New Horizons Habersham

Inspectors wroteBased on observation, staff interviews, and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were coded accurately and physician orders were obtained for one of 28 sampled residents (R) (R9) reviewed for assessment accuracy and resident safety devices. This deficient practice had the potential to place R9 at increased risk of not receiving care and services according to her assessed needs.

Inspectors wroteBased on observation, staff interviews, record review, and facility policy titled, Contracture Screen LTC-Patient Care, the facility failed to provide evidence that restorative or occupational therapy were provided for splinting and range of motion (ROM) for one out one resident (R) 34. This deficient practice had the potential to place R34 at increased risk of unmet care needs and medical complications.

Inspectors wroteBased on observations and staff interviews, the facility failed to discard expired intravenous (IV) start supplies and nasal swabs intended for use for residents in one of two medication storage. This deficient practice created the potential for expired or improperly stored supplies to be used in resident care, placing residents at risk for compromised safety, potential for adverse consequences. Findings Include:Observation on [DATE] in west hall medication storage room, revealed a bag of swabs dated with expiration date [DATE] intended for nasal or throat testing for all residents and expired peripheral IV start kits with dates from 2024. Licensed Practical Nurse (LPN) GG confirmed the expired dates on the supplies. Interview on [DATE] with the Regional Nurse revealed they do not have a policy for medication storage and supplies. [...]

Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility policy titled, Equipment cleaning, Disinfecting and Sterilizing-Infection Prevention and Control, the facility failed to properly store and label wash basins on one hall out of four halls. This failure had the potential to put residents at risk for infection. The census was 62. Findings Include:Observation on 05/19/2026 at 9:45 AM revealed wash basins in the bathrooms in rooms 302, 307, 308 with double occupancy stacked with no name or individual bags for rooms with double occupants. Observation on 05/21/2026 at 8:30 AM revealed all washbasins had been discarded from the resident rooms on west hall. Interview on 05/21/2026 at 8:00 AM with the Director of Nursing (DON) confirmed that the wash basins in the rooms were stacked and not bagged. [...]

Inspectors wroteBased on staff interviews and record reviews, the facility failed to maintain communication between the facility and the dialysis center for one of one resident (R) R19 reviewed for dialysis. This deficiency had the potential to cause complications related to dialysis and diminished quality of life for R19.

Inspectors wroteBased on staff interview, record review, and review of the facility's policy titled, Advance Directives, the facility failed to provide written information to the resident and/or representative regarding the right to accept or refuse medical or surgical treatment for one of 30 sampled residents (R) (R3) reviewed for advance directives. This failure had the potential to deny R3 and/or representatives the opportunity to have choices and preferences with health care decisions and to formulate an Advance Directives.

Inspectors wroteBased on observations, staff and resident interviews, and record review, the facility failed to develop a comprehensive person-centered care plan related to language barrier communication devices and three facility acquired pressure ulcers for one out of 30 sampled residents (R) (R57). This deficient practice had the potential to affect R57's health and safety.

Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled Nebulizer Machine Cleaning, the facility failed to prevent the spread of infections by not cleaning, changing or covering nebulizer equipment for one of five residents (R) (R21) receiving nebulization treatments.

Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility's policy titled, Infection Prevention and Control-Hand Hygiene, the facility failed to wash/sanitize hands during a wound treatment for one of two residents (R) (R38) reviewed for pressure ulcers. This deficient practice had the potential to result in complications of the wound and further impair the resident's skin integrity.

Inspectors wroteBased on observations, staff interviews, and review of the facility policies titled, Uniform Dress Code, Food and Storage Policy, and Habersham Home Resident Nutrition Services Policy the facility failed to ensure the exhaust hood was clean and free from grease to prevent contamination; failed to ensure dietary staff with facial hair wore a beard restraint; failed to label and date opened food items; and failed to deliver resident meal trays in a sanitary manner on the [NAME] Wing. This deficient practice had the potential to effect 66 of 71 residents receiving an oral diet.

Inspectors wroteBased on record review, observation, staff interviews, the facility failed to ensure air conditioners were free from dust build up in six resident rooms (301, 306, 307, 308, 309, and 310) of 21 rooms in the west building.

Inspectors wroteBased on observations, record review, interviews, and review of the policy titled, Care Plan Policy, it was determined the facility failed to ensure the development of a person-centered, comprehensive care plan for one resident (R) (R#13) related to contractures. Additionally, the facility failed to follow the person-centered care plan for two residents (R#21 and R#27) related to oxygen therapy , and one resident (R#54) related to nail care from a sample size of 26.

Inspectors wroteBased on staff interview and review of the facility policy titled, Personal Food Storage Dietary Policy, the facility failed to ensure the policy regarding resident personal food included safe reheating procedure to prevent food borne illness. This deficient practice has the potential to effect 66 residents consuming an oral diet.

Inspectors wroteBased on observations, record review, and staff interview, the facility failed to ensure nails were trimmed and clean for one resident (R) (#54) of 26 sampled residents.

Inspectors wroteBased on observations, record review, staff interview, and review of the policy titled, Oxygen Policy, the facility failed to ensure oxygen concentrators were free from dust build up and failed to ensure humidity was provided as ordered by the physician for two residents (R) (#21 and #27) reviewed of 16 residents receiving oxygen.

Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to ensure two residents (R) (R#34 and R#43) were appropriately assessed and informed consent was obtained, for the use of side rails on their beds. The sample size was 26.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure recipes were available to follow for preparing pureed foods to avoid compromising the nutritive value for chicken ala king and peas. This deficient practice had the potential to effect 16 residents receiving a pureed diet.