Above 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 Inman Healthcare during CMS and state inspections, most recent first.
Multiple cognitively intact residents with various medical conditions reported receiving cold and unappetizing meals, with repeated complaints documented in council meetings. Observations confirmed that food temperatures dropped significantly between kitchen preparation and service, and staff acknowledged that unheated carts and current serving practices failed to maintain appropriate temperatures.
The facility failed to provide a handwashing sink and PPE for laundry staff, did not maintain the wall to prevent pest entry, and allowed cross contamination between clean and dirty laundry. Clean items were stored on the floor and near soiled laundry, and washing machines were visibly unclean. Staff interviews confirmed lack of PPE use and cleaning schedules, and the administrator was unaware of these issues.
The facility failed to ensure that foods stored in the freezer, refrigerators, and dry food storage areas were appropriately sealed, labeled, dated with a use-by date, and discarded after the manufacturer's expiration date. Observations revealed multiple instances of improperly stored food, and interviews confirmed that staff were expected to check dates and ensure proper labeling, but these protocols were not consistently followed.
The facility failed to provide timely written notifications of hospitalization to the Responsible Party (RP) and the resident, and did not ensure that the Ombudsman was notified for one of the two residents reviewed for hospitalizations. Despite multiple hospitalizations, the facility did not complete bed hold policies or notify the Ombudsman in a timely manner as required by their procedures. Interviews with the Social Worker (SW), Director of Nursing (DON), and the Administrator confirmed these lapses in protocol.
The facility failed to provide timely bed hold notifications to a resident and their representative during multiple hospitalizations, despite policy requirements. Interviews with staff confirmed the lack of compliance with the bed hold notification policy.
The facility failed to provide necessary services to maintain good grooming and personal hygiene for a resident with hemiplegia and major depressive disorder. Observations revealed brown debris underneath the resident's fingernails, indicating inadequate nail care. Interviews with staff and family members confirmed inconsistencies in the implementation of the facility's ADL and nail care policies.
A resident with chronic respiratory failure and hypoxia did not receive oxygen at the prescribed rate of 4 L/min, as observed on one occasion when the concentrator was set at 3.5 L/min. Subsequent checks showed the correct setting, and staff confirmed the physician's order and the expectation to verify it daily.
Failure to Serve Food at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that food served to residents was palatable and maintained at an appropriate temperature, as required by facility policy. Observations and interviews revealed that multiple residents consistently received food that was cold and undesirable to eat. The facility's policy specified that hot foods should be served within a temperature range of 120-140 degrees Fahrenheit, with specific recommendations for different food types, and that chilled foods should be served at 40 degrees Fahrenheit or below. Despite this, residents reported that their meals, particularly breakfast items like grits, were served cold, and that this was a recurring issue. Three cognitively intact residents, each with different medical diagnoses including osteoporosis, scoliosis, adult failure to thrive, and chronic kidney disease, reported dissatisfaction with the temperature of their meals. One resident noted that butter would not melt in their grits due to the food being too cold, while another stated that food could be hotter and that the facility could do a better job ensuring hot meals. A third resident, who was on dialysis, reported not receiving a hot breakfast on dialysis days, typically receiving only cereal and applesauce. Resident Council Meeting Minutes also documented repeated complaints about cold food over several months. Direct observations during meal service confirmed that food temperatures dropped significantly between leaving the kitchen and being served to residents. For example, test trays measured temperatures well below the recommended range by the time they reached residents, with beef tips at 114 degrees Fahrenheit and vegetables at 100 degrees Fahrenheit. Staff interviews confirmed that the food carts used were not heated, and that food was plated from the steam table and covered with a dome, which was insufficient to maintain proper temperatures. Both dietary managers acknowledged the significant temperature drop and the need for improvement.
Infection Control Deficiencies in Laundry Area
Penalty
Summary
The facility failed to implement and maintain an effective infection prevention and control program in the laundry area. Observations revealed the absence of a handwashing sink and personal protective equipment (PPE) for laundry staff, as well as an opening in the wall behind the dryers large enough for pests or small rodents to enter. Clean clothing, pillows, and towels were stored in a laundry basket on the floor and clean clothes were hung on a rack next to dirty washers, creating a risk for cross contamination. There was no designated, sanitizable surface for folding clean clothing, and socks were found on top of the dryer. The washing machines themselves were not maintained in a clean condition, with visible dust, lint, and a gritty appearance on the lids and openings, as well as a dark, dry, brown substance resembling rust in the bleach dispenser compartment and around the washer housing. Interviews with staff confirmed that PPE was not available or used when handling soiled laundry, and there was no established schedule for cleaning the washing machines. The laundry aide reported seeing a gecko in the laundry room, indicating the potential for pest intrusion due to the wall opening. The administrator was unaware of the conditions in the laundry area, including the lack of a handwashing sink, PPE, and a clean folding surface, and had only conducted spot checks. No documentation of laundry aide job duties or maintenance logs for the laundry area was provided.
Failure to Ensure Proper Food Storage and Labeling
Penalty
Summary
The facility failed to ensure that foods stored in the freezer, refrigerators, and dry food storage areas were appropriately sealed, labeled, dated with a use-by date, and discarded after the manufacturer's expiration date. During observations, surveyors found multiple instances of improperly stored food, including a jug of ranch dressing not fully closed, an open and undated package of cheese slices, salad mix past its use-by date, and various other food items in the freezer and dry storage that were either open, undated, or past their expiration dates. These observations were made during a series of inspections on different dates and times, revealing a consistent pattern of non-compliance with the facility's food safety policy. Interviews with the Dietary Manager (DM), Director of Nursing (DON), and the Administrator confirmed that the facility's staff were expected to check dates and ensure proper labeling and sealing of food items. The DM stated that food storage dates are routinely checked twice a week, and the expectation is that food be labeled and dated, with prepared food held for only three days. The DON and Administrator echoed these expectations, emphasizing that the DM is ultimately responsible for monitoring food storage and ensuring compliance with the facility's food safety protocols. Despite these stated expectations, the observations indicated a failure to adhere to the facility's food safety requirements, leading to the identified deficiencies.
