Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Emerald Pointe Health And Rehab Ctr during CMS and state inspections, most recent first.
A resident with multiple acute conditions did not receive all ordered doses of an IV antibiotic, with no documentation of administration, refusal, or unavailability for two doses. Nursing staff did not record the missed doses or notify the physician or pharmacy, contrary to facility policy.
A facility failed to notify a physician about a resident's elevated blood pressure readings, which were outside the specified parameters. Despite multiple instances of high readings, there was no evidence of physician notification, as confirmed by the DON. The resident had several health conditions, including hypertension, requiring close monitoring.
A facility failed to create comprehensive care plans for a resident with impaired vision and dental issues. The resident, who was cognitively intact, struggled to read the menu card due to small print, affecting meal choices. Staff were unaware of these challenges, and interviews confirmed the absence of individualized care plans for the resident's vision and dental needs.
A facility failed to provide a variety of activities to meet residents' interests, particularly in the evenings and on weekends. A resident, who was cognitively intact and had specific activity preferences, expressed boredom due to limited activity options. The activity calendars showed a lack of organized activities after early afternoon on weekdays and repetitive schedules on weekends. The Activity Director discontinued evening activities based on feedback from a small group, without consulting all residents or guardians.
The facility failed to provide necessary vision and hearing services to two residents. One resident with end-stage macular degeneration did not receive new glasses, affecting his ability to read menu cards. Another resident with impaired vision and cataracts had no follow-up for recommended eye exams and was not wearing effective glasses. Both residents experienced significant difficulties due to these oversights.
The facility failed to implement proper bowel management protocols for three residents, leading to lapses in bowel movement documentation and lack of interventions. Despite being at risk for constipation, the residents did not receive consistent monitoring or medication to facilitate bowel movements. The DON confirmed the absence of a bowel protocol and standing orders, resulting in deficiencies in care.
A resident with multiple health conditions, including a UTI, was prescribed Bactrim DS to be administered twice daily for 10 days. However, the resident received 21 doses instead of the ordered 20 doses, as confirmed by the DON.
A resident with multiple chronic conditions was found to have a bottle of Fluticasone Propionate Nasal Suspension in her room without an order for self-administration or bedside storage. Observations confirmed the presence of the nasal spray on two consecutive days, and an LPN verified the lack of proper authorization for the resident to have the medication at bedside.
A facility failed to notify a resident's nephrologist of abnormal lab results, despite physician orders to do so. The resident, with chronic kidney disease and other conditions, had elevated BUN and creatinine levels and a decreased GFR on two occasions. The deficiency was confirmed by the DON, who acknowledged the lack of documentation showing the nephrologist was informed.
The facility failed to maintain accurate medical records for three residents, leading to deficiencies in medication administration and documentation. A resident did not have a documented dose of Keflex, another had no record of receiving a consented vaccine, and a third had outdated care plan and dialysis schedule information. The ADON and DON confirmed these discrepancies.
The facility failed to implement proper infection control measures for two residents. A resident with a UTI received an incorrect dosage of antibiotics and was not placed on contact isolation despite having MRSA and Group B Strep. Another resident with respiratory symptoms was not adequately monitored or tested for COVID-19 or influenza, and was observed without a mask in communal areas. Staff interviews confirmed lapses in monitoring and infection control practices.
A resident with chronic infections and multiple diagnoses reported testicle pain, leading to a urinalysis that showed abnormalities. Despite the urine culture indicating mixed commensal flora, suggesting possible contamination, the resident was prescribed Cipro by a urologist without meeting the required criteria. The DON confirmed the antibiotic use did not meet the necessary criteria.
A resident with Alzheimer's and osteoporosis was neglected due to inadequate supervision, resulting in a fall. The resident, who required moderate assistance, was left unattended overnight by a CNA who failed to perform two-hour checks. The resident was found on the floor the next morning, incontinent and in pain. Staff interviews revealed the resident was last seen content in her recliner, but the facility's supervision policy was not followed.
A resident with Alzheimer's and dementia was found on the floor after being left unattended for hours, despite being at risk for falls and requiring assistance. A CNA failed to perform required checks, and the facility did not report the incident as neglect to the state agency, contrary to policy.
