The facility failed to ensure effective ventilation in the indoor designated smoking area and nearby hallways. Staff and the DON confirmed cigarette smoke and odor lingered in the hallway connected to the smoking room after residents smoked, and one CNA reported the smell could be detected at the end of the hall. The Administrator stated the smoking area used an air purifier, fans, and open windows, while the DON stated there was no ventilation system in the designated smoking area.
A nurse gave a resident Amoxil that had been ordered for another resident in the same room, despite the resident’s documented penicillin allergy. The nurse stated he prepared both residents’ medications at the same time and realized the error after administration; the DON confirmed the incident report was completed and that there was no re-education with the nurse after the event.
A resident with severe cognitive impairment and high fall risk was assisted to the floor by staff after losing balance, but the event was not recognized or reported as a fall. The DON and Administrator did not initiate an incident report or investigation, and the care plan was not updated, contrary to facility policy requiring these actions after all falls.
Grievance information not posted or explained to residents
Penalty
Summary
The facility failed to ensure information about the grievance process was posted and made available in visible areas of the facility, and failed to ensure three sampled residents were informed of the grievance process. The facility’s undated Grievance Policy stated residents would be notified individually or through prominent posting of the right to file a grievance orally or in writing, the right to file anonymously, the contact information for the grievance official, and the contact information for outside entities including the State agency, Quality Improvement Organization, State Survey Agency, and state Ombudsman program and advocacy system. During an initial tour, surveyors found no visible posting of grievance information, no information identifying the Grievance Official, and no accessible grievance forms. R1, R38, and R3 each had MDS assessments showing BIMS scores of 15, 14, and 14, respectively, indicating little to no cognitive impairment, yet each stated in interview that they were unaware of the Grievance Official, had not been told how to file a grievance, and were not familiar with a grievance form. Staff interviews showed CNA AA did not know who the Grievance Official was or how the process worked, CN HH believed the DON was the Grievance Official and was unaware of the filing process or a grievance form, while the DON stated the Administrator was the Grievance Official and confirmed grievance forms were not available and there were no postings. The Administrator stated she was the Grievance Official, completed grievance forms for residents, and confirmed there were no postings in the facility providing grievance information.
Missing Annual CNA Performance Evaluations
Penalty
Summary
The facility failed to ensure that 14 of 14 Certified Nurse Aides reviewed received an annual performance evaluation. Review of the facility's education and training records dated 8/23/2024 through 7/17/2025 showed no record of annual performance reviews for CNAs. During interviews, CNA AA stated evaluations were done verbally and through observations, but she could not recall having a written evaluation since her hire date of 3/29/2024. CNA KK reported not having had a written performance evaluation since her start date of 10/23/2023 and said the DON observes her and gives feedback while she is completing resident care. Charge Nurse HH stated she had completed training courses since being on staff but could not say when she had received a formal evaluation, though she thought she had. The DON stated the facility does not do yearly CNA performance reviews or skills check-offs and that annual performance reviews were not done prior to her employment.
Expired Medications and Supplies Stored in Medication Room
Penalty
Summary
Expired medications and medical supplies were found stored in the medication storage room during an observation with the Office Manager and an LPN. The room contained supplies sitting on the floor, including a box of 10 cc syringes with an expiration date of 11/03/2024, three boxes of skin prep with an expiration date of 4/1/2025, two bottles of bisacodyl 5 mg with an expiration date of 8/2024, bisacodyl suppositories with an expiration date of 6/2025, one box of Metamucil with an expiration date of 1/2025, three bottles of Hibiclens with an expiration date of 10/2024, and intermittent male catheters with expiration dates of 7/24/2025 and 3/31/2025. The Office Manager confirmed the expired medications and supplies and stated that she was responsible for managing the stock medications and supply room, and that some of the items in the room were no longer in use. The DON stated that the Office Manager was responsible for the medication storage room and that only the Office Manager and the Administrator had a key to the room. She also stated that if the medication cart was low in stock of an item, either the Administrator or the Office Manager would retrieve items from the medication storage room. An LPN stated that if the floor stock medication ran out, the DON would get the key and retrieve the item.