Failure to Notify Responsible Party and Ombudsman of Hospitalizations
Penalty
Summary
The facility failed to provide timely written notifications of hospitalization to the Responsible Party (RP) and the resident, and did not ensure that the Ombudsman was notified for one of the two residents reviewed for hospitalizations. The resident, who had diagnoses including cirrhosis of the liver, dementia, and a history of falling, was hospitalized multiple times. Documentation revealed that the resident expressed a desire to be sent to the Emergency Department (ED) on several occasions due to various symptoms, including abnormal vital signs, nausea, vomiting, diarrhea, and pain. Despite these hospitalizations, the facility did not complete bed hold policies or notify the Ombudsman in a timely manner as required by their procedures. Interviews with the Social Worker (SW), Director of Nursing (DON), and the Administrator confirmed these lapses in protocol, with the SW admitting that the resident did not appear on the monthly report sent to the Ombudsman and the DON and Administrator acknowledging the procedural gaps in notification and documentation. The resident was readmitted to the facility multiple times after hospital stays, with documentation indicating their condition upon return and the care provided. However, the facility's failure to notify the RP and the Ombudsman as per their policy was evident. The Social Worker provided the bed hold policy but admitted that it was not completed for the resident's hospitalizations. The DON and Administrator both confirmed that the procedure for notifying family/representatives and the Ombudsman was not consistently followed, particularly for residents who were admitted to the hospital and returned within a short time frame. This deficiency highlights a significant lapse in communication and adherence to established protocols for resident transfers and discharges.
Failure to Provide Timely Bed Hold Notification
Penalty
Summary
The facility failed to provide the bed hold document to Resident 3 and/or their representative in a timely manner for hospitalization. According to the facility's policy, the bed hold and therapeutic leave information must be provided in writing before transferring a resident to a hospital. However, a review of Resident 3's electronic medical record revealed that no bed hold notification was given prior to transfers on multiple occasions. The resident had been hospitalized on four separate dates, and there was no documentation of bed hold notifications for any of these instances. Interviews with the Social Worker, Director of Nursing, Administrator, and Executive Director confirmed the lack of compliance with the bed hold notification policy. The Social Worker admitted that the family was notified but not informed about the bed hold. The Director of Nursing and Administrator both stated that the bed hold policy is signed on admission and that the Ombudsman is notified monthly, but they did not ensure that the bed hold information was provided at the time of each transfer. The Executive Director confirmed that the bed hold policy is discussed upon admission and during discharge or transfer conversations, but this was not consistently documented or communicated in a timely manner for Resident 3's hospitalizations.
Failure to Provide Adequate Nail Care for Resident
Penalty
Summary
The facility failed to provide necessary services to maintain good grooming and personal hygiene for a resident (R9) who was unable to carry out activities of daily living (ADL). R9, who was admitted with diagnoses including hemiplegia and major depressive disorder, required extensive assistance with bathing, personal hygiene, and oral care. Observations revealed that R9 had brown debris underneath her fingernails on multiple occasions, indicating a lack of proper nail care. Interviews with staff and family members confirmed that R9's nails were dirty due to inadequate assistance with feeding and hand hygiene. The facility's policies on ADLs and nail care stipulated that routine cleaning and inspection of nails should be provided during ADL care and on a regular schedule. However, interviews with the CNA and the Director of Nursing (DON) revealed inconsistencies in the implementation of these policies. The CNA admitted that nail care was completed randomly, and the DON stated that nail care should be done daily during ADL care. The Administrator also confirmed that nail care should be provided daily and monitored by the unit manager, highlighting a failure in adherence to the facility's policies and procedures.
Failure to Administer Oxygen Per Physician's Orders
Penalty
Summary
The facility failed to administer oxygen per physician's orders for a resident (R17) who required respiratory care. R17 was admitted with multiple diagnoses, including chronic respiratory failure with hypoxia and chronic obstructive pulmonary disease. The resident's care plan specified that oxygen should be administered at 4 liters per minute (L/min) via nasal cannula continuously. However, during an observation on 03/05/24, the oxygen concentrator was noted to be set at 3.5 L/min, which was below the prescribed rate. The resident confirmed that the rate was supposed to be at 4 L/min. Subsequent observations on 03/06/24 and 03/07/24 showed the oxygen concentrator set correctly at 4 L/min. Interviews with staff revealed that the Licensed Practical Nurse (LPN) and the Director of Nursing (DON) were aware of the physician's order for 4 L/min of oxygen. The LPN confirmed the order in the electronic medical record and verified the correct setting during her assessment. The DON stated that her expectation was for nurses to verify orders and check daily to ensure the oxygen setting was correct. Despite these protocols, the initial observation indicated a failure to administer the correct oxygen setting as per the physician's order, leading to a deficiency in respiratory care for R17.
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 80 citations issued within 25 miles in the last 12 months — including the 10 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 Inman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Golden Age Operations | 0.3 mi | ★★★★★ | 0 | 0 |
| Lake Emory Post Acute Care | 0.9 mi | ★★★★★ | 3 | 0 |
| Magnolia Manor - Inman | 0.9 mi | ★★★★★ | 3 | 0 |
| Rosecrest Rehabilitation And Healthcare Center | 3.7 mi | ★★★★★ | 0 | 0 |
| Valley Falls Terrace | 6.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Inman Healthcare.
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.