Average — CMS composite of the measures below.
The next survey window likely opens around March 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 Decatur Wellness And Rehabilitation Center during CMS and state inspections, most recent first.
Unsafe Environment and Call Light Not Within Reach: A resident with stroke history, hemiplegia, CKD, and moderate cognitive impairment was observed multiple times lying in bed with the call light on the floor behind the bed and out of reach; at one point the resident was yelling out for help. Separate observations found a bathroom with dried brown residue, stained toilet surfaces, a foul odor, and privacy curtains with white and dark dried substances, and the DON and Administrator confirmed the call light should be within reach and the areas were not clean.
Inaccurate MDS Coding for PASARR Level II Status: The facility inaccurately coded two residents’ annual MDS assessments as not having a Level II PASARR despite records showing each had a PASRR Level II evaluation that determined serious mental illness. Both residents had mental health diagnoses, including bipolar disorder, PTSD, schizoaffective disorder, and major depression, and the LPN MDS nurse confirmed the coding error.
Unlocked medication and treatment carts were observed on the 100 hall, with drawers facing the hallway and no staff present. The RN/ADON confirmed the medication cart was unlocked and unattended, and the DON confirmed the treatment cart was also unlocked, unattended, and contained medications, contrary to facility policy requiring locked storage when not under direct observation.
Unsafe Environment and Call Light Not Within Reach
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for 3 of 32 rooms observed and failed to provide a safe, clean, and homelike environment for 1 resident. Resident #40 was admitted with diagnoses including history of stroke, hemiplegia, and chronic kidney disease, and a quarterly MDS assessment showed a BIMS score of 11, indicating moderate cognitive impairment. During multiple observations, Resident #40 was lying in bed with the head of the bed raised while the call light was on the floor behind the head of the bed and not within reach. On one observation, the resident was yelling out for help, and a CNA entered the room, repositioned the resident, and gave the resident a soda. The CNA confirmed the call light was on the floor behind the bed and not within the resident's reach. In addition, repeated observations of room bathrooms and privacy curtains showed unsanitary conditions. The bathroom in one room had multiple areas of dried brown residue on the bedside commode seat over the toilet, on the metal parts beneath the commode, and on the toilet seat, along with yellow and brown stains or discoloration on the toilet seat, a dark orange/brown substance around the base of the toilet, and a strong foul odor. Privacy curtains in rooms 106-B, 108-A, and 109-B had multiple areas of white and dark dried substances on them. The DON confirmed call lights should be within residents' reach at all times, and the Administrator confirmed the curtains and bathroom areas were not clean.
Inaccurate MDS Coding for PASARR Level II Status
Penalty
Summary
The facility failed to accurately complete MDS assessments for the Level II PASARR status of 2 residents. Review of the RAI 3.0 User’s Manual showed that the admission, annual, and significant change assessments require coding “yes” when a PASRR Level II screening has determined the resident has a serious mental illness. However, annual MDS assessments for Resident #45 and Resident #5 were coded inaccurately as not having a Level II PASARR. Resident #45 had diagnoses including Bipolar Disorder, Major Depressive Disorder, PTSD, and Diabetes Mellitus, and the record showed a PASARR Level II evaluation completed in 11/2022 that determined the resident had a serious mental illness. Resident #5 had diagnoses including Schizoaffective Disorder, Major Depressive Disorder, and Insomnia, and the record showed a PASARR Level II evaluation completed in 1/2024 that determined the resident had a serious mental illness. Both residents also had care plans in place for their mental health diagnoses. During interview, the LPN MDS Nurse confirmed that both annual MDS assessments were not coded accurately for being considered by the state Level II PASARR process to have a serious mental illness.
Unlocked Medication and Treatment Carts
Penalty
Summary
Medications and biologicals were not securely stored in 1 medication cart on the 100 hall and 1 treatment cart. Facility policy titled Medication Storage stated drugs and biologicals are to be stored in locked compartments, only authorized personnel have access to the keys, and medications must be kept under direct observation of the person administering them or locked in the medication storage cart. During observation, the 100-hall medication cart was positioned against the wall with the drawers facing the hallway, was unlocked, and was unattended; the RN/ADON later returned and confirmed the cart had been unlocked, unattended, and medications were not stored securely. During a separate observation, the treatment cart on the 100 hallway near the nurse's station was also found unlocked and unattended, and the DON confirmed it was in the hallway, unlocked, unattended, and contained medications.
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 70 citations issued within 25 miles in the last 12 months — including the 1 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 Decatur
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Rhea County | 10.4 mi | ★★★★★ | 6 | 0 |
| Nhc Healthcare, Athens | 11.7 mi | ★★★★★ | 0 | 0 |
| Spring City Care And Rehabilitation Center | 11.7 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Athens | 12.3 mi | ★★★★★ | 12 | 1 |
| Waters Of Sweetwater A Rehabilitation & Nursing | 17.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Decatur Wellness And Rehabilitation Center.
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.