Average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Social Circle Nsg & Rehab Ctr during CMS and state inspections, most recent first.
A resident with dementia, osteoarthritis, and bilateral UE contractures did not receive ordered ROM/contracture-prevention care. OT discharge instructions and a physician order required bilateral palm guards to be applied for 4 hours daily to each hand, but observations found the guards absent and the resident’s hands closed. An LPN could not locate the guards, a CNA stated they were not applied and marked the task NA, and staff reported the order was not on the MAR or POC with no progress notes documenting tolerance, refusal, or concerns.
Oxygen Flow Rate Not Administered as Ordered: A resident with COPD and CHF was ordered continuous oxygen at 4 L/min via nasal cannula for chronic SOB, but observations showed the oxygen was set at 3 L instead of the ordered rate. An LPN and the DON both confirmed the incorrect flow rate, and an LPN later stated she checked the O2 saturation but forgot to verify the flow rate in liters.
A resident with multiple medical conditions and incontinence did not have personal, bowel, and bladder care documented for several day and night shifts, despite care plan requirements. Staff interviews confirmed that missing documentation meant care was not recorded, and the unit manager acknowledged that documentation was incomplete for the resident.
A resident who was dependent on tube feeding for nutrition and hydration did not receive enteral feedings as ordered by the physician. Observations showed the feeding pump was connected but not delivering nutrition on multiple occasions, and the DON confirmed the feeding was not being administered. The nurse on the floor was responsible for monitoring the tube feeding.
An LPN left a medication cart unlocked and out of sight while administering medication to a resident, contrary to facility policy. Additionally, an open bottle of Latanoprost eye drops was found on the cart without an open date, preventing staff from determining the correct discard date. The DON and Unit Manager confirmed these lapses in medication security and labeling.
An LPN failed to disinfect a glucometer according to manufacturer instructions after checking a resident's blood sugar, using an alcohol wipe instead of the required bleach-based germicidal wipe. Interviews with the DON and IP Nurse confirmed that facility policy required bleach wipes with a specific dwell time between each resident, but this protocol was not followed, potentially placing residents at risk for infection.
A call light in the bathroom and bathing area of one room was found to be nonfunctional during observations. Staff, including a CNA and the DON, confirmed the malfunction after testing, and the Maintenance Director identified mismatched connections as a possible cause. Facility policy requires all call lights to be operational and issues to be reported immediately.
Failure to Provide Ordered Palm Guards and ROM Support
Penalty
Summary
The facility failed to ensure a resident with dementia and osteoarthritis received needed ROM and contracture-prevention services. The resident’s annual MDS showed dependence on staff for personal hygiene, dressing, and grooming, and documented bilateral upper extremity impairment with contractures. A physician order directed staff to alternate bilateral palm protectors during the day, four hours on the left hand and four hours on the right hand. OT discharge documentation also instructed staff to continue applying bilateral upper extremity palm guards after therapy discharge, and the facility’s ROM screens showed progressive decline in wrist and finger ROM over time, with poor ROM documented in both wrists and both hands. During observations, the bilateral palm guards were not seen in the resident’s room or on either hand, and both hands were observed in a closed position. An LPN verified the resident was not wearing the palm guards and could not find them in the room, and also noted the resident had contracted hands but could gently open the fingers. A CNA assigned to the resident stated the palm guards were not applied as ordered and marked the task as not applicable on the POC task list. The RD, DON, and MDS coordinator verified the OT discharge summary required palm guard application four hours daily for each hand, and staff interviews showed the order was not appearing on the MAR or POC, with no nursing progress notes documenting refusal, tolerance, or concerns related to the palm guards. The ESS was unable to provide documentation of resident-specific CNA training related to the palm guards.
Oxygen Flow Rate Not Administered as Ordered
Penalty
Summary
The facility failed to ensure that R37 received oxygen therapy as ordered by the physician. R37 was admitted with diagnoses including COPD and systolic CHF, and the most recent MDS indicated moderate cognitive impairment with oxygen therapy coded under special treatments. The physician's order dated 01/03/2026 directed oxygen at 4 L/min via nasal cannula continuously for chronic shortness of breath, and the care plan also identified the need for oxygen via nasal cannula as ordered by the MD. During observations on 06/13/2026, R37 was receiving oxygen through a nasal cannula at a flow rate of 3 liters instead of the ordered 4 liters. This was observed at 8:43 AM and again at 2:36 PM. An LPN confirmed at 2:38 PM that the oxygen flow rate was set at 3 liters instead of 4 liters as ordered, and the DON also confirmed the 3-liter flow rate at 2:43 PM. During an interview on 06/14/2026, an LPN stated she checked the oxygen saturation levels for R37 but forgot to verify the flow rate in liters.
