Average — CMS composite of the measures below.
The next survey window likely opens around January 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 Washington Co Extended Care Facility during CMS and state inspections, most recent first.
Improper food labeling, storage, and disposal were observed in the dietary areas. The CDM found expired meats, pickles, bread, and canned vegetables, along with multiple open or improperly sealed items in refrigerators, freezers, and dry storage that lacked required labels, dates, or expiration information. The CDM confirmed the findings, and the Administrator stated she rarely entered the kitchen to monitor operations and expected staff to discard old and expired food.
Pureed meals were prepared without standardized recipes or measured ingredients for residents on texture-modified diets. A Dietary Aide mixed diced chicken, mashed potato flakes, and water without measuring, and also added mashed potato flakes and water to pureed vegetables without measuring. The CDM confirmed there was no written policy guiding how nutritional value was monitored, and the Administrator stated staff were expected to use standardized recipes and avoid shortcuts in meal prep.
A facility failed to ensure a criminal background check was completed for one CMA/CNA who was a rehire and was not listed as completed on the GCHEXS background check list. The Administrator confirmed the CNA was removed from the schedule until the background check was completed, and HR later stated that one CNA had not completed a background check since 2023. The issue was described as an oversight.
An RN placed a Bactrim tablet in her bare hand before giving it to a resident with UTI, and an LPN used gloves taken from her uniform pocket to check another resident’s blood glucose. The RN, LPN, another RN, and the DON all acknowledged these practices were not sanitary and were infection control issues.
The facility failed to secure medication carts and ensure proper labeling of medications. Two medication carts were found unlocked and unattended, and two containers of Calmoseptine ointment lacked expiration dates. Despite in-service training on securing medications, these deficiencies were observed.
A facility failed to ensure a resident did not have medication at the bedside, potentially allowing unsafe self-administration. The resident, with moderate cognitive impairment, had no physician's order or care plan for self-administration. A container of Hibiclens was found on the bedside table and was removed by an RN, confirming it should not have been there.
Improper Food Labeling, Storage, and Disposal
Penalty
Summary
Food was not labeled, stored, prepared, and discarded in accordance with professional standards and the facility's policy titled Production, Purchasing and Storage. The policy stated that products with sell by, best by, enjoy by, or use by dates were to be discarded when past date, and that unused portions and open packages were to be covered, labeled, and dated using approved labels with all sections completed. During observation and interview with the Certified Dietary Manager, Refrigerator One contained a plastic container of pickles, a metal pan of hamburgers, a metal pan of grilled chicken, and a metal pan of sausage gravy with expired dates, along with three plastic containers of ranch dressing dated 02/17/2026 without expiration labels. Refrigerator Two contained a clear plastic bag of sliced meat dated 02/23/2026 without an expiration date. Freezer One contained a boxed sponge cake opened on 02/22/2026 without an expiration date, two cases of low-fat vanilla yogurt dated 02/17/2026 without expiration dates, and multiple open or improperly sealed food items including kernel corn, okra, shoestring fries, chicken, mushrooms, and breaded okra that were unlabeled and lacked open and expiration dates. Dry Pantry One contained a plastic container of bananas with brown spots and uncovered, unlabeled containers of red onions and yellow onions. Dry Pantry Two contained several cans of vegetables with expired dates, and the bread cart outside Pantry One contained several loaves of whole wheat bread with expired dates. The Certified Dietary Manager confirmed the concerns and stated that staff needed additional training on labeling, dating, and discarding expired items. The Administrator acknowledged that she rarely entered the kitchen to monitor operations and stated that it was difficult to correct staff, adding that her expectation was for staff to discard old food and any expired items.
Pureed Meals Prepared Without Standardized Recipes
Penalty
Summary
The facility failed to ensure pureed foods were prepared according to standardized recipes and professional food service standards for residents requiring texture-modified diets. During an interview, the Certified Dietary Manager confirmed that the facility did not have a written policy guiding how nutritional value was ensured and monitored, and stated that food was expected to maintain its nutritive value, be properly prepared, palatable, and appropriately served. Observation of meal preparation showed that pureed chicken was made the day before service by combining diced chicken, mashed potato flakes, and water without measuring any ingredients. A second observation showed pureed green peas and carrots being prepared with mashed potato flakes and water added without measuring. The Dietary Aide confirmed she did not use a recipe when preparing pureed meals and said she relied on experience rather than measuring ingredients. The Certified Dietary Manager acknowledged that staff were expected to follow standardized recipes but did not always do so, and stated that mashed potato flakes were used as a thickening agent instead of commercial thickener because the facility stocked thickener only in small individual packets, which she said was time-consuming to use. The Administrator stated that kitchen staff were expected to order necessary items to ensure proper nutrition and not make shortcuts in meal preparation, and that staff should use standardized recipes rather than estimate or guess nutritional content.