The facility failed to ensure competent nurse staffing for medication administration, leading to potential medication errors involving two residents. One resident experienced a significant drop in blood pressure after allegedly receiving the wrong medications, and staff did not follow proper procedures for medication administration and documentation.
Failure to Administer and Document IV Antibiotic Doses
Penalty
Summary
The facility failed to ensure that a resident received all physician-ordered doses of an intravenous (IV) antibiotic. The resident, who was admitted with multiple diagnoses including acute pyelonephritis, sepsis, bacteremia, urinary tract infection, and acute kidney injury, was prescribed Cefepime-Dextrose IV Solution to be administered every 12 hours for 10 days. Record review showed that on two occasions, there was no documented evidence that the IV antibiotic was administered, refused, or unavailable, and there was no documentation of physician notification or attempts to contact the pharmacy regarding missing medication. Interviews with nursing staff confirmed that medications should be documented as administered or refused on the Medication Administration Record (MAR), and that any unavailability should be reported and documented. However, for the missed doses, there was no documentation in the MAR, progress notes, or any indication that the physician or pharmacy was notified. The facility's policy requires documentation of administration, refusal, or unavailability, but this was not followed in the resident's case.
Failure to Notify Physician of Elevated Blood Pressure Readings
Penalty
Summary
The facility failed to ensure physician notification of a resident's blood pressure readings that were outside the specified parameters. This deficiency affected a resident who was admitted with multiple diagnoses, including breast cancer, chronic kidney disease, cardiac murmur, atrial septal defect, hypertension, diabetes mellitus, renal insufficiency, and urinary tract infection. The resident's treatment plan included monitoring blood pressure and notifying the physician if readings exceeded 130/80 mmHg. However, the medical record review revealed multiple instances where the resident's blood pressure readings were above the specified threshold, yet there was no evidence that the physician was notified as required. The deficiency was confirmed during an interview with the Director of Nursing, who verified the lack of documentation indicating physician notification for the elevated blood pressure readings. The facility's failure to adhere to the physician's orders for monitoring and reporting blood pressure deviations represents a lapse in the standard of care expected in managing the resident's health conditions. This oversight in communication could potentially impact the resident's treatment and health outcomes, although the report does not specify any direct consequences resulting from this deficiency.
Failure to Develop Individualized Care Plans for Sensory and Dental Needs
Penalty
Summary
The facility failed to develop comprehensive and individualized care plans for a resident with communication-sensory concerns. The resident, who was admitted with diagnoses including end-stage macular degeneration and cerebral infarction, was found to have highly impaired vision and dental issues. Despite being cognitively intact, the resident struggled with reading the dietary/menu card due to the small print, which affected his ability to choose meals. Interviews and observations revealed that the resident had been using the same glasses for a long time and had not received adequate dental care, as his teeth were in poor condition and causing discomfort. The deficiency was further highlighted during interactions with staff, where a CNA was unaware of the resident's inability to read the menu card. Additionally, interviews with social services and the regional director of clinical services confirmed that the resident did not have an individualized care plan addressing his vision or dental needs. This lack of a comprehensive care plan for the resident's specific sensory and dental issues contributed to the deficiency identified by the surveyors.
Lack of Varied Activities for Residents
Penalty
Summary
The facility failed to provide a variety of activities to meet the interests of residents, particularly in the evenings and on weekends. This deficiency was identified through observations, interviews, and reviews of activity calendars and resident records. A specific resident, who was cognitively intact and had a preference for activities such as listening to music, going outside, and participating in group activities, was affected by this lack of variety. The resident expressed boredom and dissatisfaction with the limited activities available, especially in the late afternoons and weekends. The activity calendars for several months revealed a lack of organized activities after early afternoon on weekdays and a repetitive schedule on weekends. The resident's participation records showed limited engagement in activities, with most of the resident's time spent on self-initiated activities like watching television and working on puzzles. The resident also had limited family visits and pet interactions, which further contributed to the resident's sense of isolation and boredom. Interviews with the Activity Director revealed that evening activities were discontinued due to low participation, based on feedback from a small group of residents. However, this decision was not communicated to all residents or their guardians. The Activity Director acknowledged the lack of variety in weekend activities and expressed willingness to try new activities that might interest the residents. Despite this, the current schedule did not adequately address the needs and preferences of the residents, leading to the identified deficiency.