Failure to Document Personal, Bowel, and Bladder Care for a Resident
Penalty
Summary
The facility failed to document personal, bowel, and bladder care for one resident, as evidenced by missing documentation in the electronic medical record for multiple shifts. The resident in question had a history of urinary tract infection, dementia, type two diabetes mellitus, congestive heart failure, and atrial fibrillation, and was assessed as requiring substantial to maximum assistance for most activities of daily living. The care plan specified that the resident should be kept neat and clean, with incontinence checks and perineal care as needed. Despite these requirements, documentation was absent for three day shifts and thirteen night shifts, even though the resident was known to be incontinent and bed bound. Interviews with staff revealed that empty blanks in the documentation system indicated that care was not documented, and it was acknowledged that some CNAs were reluctant to chart care provided. The unit manager confirmed that the expectation was for CNAs to document all care given, and that empty blanks meant documentation was not completed, though she could not confirm whether care was actually provided. The resident's representative reported that the resident had no skin breakdown prior to admission but developed redness to the sacral region by discharge, further highlighting the lack of documented care.
Failure to Administer Tube Feeding as Ordered
Penalty
Summary
Staff failed to administer enteral nutrition and hydration according to current physician orders for a resident who was dependent on tube feeding as their sole source of nutrition and hydration. The facility's policy required verification of physician orders and checking the enteral nutrition label against the order before administration, including details such as rate and method. The resident had diagnoses including moderate protein-calorie malnutrition, dementia, dysphagia, gastrostomy status, and iron deficiency anemia, and was assessed as severely cognitively impaired and totally dependent for activities of daily living. Observations on multiple occasions revealed that the resident's feeding tube was connected to the pump, but the pump was not delivering nutrition as ordered. On two separate days, the resident was observed with the tube feeding attached but not running. Interviews with the DON confirmed that the tube feeding was not being administered and that the nurse on the floor was responsible for monitoring the tube feeding.
Medication Cart Security and Medication Labeling Deficiencies
Penalty
Summary
Staff failed to properly secure a medication cart when it was not in use or clearly visible to the personnel administering medication. During medication administration, an LPN left the North Hall medication cart unlocked while giving medication to a resident in a room, and the cart was not in the nurse's clear line of sight. The LPN confirmed that the cart was unlocked and not visible the entire time. The Director of Nursing stated that the expectation is for nurses to lock the cart even when administering medication in a resident's room. Additionally, an open bottle of Latanoprost eye drops was found on the North Hall medication cart without an open date, making it impossible to determine the appropriate discard date. The Unit Manager confirmed the presence of the open bottle and was unsure of the exact expiration period for the medication, indicating a lack of proper labeling and tracking for opened medications.
Improper Disinfection of Glucometer Between Residents
Penalty
Summary
A deficiency was identified when a Licensed Practical Nurse (LPN) failed to properly disinfect a glucometer according to the manufacturer's instructions after performing a blood sugar check for a resident. The LPN used an alcohol wipe to clean the glucometer between residents, rather than the required bleach-based germicidal wipes specified by the manufacturer. The facility's protocol, as described by the Infection Preventionist (IP) Nurse, required the use of bleach solution wipes with a three-minute dwell time between each resident, and the use of two glucometers to allow for proper drying time. However, the observed practice did not align with these instructions or the facility's policy. Interviews with the Director of Nursing (DON) and the IP Nurse confirmed that the expectation was for staff to disinfect glucometers between each resident using bleach wipes, not alcohol wipes. The failure to follow the correct disinfection procedure was observed directly and confirmed through staff interviews and review of the manufacturer's instructions. This practice had the potential to place residents at high risk for infection, as proper disinfection between uses was not performed.
Nonfunctional Call Light in Resident Bathroom and Bathing Area
Penalty
Summary
A call light in the bathroom and bathing area of Room North 3-B was found to be nonfunctional during two separate observations. When tested, the hallway indicator light did not activate, confirming the device was not working. Staff interviews revealed that the CNA was unaware of the malfunction until it was tested and stated she would submit a maintenance order. The DON was also previously unaware of the issue and confirmed the call light was not working after checking. The Maintenance Director explained that mismatched connections may have caused the malfunction, even though the light itself was operational. The facility's policy requires the maintenance department to keep all equipment, including call lights, in safe and operable condition at all times. Staff interviews indicated that issues with call lights are expected to be reported and entered into the TELS work order system immediately. The Administrator and DON both confirmed that all call lights must remain functional to ensure residents can communicate urgent needs, and that staff are expected to report any issues as soon as they are identified.
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 76 citations issued within 25 miles in the last 12 months — 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 Social Circle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Place Nursing Facility | 9.4 mi | ★★★★★ | 9 | 0 |
| Riverside Health Care Center | 9.7 mi | ★★★★★ | 8 | 0 |
| Pruitthealth - Covington | 10.2 mi | ★★★★★ | 4 | 0 |
| Madison Health And Rehab | 14.5 mi | ★★★★★ | 0 | 0 |
| Westbury Center Of Conyers For Nursing And Healing | 16.5 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Social Circle Nsg & Rehab Ctr.
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 October 2026) and official state health department websites.