Missing Criminal Background Check for CMA/CNA Rehire
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was cited after record review and staff interviews showed the facility did not ensure a criminal background check was completed for one of 13 staff members reviewed. The record review of the state and federal fingerprint-based background check list showed that one CMA/CNA, JJ, was not listed as having a completed background check by the facility. During interview, the Administrator confirmed that CMA/CNA JJ was removed from the schedule until her GCHEXS was completed with a satisfactory background. The HR Director and Assistant HR Director later stated that one CMA/CNA had not completed a background check since 2023, and the CMA/CNA JJ was identified as a rehire and described as an oversight.
Infection Control Lapses During Medication Administration and Blood Sugar Monitoring
Penalty
Summary
The facility failed to follow infection control protocol during medication administration for a resident with benign prostatic hyperplasia and a urinary tract infection. During observation, an RN placed one Bactrim tablet in her bare right palm before putting it into a medication cup for administration. The RN confirmed she placed the tablet in her bare hand and stated she should not have done so because her hand was dirty and it could cause cross-contamination. The resident involved, R32, had been admitted with diagnoses including benign prostatic hyperplasia and was diagnosed with a UTI. The resident’s record showed severely impaired cognition on the MDS and a care plan addressing risk for UTI, with orders for urinalysis culture and sensitivity and Bactrim 800/160 mg PO every 12 hours for 14 days. During interview, another RN stated pills should not be placed in bare hands before being given to residents because it was not sanitary and residents could get infections. The DON also stated tablets should never be placed in staff bare hands because hands are not clean and it was an infection control issue. The facility also failed to follow infection control protocol during blood sugar monitoring for a resident with diabetes mellitus. During observation, an LPN removed gloves from her uniform pocket and used them to check the resident’s blood glucose. The LPN confirmed the gloves came from her right pocket, which also contained keys, a pulse oximeter, and a marker, and stated those items were not clean. She stated the gloves would get contaminated in her pocket and from the items in her pocket, and when used on the resident, the resident would get infection. Another RN and the DON both stated gloves should not be kept in staff pockets and used on residents because the gloves could become contaminated and cause infection.
Medication Security and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure that medication carts were locked and secured when unattended, as observed on two separate occasions. On one occasion, a medication cart in the Middle Hall was found unlocked and unattended, out of the visual sight of a nurse. The LPN responsible for the cart stated that she had counted the cart at shift change and believed she had locked it, but it was found unlocked. On another occasion, a second medication cart was also found unlocked and unattended, which was confirmed by the returning LPN who acknowledged that the cart should have been locked when not in use. Additionally, during an inspection of the medication storage room, it was discovered that two containers of Calmoseptine ointment did not have expiration dates. This was verified by the Assistant Director of Nursing, who subsequently removed the medications from the room. The facility's policy mandates that all drugs and biologicals be stored in locked compartments and that only authorized personnel have access to the keys. Despite in-service training provided to the nursing staff on securing medications, the deficiency in securing medication carts and ensuring proper labeling of medications was evident.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that a resident, identified as R42, did not have medication at the bedside, which could lead to unsafe self-administration. The facility's policy allows bedside medication storage only for residents who are able to self-administer medications, with a written order from the prescriber and approval from the interdisciplinary resident assessment team. However, R42, who had a Brief Interview for Mental Status (BIMS) score of 12 indicating moderate cognitive impairment, did not have a physician's order or a care plan for self-administration of medication. During an observation, a container of Hibiclens antiseptic skin cleanser was found on R42's bedside table. A registered nurse confirmed the presence of the medication and removed it, acknowledging it should not have been in the resident's room.
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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) |
|---|---|---|---|---|
| Heritage Inn Of Sandersville Health And Rehab | 0.4 mi | ★★★★★ | 0 | 0 |
| Smith Medical Nursing Care Ctr | 0.6 mi | ★★★★★ | 0 | 0 |
| Wrightsville Manor Health And Rehab | 18.9 mi | ★★★★★ | 10 | 0 |
| Pruitthealth - Toomsboro | 19.9 mi | ★★★★★ | 0 | 0 |
| Gibson Health Opco Llc | 20.5 mi | ★★★★★ | 4 | 0 |
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