Failure to Provide Vision and Hearing Services
Penalty
Summary
The facility failed to ensure that residents received proper treatment and assistive devices to maintain their vision and hearing abilities, affecting two residents. Resident #3, who was admitted with diagnoses including end-stage macular degeneration and cerebral infarction, was cognitively intact but had highly impaired vision. Despite wearing glasses, there was no evidence that Resident #3 was assessed or received new glasses to improve his visual acuity. Observations revealed that Resident #3 struggled to read the dietary/menu card due to small print, leading to frustration and an inability to make informed meal choices. Resident #18, admitted with multiple diagnoses including Parkinson's disease and impaired vision, required glasses for optimal vision. However, there was no evidence of follow-up for a dilated fundus exam or new eyeglasses as recommended. Despite a care plan intervention to ensure glasses were worn and clean, Resident #18 was observed not wearing glasses and reported that her current glasses were ineffective. Her cataract surgery had been rescheduled multiple times, and no interim measures were taken to address her vision concerns.
Failure to Implement Bowel Management Protocols
Penalty
Summary
The facility failed to ensure proper identification, assessment, and intervention for bowel function in three residents, leading to deficiencies in their care. Resident #13, who was at risk for constipation, did not have a bowel movement documented from 02/15/25 to 02/25/25, despite being administered a laxative on 02/16/25. The Director of Nursing (DON) confirmed the absence of a bowel protocol and standing orders for medications to facilitate bowel movements, and acknowledged the lack of documentation for Resident #13's bowel movements during this period. Resident #46, who was cognitively impaired and always incontinent of bowel and bladder, also experienced lapses in bowel movement documentation. From 02/15/25 to 02/18/25 and 02/23/25 to 02/27/25, there were no records of bowel movements, and the MAR for February 2025 showed no evidence of medication administration to aid bowel movements. The DON verified the absence of a bowel protocol and confirmed the lack of documentation for these periods. Resident #51, with a history of constipation and cognitive impairment, had no documented bowel movements on several occasions in February 2025. The resident's care plan included monitoring for constipation, but there was no evidence of interventions to assist with bowel movements. The DON stated that interventions should be implemented if a resident has no bowel movement for two to three days, but confirmed that Resident #51 went four days without a bowel movement, with no staff identification or intervention documented.
Resident Received Excessive Antibiotic Dose
Penalty
Summary
The facility failed to ensure a resident's drug regimen was free from unnecessary medications when a resident was administered antibiotics not at the ordered dose. Resident #27, who was admitted with multiple diagnoses including breast cancer, chronic kidney disease, and a urinary tract infection, was affected by this deficiency. A physician's order was received for Bactrim DS to be administered twice a day for 10 days, totaling 20 doses. However, the electronic Medication Administration Record indicated that the resident received 21 doses instead of the ordered 20 doses. This discrepancy was confirmed during an interview with the Director of Nursing.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure the safe storage of medications, specifically affecting one resident. The resident, who had intact cognition, was admitted with multiple diagnoses including fractures, respiratory failure, and chronic conditions. A review of the medical record showed that the resident had a physician's order for Fluticasone Propionate Nasal Suspension, to be administered once daily, but did not have an order to self-administer or keep the nasal spray at bedside. Observations on two consecutive days revealed that the resident had a bottle of the nasal spray on top of her refrigerator in her room. An interview with an LPN confirmed the presence of the nasal spray in the resident's room and verified that there was no order for self-administration or bedside storage.
