Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fifth Avenue Health Care during CMS and state inspections, most recent first.
A resident with multiple health conditions fell from a faulty shower bed, resulting in a femur fracture. The incident occurred due to the dislodgement of the bed's head section, which had not been inspected or maintained since its delivery. Staff involved lacked specific training on the new equipment, contributing to the accident.
A resident with multiple health conditions fell from a faulty shower bed, resulting in a femur fracture. The facility had not conducted routine maintenance or safety inspections on the shower bed, and modifications were made post-incident against the manufacturer's guidelines.
A resident with severe cognitive impairment did not receive necessary oral hygiene care, as staff failed to provide assistance or reminders, and oral hygiene supplies were missing from the resident's room. Despite the care plan's directives, staff were unaware of the resident's needs, leading to poor oral hygiene.
An E-Kit in the Medication Room West was accessed and not replaced, compromising emergency medication availability. The facility's policy requires immediate replacement of used kits, but the ADON confirmed the kit, opened on 5/2/2024, was not replaced, despite containing Humalog, a diabetes medication.
A resident with type 2 diabetes and Alzheimer's Disease did not receive adequate blood glucose monitoring while on insulin therapy. Despite the resident's request for more frequent checks, there were no active orders for monitoring, and the last documented checks were infrequent with high glucose levels. The lapse occurred after a hospital transfer when monitoring orders were not reinstated, and staff were unaware of the deficiency.
The facility failed to discard expired medications in two medication rooms, as observed by an LPN. Expired Acetaminophen suppositories were found in both rooms, posing a risk of administration to residents with physician's orders for these medications.
Resident Injury Due to Faulty Shower Bed
Penalty
Summary
The facility failed to provide an environment free from accident hazards, resulting in harm to a resident who fell from a faulty shower bed. The incident occurred when the support part of the head section of the shower bed became dislodged, causing the resident to slide off the bed and sustain a closed right peritrochanteric femur fracture. The resident, who had multiple diagnoses including hemiplegia, hemiparesis, and Alzheimer's Disease, was unable to communicate effectively, as indicated by the inability to complete the Brief Interview for Mental Status (BIMS) assessment. The incident was reported by the CNAs who were preparing the resident for a shower. They noted that the shower bed and Hoyer lift were already in place, and while adjusting the resident, they heard a snap sound, leading to the fall. The shower bed had been in use for approximately three months without any maintenance or safety inspections. The Maintenance Director later added self-locking nuts and bolts to the C-Clamp of the shower bed, although the owner's manual advised against modifications. Interviews with staff revealed that there was no specific training provided for the use of the new shower bed, and the CNAs involved had limited experience with it. The facility's Administrator confirmed that the shower bed was delivered pre-assembled and had not undergone any safety inspections prior to the incident. The lack of maintenance and training contributed to the accident, highlighting a deficiency in ensuring a safe environment for residents.
Failure to Maintain Safe Shower Bed Leads to Resident Injury
Penalty
Summary
The facility failed to maintain resident care equipment in safe operating condition, resulting in harm to a resident. The incident occurred when a resident, who was dependent on staff for bathing due to conditions such as hemiplegia, aphasia, Alzheimer's Disease, and severe obesity, fell from a faulty shower bed. The fall resulted in a closed right peritrochanteric femur fracture, necessitating hospital admission. The shower bed's head section support became dislodged, causing the resident to slide off the bed while being prepared for a shower by two CNAs. Interviews with the facility's Administrator and Maintenance Director revealed that the shower bed had not undergone routine maintenance or safety inspections prior to the incident. The Administrator acknowledged that the shower bed was delivered pre-assembled and that the PVC C-Clamp failure led to the accident. The Maintenance Director confirmed the absence of prior inspections and mentioned modifications made to the shower bed post-incident, which were contrary to the manufacturer's guidelines. The owner's manual explicitly advised against modifications and emphasized the importance of regular inspections and maintenance.