Uncovered Kitchen Equipment and Dirty Ice Machine
Penalty
Summary
Kitchen equipment was stored in an unsanitary manner, and the ice machine was not clean and free from residue. During an initial walk-through of the kitchen with the Dietary Manager, one slicer was observed sitting on a prep table near the hand-washing sink without a cover, and one industrial-sized mixer was also observed sitting on a prep table without a cover. In the dining hall, observation of the industrial ice machine revealed a red-brown residue on the interior of the machine when wiped with a paper towel, and the Dietary Manager confirmed the finding. On a later observation, the mixer and slicer were still uncovered. The Dietary Manager stated that the ice machine was cleaned daily by dietary staff and that Maintenance oversaw its overall upkeep, and also stated that neither the slicer nor the mixer had had a cover on them since she had worked there.
Poor Ventilation in Smoking Area
Penalty
Summary
The facility failed to ensure proper and effective ventilation in the indoor designated smoking area and the hallways near that area. Review of the facility’s Smoking Policy stated that smoking occurs in designated locations that are environmentally separate from residents’ care areas, and that smoking will occur in a designated area at a designated time only. During the initial tour, the smell of cigarette smoke was noted in the hallway connected to the designated indoor smoking area. Additional observations on two later dates again found cigarette smoke lingering in the hallways connected to the indoor smoking area. A CNA stated there was an air filter in the smoking room but did not know who maintained it, and reported that smoke and odor lingered into the hallways and could be smelled at the end of the hall after residents finished smoking. Another CNA confirmed the hallway smelled like cigarette smoke because the door from the indoor smoking area was opened and the smell got out. The DON also confirmed the smell of cigarette smoke in the hallway and stated there was no ventilation system in the designated smoking area, while the Administrator stated the closed indoor smoking area had an air purifier, fans, and open windows to help reduce smoke and expected staff to keep the door closed during smoking time.
Medication Error Involving Penicillin-Allergic Resident
Penalty
Summary
The facility failed to ensure that a significant medication error did not occur for R32, a resident with diagnoses including hypertension, brainstem stroke, dysphagia, and [NAME] syndrome. The record also showed that R32 was allergic to penicillin. The facility policy titled Medication Administration General Guidelines required staff to review and confirm medication orders on the MAR, compare the medication and dosage schedule with the medication label, verify the medication three times before administration, and identify residents using at least two identifiers before giving medication. The incident/accident report documented that on 4/6/2025 at 10:00 pm, RN GG gave R32 an oral dose of Amoxil, an amoxicillin medication, which was ordered for R2. RN GG stated he prepared medications for both residents in the same room at the same time and realized after administration that he had given R32 the wrong medication. He further stated that after reviewing R32’s MAR, he confirmed the penicillin allergy and notified the physician. Nursing notes documented monitoring for signs of reaction, and the DON stated the error was recognized immediately and an incident report was completed, but there was no re-education with RN GG after the incident.
Failure to Identify and Investigate Resident Fall
Penalty
Summary
The facility failed to identify, investigate, and implement interventions following a fall incident involving a resident with severe cognitive impairment and multiple risk factors for falls. The resident, who had diagnoses including dementia, muscle weakness, and required substantial to maximal assistance with ambulation, was noted in nursing documentation to have been lowered to the floor by staff after starting to slide while ambulating, and again after sliding out of a chair. Despite this, no incident report was completed, and the event was not recognized or documented as a fall by the Director of Nursing (DON) or the Administrator. The facility's fall management policy required incident reporting, investigation, and root cause analysis for all falls, but these steps were not followed for this incident. The DON and Administrator both stated they did not consider the event a fall because the resident was assisted to the ground, indicating a lack of understanding of the facility's policy and standard definitions of a fall. As a result, the resident's care plan and fall interventions were not updated to reflect the incident, and no investigation or root cause analysis was conducted. The failure to recognize and respond to the fall event led to a lack of appropriate interventions to prevent future falls for the resident.
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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 Sandersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Washington Co Extended Care Facility | 0.6 mi | ★★★★★ | 8 | 0 |
| Heritage Inn Of Sandersville Health And Rehab | 0.9 mi | ★★★★★ | 0 | 0 |
| Wrightsville Manor Health And Rehab | 18.4 mi | ★★★★★ | 10 | 0 |
| Pruitthealth - Toomsboro | 19.8 mi | ★★★★★ | 0 | 0 |
| Gibson Health Opco Llc | 20.8 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.