Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Treutlen County Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to follow infection control practices during resident care and laundry transport. During GT medication administration for a resident with severe cognitive impairment and a PEG tube, an RN changed gloves twice without sanitizing her hands between glove changes. In addition, a laundry aide transported clean resident clothing through the hallway without covering the laundry, leaving it exposed to residents, staff, and visitors.
An LPN found two loose tablets on a medication cart drawer, picked them up with bare hands, and placed them back into a resident’s medication packet before taping and returning the packet to the cart. The resident had diagnoses including hypertensive heart disease, CKD with HF, CKD, essential tremors, and HTN, and had orders for spironolactone and primidone. The IP, RN, and DON stated the drawer was not a clean surface and that loose tablets should not be placed back into circulation.
A resident with severe cognitive impairment was physically abused by a CNA during care after becoming combative. Witnesses confirmed the CNA struck the resident in the face, resulting in redness and prompting an assessment by nursing staff. The incident was substantiated through internal investigation and law enforcement involvement, with the CNA being removed from the facility and charged with elder abuse.
Infection Control Failures During Glove Use and Clean Laundry Transport
Penalty
Summary
The facility failed to follow infection control practices during wound care and glove use for a resident with severe cognitive impairment and a feeding tube. Review of the resident’s record showed admission with a diagnosis including encounter for attention to gastrostomy, a BIMS score of 01 indicating severe cognitive impairment, and a care plan for tube feeding with instructions to assess feeding tube placement, patency, and residual every shift and before and after administration of fluids or medications. During observation of gastrostomy tube medication administration, the RN changed gloves on two occasions without sanitizing her hands between glove changes. The RN later confirmed she did not sanitize her hands between glove changes and stated she should have done so because germs may transfer to the new gloves and the resident could get sick or get an infection. The facility also failed to cover clean laundry during transport and distribution. Observations showed a laundry aide transporting resident clothing from room to room without the laundry being covered, leaving clean laundry and linens exposed to residents, staff, and visitors in the hallway. The laundry aide stated she usually covered the bottom of the cart where folded clothes were placed but did not cover the hanging items. The DON and Administrator stated that, per facility policy, clean laundry did not need to be covered when transporting clean clothing and linens to resident rooms.
Loose Medications Handled Improperly During Cart Review
Penalty
Summary
The facility failed to follow accepted standards of practice for one sampled resident, R44, when loose tablets found on the bare surface of a medication cart drawer were handled with bare hands and placed back into the resident’s medication packet. R44 was admitted with diagnoses including hypertensive heart disease, chronic kidney disease with heart failure, chronic kidney disease, essential tremors, and hypertension. The care plan addressed diuretic use related to spironolactone, with interventions to monitor for hypotension and signs and symptoms of dehydration. Physician’s orders included spironolactone 25 mg twice daily, to be taken with food, and primidone 50 mg twice daily. During observation of the B Hall medication cart, an LPN removed two loose tablets from the drawer surface with bare hands, identified them as spironolactone 25 mg and primidone 50 mg, and placed them into the open packet with R44’s other medications. The LPN then taped and folded the packet and returned it to the drawer among the resident’s medications. In interview, the LPN stated the tablets could later be administered to R44 or by another nurse. The IP, RN, and DON stated that tablets must not be handled with bare hands or returned to circulation after being on the medication cart drawer surface, and that the drawer was not a clean surface.
Failure to Protect Resident from Physical Abuse by Staff
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) physically abused a resident diagnosed with early-onset Alzheimer's disease, dementia, pain, and generalized anxiety disorder. The incident took place during care when the resident became combative and struck out at staff. In response, the CNA hit the resident in the face. Witnessing CNAs confirmed the event, and a charge nurse documented redness on the left side of the resident's face during a head-to-toe assessment. The resident was noted to have severely impaired cognitive skills, rarely or never able to make decisions, and was unable to respond appropriately to questions during subsequent interviews. The facility's policy on abuse prohibition clearly states that all patients have the right to be free from mistreatment, neglect, and abuse by anyone, including staff. Despite this policy, the CNA's actions constituted physical abuse, as substantiated by witness statements and physical evidence. The incident was reported to law enforcement, and the CNA was interviewed by police and subsequently removed from the facility. The abuse was substantiated by both the facility's internal investigation and law enforcement, with the CNA being charged with elder abuse. The resident involved was assessed for injury and psychosocial trauma following the incident. No pain or psychosocial trauma was noted, and an X-ray showed no adverse findings. The resident's care plan was updated to reflect the potential for trauma due to the experience with the healthcare worker. Observations after the incident indicated the resident continued to wander throughout the facility and did not display changes in sleep patterns, appetite, or anxiety.
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Illustrative
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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 Soperton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Scott Health & Rehabilitation | 10.4 mi | ★★★★★ | 5 | 0 |
| Meadows Park Health And Rehabilitation | 14.3 mi | ★★★★★ | 0 | 0 |
| Glenwood Health And Rehabilitation | 14.8 mi | ★★★★★ | 22 | 0 |
| Oaks - Bethany Skilled Nursing, The | 16.9 mi | ★★★★★ | 12 | 0 |
| Pruitthealth - Swainsboro | 18.1 mi | ★★★★★ | 6 | 0 |
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