Failure to Provide Oral Hygiene Care for Cognitively Impaired Resident
Penalty
Summary
The facility failed to provide necessary care and services to maintain good oral hygiene for a resident with severe cognitive impairment. The resident, who was diagnosed with dementia, metabolic encephalopathy, and Alzheimer's disease, was observed with a foul odor and buildup on his teeth, indicating a lack of oral hygiene care. Despite the care plan directing staff to assist and remind the resident to complete oral care, the resident reported not receiving assistance or reminders from the staff. Additionally, the resident was unaware of the location of his oral hygiene supplies, which were not found in his room during an observation. Interviews with facility staff revealed a lack of awareness and action regarding the resident's oral hygiene needs. A CNA familiar with the resident's care needs incorrectly assumed the resident was independent with oral hygiene, despite acknowledging the resident's memory issues. The LPN was uncertain about the resident's ability to remember or perform oral hygiene tasks. The ADON confirmed there was no documented evidence of assistance or encouragement for the resident's oral care, highlighting a failure in the facility's adherence to the care plan and the resident's needs.
Emergency Medication Kit Not Replaced
Penalty
Summary
The facility failed to ensure that an emergency medication kit (E-Kit) was readily available for use in a resident emergency in one of the two medication rooms observed. The facility's policy, dated 4/1/2016, requires that emergency pharmacy services be available on a 24-hour basis, with emergency medications supplied in portable, sealed containers. These containers must be replaced as soon as possible after use. However, during an observation on 6/19/2024, a red color-coded E-Kit in the Medication Room West was found to have been accessed and opened on 5/2/2024, and not replaced by the pharmacy. The Assistant Director of Nursing (ADON) confirmed during an interview that the E-Kit had been opened and not replaced, despite the facility's process requiring the pharmacy to be notified for replacement. The pharmacy record inside the E-Kit indicated that Humalog, a diabetes medication, had been used. This oversight in replacing the E-Kit compromised the facility's ability to meet emergency medication needs as per their policy.
Inadequate Blood Glucose Monitoring for Insulin-Dependent Resident
Penalty
Summary
The facility failed to ensure adequate blood glucose monitoring for a resident receiving insulin, which was identified as a deficiency. The resident, who has a medical history of type 2 diabetes, metabolic encephalopathy, and Alzheimer's Disease, expressed concerns about infrequent blood glucose checks. Despite receiving insulin injections, there were no active physician orders for blood glucose monitoring, and the last documented checks were significantly spaced apart, with high glucose levels recorded. Interviews with facility staff revealed that the resident's blood glucose monitoring order was not reinstated after a hospital transfer. The Licensed Practical Nurse assigned to the resident was unaware of the lack of monitoring orders and results, indicating a lapse in communication and care continuity. The attending physician acknowledged that monitoring should occur with the administration of fast-acting insulin, despite the resident's history of refusing checks, emphasizing the need for documented attempts and refusals.
Expired Medications Found in Medication Rooms
Penalty
Summary
The facility failed to ensure the proper disposal of expired medications in two medication rooms, leading to a deficiency. During an observation in Medication Room East, an LPN discovered 32 Acetaminophen suppositories with an expiration date of September 2023 stored in the refrigerator. Similarly, in Medication Room West, five expired Acetaminophen suppositories were found. The LPN acknowledged that these expired medications should not have been stored due to the risk of administering them to residents. A review of facility records indicated that five residents had physician's orders for Acetaminophen suppositories to be administered every six hours as needed for elevated temperature. This oversight in medication management posed a potential risk of expired medications being given to these residents.
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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.
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Nursing homes near Rome
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Etowah Landing | 1.4 mi | — | 0 | 0 |
| Magnolia Place Nursing And Rehabilitation | 2.3 mi | — | 0 | 0 |
| Harborview Rome | 2.4 mi | — | 4 | 0 |
| Pruitthealth - Rome | 2.8 mi | — | 7 | 0 |
| Winthrop Health And Rehabilitation | 2.9 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.