Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 Haralson Nsg & Rehab Center during CMS and state inspections, most recent first.
A deficiency was cited when an area of the facility was not kept free from accident hazards and adequate supervision was not provided to prevent accidents. The environment and supervision protocols were found to be insufficient to minimize accident risks.
Surveyors found that shower rooms on two halls were not maintained in a clean condition, with dark brown to black fuzzy and slimy substances present on the walls near cracks in grout and caulking, and a musty odor detected. Facility policy required monthly deep cleaning with bleach, but these procedures were not effectively carried out, as confirmed by staff interviews.
A resident with a history of metabolic encephalopathy, diabetes, and an unstageable pressure ulcer did not have complete documentation of wound care treatments in the medical record. The TAR lacked entries for several days, and an LPN admitted to performing but not documenting a treatment due to distraction, despite being trained to do so. The administrator confirmed that all treatments are expected to be documented after completion.
The facility failed to ensure adequate nursing staff for its 104 residents, resulting in a One-Star Staffing Rating for Quarter 1 of 2024. High turnover and reliance on agency staff contributed to the deficiency, as revealed by interviews with the HR Director and Administrator.
The facility failed to maintain safe water temperatures, with readings above 110 degrees Fahrenheit in 27 resident rooms and the shower room. Additionally, a resident reported that bed linens were not changed after showers, as required by facility policy. These deficiencies were confirmed through staff interviews and record reviews.
The facility failed to administer O2 therapy as ordered for a resident with multiple diagnoses, including heart failure and sleep apnea. Observations revealed the O2 concentrator was set at 3 LPM instead of the prescribed 2 LPM. Staff interviews confirmed the resident sometimes adjusted the O2 settings herself, and nursing staff did not consistently monitor and adjust the O2 levels as ordered.
Failure to Maintain Accident-Free Environment and Provide Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment was not maintained in a manner that would minimize the risk of accidents, and supervision protocols were insufficient to prevent such incidents from occurring. No additional details regarding the specific individuals involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Maintain Clean and Sanitary Shower Rooms
Penalty
Summary
Surveyors observed that the facility failed to maintain shower rooms in a clean and sanitary condition on two separate halls. Specifically, dark brown to black fuzzy and slimy substances were found on the walls of the shower units near cracks in the grout and caulking. The presence of a musty odor was also noted in these areas. The facility's policy required monthly scrubbing of bathroom ceramic tile floors with a cleanser containing bleach to prevent bacterial growth, but these procedures were not effectively implemented, as evidenced by the unsanitary conditions observed. Interviews with facility staff confirmed the findings. The Maintenance Director acknowledged the presence of the black substance and stated that monthly pressure washing and scrubbing were performed, but was unsure how these areas were missed. The Administrator clarified that nursing staff were responsible for tidying the shower rooms after use, while maintenance was tasked with monthly deep cleaning and inspection. Despite these assigned responsibilities, the required cleaning and inspection did not prevent the accumulation of unsanitary substances in the shower rooms.
Incomplete Documentation of Pressure Ulcer Treatment
Penalty
Summary
The facility failed to ensure that medical record documentation was completed and accurate for a resident with a pressure ulcer. The resident, who was admitted with metabolic encephalopathy, type 2 diabetes mellitus, and unspecified diarrhea, had an unstageable pressure ulcer present on admission. The care plan required weekly treatment and measurement of all areas of skin breakdown. However, a review of the Treatment Administration Record (TAR) for June showed missing documentation for several days, specifically 6/1, 6/2, 6/4, and 6/9, regarding whether the prescribed wound care was provided. During interviews, an LPN confirmed that she performed the wound treatment on one of the missing dates but did not document it due to being distracted. She acknowledged being trained to document treatments after completion. The facility administrator stated that the expectation was for all treatments to be documented after they are completed. The lack of documentation resulted in incomplete medical records for the resident's pressure ulcer care.
