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Health Inspection Summary

Carlyle Place

5300 Zebulon Road

Macon, GA 31210

(478) 405-4500

Deficiency Category	Inspection Date: 8/25/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 4/30/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 1/6/22 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	3	0	0
Quality of Life and Care Deficiencies	1	1	0
Infection Control Deficiencies	0	0	0
Resident Assessment and Care Planning Deficiencies	0	2	0
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	0	0	0
Nutrition and Dietary Deficiencies	1	1	0
Pharmacy Service Deficiencies	0	1	0
Environmental Deficiencies	0	0	0
Administration Deficiencies	2	0	0

Detailed result for inspection on 8/25/24

Date of last standard health inspection:	8/25/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	4/19/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	7
Average number of Health Deficiencies in Georgia:	6.1
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few
Respond appropriately to all alleged violations.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe and appropriate respiratory care for a resident when needed.	8/25/24	9/16/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	8/25/24	9/16/24	2 - Minimal harm or potential for actual harm	Many

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Some

Detailed result for inspection on 4/30/23

Date of last standard health inspection:	4/30/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	5
Average number of Health Deficiencies in Georgia:	5.2
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe and appropriate respiratory care for a resident when needed.	4/30/23	6/14/23	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	4/30/23	6/14/23	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	4/30/23	6/14/23	2 - Minimal harm or potential for actual harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	4/30/23	6/14/23	2 - Minimal harm or potential for actual harm	Many

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	4/30/23	6/14/23	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 1/6/22

Date of last standard health inspection:	1/6/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	0
Average number of Health Deficiencies in Georgia:	3.8
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
No Quality of Life and Care Deficiencies were found during this inspection period.

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few
Respond appropriately to all alleged violations.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Few
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	4/19/24	6/7/24	4 - Immediate jeopardy to resident health or safety	Some

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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