C+
65/100

Lillian Carter Health Center by Harborview Inspection Report, Violations & Safety Grade (Plains, Georgia)

225 Hospital Street, Plains, Georgia 31780

Phone: 2298247796

CMS Overall:2/5

Overview & Bed Count

Certified Beds
100
Avg Residents/Day
71.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Sumter
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health3/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityGeorgia AvgDifference
RN Hours per Resident per Day0.340.50-0.16
Total Nurse Hours per Resident per Day3.263.61-0.34
CMS Staffing Rating1/52.3/5-
Nursing Staff TurnoverN/A46.8%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2025-09-12Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.F – Moderate Harm Potential
2025-09-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E – Moderate Harm Potential
2025-09-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-09-12Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2024-03-10Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-03-10Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-03-10Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-03-10Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-03-10Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2022-05-19Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-09-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2024-03-10Emergency Preparedness DeficienciesEstablish an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-03-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-03-10Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2024-03-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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