Inadequate Nursing Staff
Penalty
Summary
The facility failed to ensure adequate nursing staff to meet the needs of its 104 residents, as evidenced by the PBJ Staffing Data Report for Quarter 1 of 2024. The report indicated a One-Star Staffing Rating due to multiple issues, including failure to submit PBJ data by the deadline, more than four days in the quarter without RN staffing hours, and failure to respond to or pass a CMS audit. Interviews with the HR Director and the Administrator revealed that the facility had a high turnover rate during this period, with several LPNs, Unit Managers, and CNAs resigning. The HR Director, who assumed scheduling responsibilities due to the Scheduler's maternity leave, stated that the facility relied on a mix of full-time staff and agency nurses and CNAs, with a significant portion of the staff being from agencies. The HR Director detailed the scheduling process, which involved notifying the Charge Nurse in case of call-outs and then reaching out to full-time staff or agency staff to fill the shifts. Despite these efforts, the facility struggled to maintain adequate staffing levels, particularly during the night shift. The Administrator acknowledged the high turnover and mentioned that full-time positions were being offered to agency staff, and company recruiters were actively seeking new candidates in local communities. This staffing deficiency had the potential to affect the care provided to all residents in the facility.
Facility Fails to Maintain Safe Water Temperatures and Change Bed Linens
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment as required by regulations. Specifically, the water temperatures in one of the facility's wings were found to be above the maximum allowable temperature of 110 degrees Fahrenheit, with temperatures ranging from 115.0 to 121.5 degrees Fahrenheit in 27 resident rooms and the shower room. This issue was identified during an initial tour and confirmed by the Maintenance Director, who admitted that the mixing valve had been problematic for a couple of months. Despite checking temperatures the previous week, the Maintenance Director did not record these checks, and the hot water was subsequently turned off to address the issue temporarily. The Administrator was unaware of the problem until notified by the Maintenance Director and stated that hot water would be sourced from another wing until the part to fix the issue arrived. Additionally, the facility failed to change bed linens for a resident after showers, as required by their policy. The resident, who was cognitively intact, reported that their bed linens were not changed after receiving showers on two consecutive days. Interviews with the Certified Nursing Assistant and the Director of Nursing confirmed that bed linens should be changed on shower days, and failure to do so would result in in-service education and potential employee write-ups. The facility's electronic medical records corroborated the resident's claim, showing that the resident had received showers but did not have their bed linens changed. These deficiencies highlight lapses in the facility's adherence to its policies and procedures, particularly concerning water temperature regulation and bed linen changes. The failure to maintain appropriate water temperatures poses a risk of burns to residents, while not changing bed linens compromises the cleanliness and comfort of the residents' living environment. Both issues were acknowledged by the facility staff during interviews, indicating a need for improved oversight and adherence to established protocols.
Failure to Administer Oxygen Therapy as Ordered
Penalty
Summary
The facility failed to administer oxygen (O2) therapy as ordered for a resident (R21) who was receiving O2 therapy. The resident was admitted with diagnoses including heart failure, morbid obesity, hypertension, transient cerebral ischemic attack, and sleep apnea. The physician's order specified that the resident should receive O2 at 2 liters per minute (LPM) via nasal cannula to maintain O2 levels above 92%. However, observations on multiple occasions revealed that the O2 concentrator was set at 3 LPM instead of the prescribed 2 LPM. Staff interviews confirmed that the resident sometimes adjusted the O2 settings herself, and the nursing staff did not consistently monitor and adjust the O2 levels as ordered by the physician. The facility's policy on oxygen administration did not include procedures for maintaining O2 concentrators, proper storage of O2 devices, or nursing staff responsibilities for ensuring the correct O2 flow. Interviews with the Assistant Director of Nursing/Infection Preventionist (ADON/IP) and the Director of Nursing (DON) revealed that the nurses were primarily responsible for checking the O2 settings and monitoring O2 levels every shift. Despite these expectations, the deficiency occurred due to a lack of adherence to the physician's orders and inadequate monitoring of the O2 settings by the nursing staff.
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What surveyors actually found near you
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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 Bremen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Countryside Post Acute | 6.3 mi | — | 1 | 0 |
| Buchanan Healthcare Center | 6.6 mi | — | 0 | 0 |
| Pine Knoll Path Of Journey Llc | 10 mi | — | 0 | 0 |
| Pruitthealth - Carrollton | 11 mi | — | 4 | 0 |
| Carrollton Crossing Of Journey Llc | 13.6 mi | — | 14 | 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.