Failure to Notify Nephrologist of Abnormal Lab Results
Penalty
Summary
The facility failed to notify a resident's nephrologist of abnormal laboratory results, which was a requirement as per the physician's orders. Resident #27, who was admitted with multiple diagnoses including chronic kidney disease and renal insufficiency, had abnormal lab results on two separate occasions. The Comprehensive Metabolic Panel on 07/26/24 showed elevated BUN and creatinine levels, and a decreased estimated GFR. Similarly, the panel on 01/02/25 revealed further abnormalities, including elevated BUN, creatinine, and BUN/Crea ratio, along with low hemoglobin and hematocrit levels. Despite these findings, there was no evidence in the medical record that the nephrologist was informed of these results as ordered by Physician #279. The deficiency was confirmed during an interview with the Director of Nursing, who verified that there was no documentation indicating that the nephrologist had been notified of the abnormal lab results. This oversight affected Resident #27, who was cognitively intact and receiving a diuretic, and was one of five residents reviewed for unnecessary medications in a facility with a census of 63.
Deficiencies in Medical Record Accuracy and Medication Administration
Penalty
Summary
The facility failed to maintain accurate and thorough medical records for three residents, leading to deficiencies in medication administration and documentation. For Resident #34, there was a lack of documentation for the administration of an evening dose of Keflex on 02/04/25, despite an order for the antibiotic to be given twice daily for cellulitis. The assistant director of nursing confirmed the missing documentation and noted that there was no record of the dose being missed, refused, or any notification to a physician. Additionally, the facility's medication administration policy requires documentation of medication refusal or unavailability, which was not adhered to in this case. Resident #13's records showed a consent for the Prevnar 20 vaccine, but there was no documentation of its administration in the medication administration record. The assistant director of nursing acknowledged the absence of documentation and mentioned a potential issue with their electronic documentation system. For Resident #18, the care plan inaccurately listed the resident as receiving Coumadin, while the electronic physician orders indicated the resident was on Apixaban. Furthermore, the Kardex contained outdated information regarding the resident's dialysis schedule, which had changed due to transportation concerns. The director of nursing confirmed the inaccuracies in the care plan and Kardex.
Inadequate Infection Control and Monitoring for Residents
Penalty
Summary
The facility failed to implement appropriate infection prevention and control measures for two residents, leading to deficiencies in care. Resident #27, who was admitted with renal insufficiency, non-Alzheimer dementia, and a urinary tract infection (UTI), was prescribed Bactrim DS for a UTI based on a urinalysis from an external urology office. However, the facility administered 21 doses instead of the ordered 20 doses. Additionally, the facility did not receive or act upon the urinalysis and urine culture results, which indicated the presence of MRSA and Group B Strep, until much later. Consequently, the resident was not placed on contact isolation precautions during the antibiotic treatment period. Resident #21, with a history of chronic obstructive pulmonary disease, diabetes, and other conditions, exhibited signs of a respiratory illness but was not adequately monitored. Despite complaints of sinus congestion and cold symptoms, there was no consistent documentation of the resident's temperature or respiratory status from 02/20/25 to 02/25/25. The resident was not tested for COVID-19 or influenza, even though she exhibited symptoms that could be contagious. Observations revealed that the resident was not wearing a mask while in communal areas, increasing the risk of spreading the illness. Interviews with facility staff, including the Assistant Director of Nursing and the Director of Nursing, confirmed lapses in monitoring and infection control practices. The facility's failure to receive timely laboratory results and implement necessary precautions for Resident #27, along with inadequate monitoring and testing for Resident #21, contributed to the deficiencies identified by the surveyors. The facility's infection control policy was not effectively followed, leading to potential risks for residents and staff.
Antibiotic Ordered Without Meeting Criteria
Penalty
Summary
The facility failed to ensure antibiotics were ordered based on the required criteria for a resident with a history of chronic infections. The resident, who was admitted with multiple diagnoses including chronic kidney disease, type 2 diabetes, and paraplegia, reported testicle pain, which he associated with urinary tract infections. A urine test strip indicated abnormalities, and a urinalysis confirmed the presence of moderate leukocytes, blood, and nitrites. Despite these findings, the Loeb's minimum criteria form for initiating antibiotic therapy was not completed, and no minimum criteria were marked. The urologist ordered Cipro, an antibiotic, for the resident based on his history and symptoms, but the Director of Nursing later verified that the use of Cipro did not meet the criteria. The resident's urine culture results, which were faxed to the facility, showed mixed commensal flora, indicating a mix of bacteria that typically reside in the urinary tract without causing infection. This suggested possible contamination during sample collection rather than a true infection. Despite this, the resident was administered Cipro, starting the evening after the urologist's order. The Director of Nursing confirmed that a culture and sensitivity test was not completed due to the mixed flora results, and acknowledged that the antibiotic order did not meet the necessary criteria.
Neglect Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate care and supervision to prevent neglect of a resident, who was admitted with multiple diagnoses including Alzheimer's disease, dementia, and osteoporosis. The resident was identified as being at risk for falls and required moderate assistance with daily activities. Despite these needs, the resident was left unattended for an extended period, resulting in a fall. The resident was found on the floor in her room, incontinent and in pain, but unable to communicate the location of the pain. The incident occurred when a CNA failed to perform the required two-hour checks on the resident, assuming the resident would seek help if needed. The CNA did not check on the resident for the remainder of the night shift, despite being aware of the facility's standard for regular checks. The resident was discovered on the floor the following morning by another staff member, leading to an investigation. Interviews with staff revealed that the resident was last seen in her recliner, appearing content and with her call light within reach. However, the facility's policy on resident supervision was not followed, as the resident was not checked on multiple times throughout the night as required. The facility's Director of Nursing confirmed that the staff should have conducted rounds every two hours, regardless of the resident's preference for privacy.
Failure to Report Alleged Neglect
Penalty
Summary
The facility failed to report an allegation of resident neglect to the state survey agency, affecting one resident. The resident, who was admitted with diagnoses including Alzheimer's disease, dementia, and muscle weakness, was found on the floor in her room after being left unattended for an extended period. The care plan indicated the resident was at risk for falls and required assistance with toileting and showers, yet the resident was not checked on as required. The incident occurred when the resident was found on the floor in front of her recliner, incontinent of urine, and in pain. Camera footage revealed the resident had been on the floor for several hours. A CNA admitted to not checking on the resident during the night shift, assuming the resident would seek help if needed, despite being aware of the two-hour check and change standard. The facility's policy mandates reporting all allegations of neglect to the state agency, but the Administrator did not report the incident, believing it was not neglect. Interviews confirmed the resident was a fall risk and should have been checked on multiple times during the night. The facility's failure to report the incident as neglect was identified during a complaint investigation.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure competent nurse staffing to administer medications according to professional standards, affecting two residents. Resident #44, who had diagnoses including congestive heart failure, chronic ischemic heart disease, hypertension, and atrial fibrillation, experienced a significant drop in blood pressure after allegedly receiving the wrong medications. The medication administration records indicated that RN #100 signed off on medications that were not administered by her, and there was confusion about the medications returned to the medication cart, which were not properly disposed of as per policy. Resident #41, who had similar diagnoses, was also involved in the incident. She only took part of her morning medications, and the remaining medications were mistakenly placed in Resident #44's slot in the medication cart. RN #225, who was assisting with the medication pass, administered medications without verifying them himself, which is against standard nursing practice. The facility's Director of Nursing (DON) did not verify the returned medications and relied on the nurses' statements, failing to confirm whether a medication error had occurred. Interviews with the involved staff revealed that there were lapses in following proper medication administration procedures, including signing off on medications not administered by the nurse and returning opened medications to the cart. The facility's investigation identified these concerns but did not conclusively determine if a medication error occurred. The DON acknowledged the issues and provided education to the staff, but the report highlights significant deficiencies in medication administration practices and staff competency.
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 213 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — 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 Barnesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Enclave At Barnesville | 2.1 mi | ★★★★★ | 21 | 0 |
| Cumberland Pointe Care Center | 11.2 mi | ★★★★★ | 16 | 0 |
| Continuing Healthcare At Forest Hill | 13.4 mi | ★★★★★ | 9 | 0 |
| Park Health Center | 13.7 mi | ★★★★★ | 8 | 1 |
| Belmont Manor | 13.8 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Emerald Pointe Health And 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 July 2026) and official state health department websites.